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At a meeting of the regional transfusion directors it was recorded that regional health authorities "were still awaiting some general guidance on the National Blood Transfusion Service from DHSS".

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At a meeting of regional transfusion directors the DHSS was asked to consider providing advice to regional health authorities on the relationship between regional health authorities and regional transfusion directors.

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According to the British Journal Editorial the reason for a shortage in the supply of blood was due to the poor management of the Blood Transfusion Service from the late 1950s onwards and a lack of effective "national planning". The proposed "remedy" was an evaluation of a national policy for the sourcing and distribution of blood.

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Dr Maycock stated that "An efficient modern blood transfusion service does not really fit at all into the pattern of the NHS". He also lamented the NBTS' lack of a central laboratory and pointed out how the Blood Products Laboratory had not been originally designed to handle large scale fractionation of blood products.

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Dr Owen responded to a parliamentary question that Factor 8 supplies provided by the NHS were insufficient, so supplies had been purchased, exceptionally, by central commercial contract from the US, which had provided adequate supplies. He also noted that NHS production of Factor 8 had been increasing but this would depend on production capacity of regional transfusion centres.

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At a regional transfusion directors meeting, members thought that it would not be a problem to achieve an increase in the number of donations.

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Dr Roger Moore published an article entitled "Promoting blood donation: a study of the social profile, attitudes, motivation and experience of donors" in the Transfusion Medicine Journal.

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Dr Lorna Williamson confirmed in her oral evidence that there was never a need to take donations from prisoners at the Cambridge RTC as "the publicity was such we were inundated with donors".

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During oral evidence given by Dr Brian McClelland it became clear that donations could have been increased without much difficulty if required.

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Regional transfusion directors of England & Wales presented a memorandum entitled "The National Health Service: Its present status and proposals for re-organization" to the Royal Commission on the National Health Service.

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The Royal Commission on the National Health Service provided a report in which it was stated that common services like transfusion services did "not require a regional tier".

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Dr William Maycock was an honorary consultant in blood transfusion and resuscitation to the War Office, later the Ministry of Defence; had been President of the British Society for Haematology; and was a recognised teacher of pathology in the University of London.

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A formal agreement between the DHSS and the Scottish Home and Health Department was reached that the Protein Fractionation Centre would fractionate plasma from Newcastle, Leeds, Manchester and Liverpool regions, to the extent of 30,000 bottles of plasma protein fraction, plus antihaemophilic globulin produced from 10,000 bottles of blood.

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The location of the blood products unit in Edinburgh (which became known as the Protein Fractionation Centre) was changed to a separate, new site in Liberton.

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Planning progressed regarding the new blood products unit at Liberton (which became known as the Protein Fractionation Centre) with the expectation it would receive plasma from the 5 northern regions of England.

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In a joint DHSS and Scottish Home and Health Department meeting, Dr Richard Lane said it was his intention to concentrate on the production of Factor 8 at the Blood Products Laboratory and that it would be wrong to send plasma from RTCs in England to the Protein Fractionation Centre.

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The DHSS adopted Dr Tovey's proposal and established a new Advisory Committee on the NBTS.

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The blood transfusion research committee of the Medical Research Council was disbanded without any consultation of the UK Blood Transfusion Services.

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Dr Alison Smithies wrote a letter to Dr Harris (DCMO) advising that research and development were duplicated unnecessarily across RTCs, Blood Products Laboratory, and Protein Fractionation Centre due to lack of central coordination; and that successful introduction of heat treatment to inactivate viruses in blood products would benefit from such central coordination.

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Dr Gunson proposed a fully national blood transfusion service with central executive management.

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