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Regional transfusion directors agreed that those with a history of jaundice at birth or obstructive jaundice (not viral) could be accepted as donors.

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A donor wrote to the Wessex Regional Transfusion Centre about a mild attack of hepatitis and to arrange a blood test in 12 months to assess his eligibility to give donations.

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Scottish National Blood Transfusion Service guidance allowed donors with childhood jaundice/hepatitis who had recovered fully to donate (but deferred those with adult jaundice/hepatitis), donors who did not have Hepatitis B could be accepted one year after full recovery, those with Hepatitis B who wanted to donate would be referred to the centre for individual consideration, and those who had ever injected drugs would be deferred permanently.

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The Advisory Committee on the Virological Safety of Blood advised that the National Blood Transfusion Service "should re-consider its acceptance as blood donors of those who had had jaundice 12 months ago; anti HBc testing was recommended before acceptance."

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The second edition of the Department of Health's Guidelines for the Blood Transfusion Services was published. The revised donor criteria explicitly excluded those infected with Hepatitis C.

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In their closing submissions to the Inquiry, the NHSBT concluded: "It may well be that the memorandum [guidelines] did not keep track with the practice on the ground...insofar as the failure to update the guideline document in line with developing knowledge led to infection the blood service apologises."

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The Committee of Ministers to the Council of Europe included the permanent deferral of persons with a past history of viral hepatitis as an example of good practice for national blood transfusion services wishing to draw up their own guidelines.

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In a letter in The Lancet, Dr Brian McClelland recorded the findings of a study of the prevalence of HBsAg in 9,257 new donors. HBsAg was detected in 1 of 792 with a history of jaundice. The letter noted "the viruses of 'non-A, non-B hepatitis' may be a significant cause of jaundice in this population."

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Dr Brian McClelland and his team at the South East Scotland Transfusion Centre in Edinburgh drew up their own guidelines entitled "Guide to Selection of Blood Donors".

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The Scottish centre directors agreed that the Scottish National Blood Transfusion Service should produce its own selection criteria for donors, based on the South East Scotland's A-Z document.

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Scottish National Blood Transfusion Service guidelines were updated, but those around donors with childhood jaundice/hepatitis, donors with Hepatitis B, and those who had injected drugs did not change materially.

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Scottish National Blood Transfusion Service guidelines were updated, but those pertaining to donors with childhood jaundice/hepatitis, donors with Hepatitis B, and those who had injected drugs did not change materially.

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The Department of Health and Social Security's Central Management Services published a report entitled "Blood: Record Keeping and Stock Control".

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Dr Fereydoun Ala encouraged the use of maximum blood ordering schedules.

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Professor Contreras educated clinicians about the responsible and ethical use of blood and organised meetings on transfusion-transmitted infections.

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Scottish National Blood Transfusion Service directors recommended that regional transfusion centres accept formal responsibility for encouraging good practice in the hospital blood banks they supplied.

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According to Dr Gamal Gabra's recollection, Dr John Wallace started early attempts to achieve self-sufficiency in Scotland by introducing the concept of reducing the use of whole blood transfusion and promoting the use of components instead.

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Professor Stanislaw Urbaniak set up a Hospital Transfusion Committee in the Aberdeen Royal Infirmary to monitor usage and compliance with maximum surgical blood ordering schedules for each operation and procedure that might require a transfusion.

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Regional transfusion centres kept the records of donors who tested positive for HIV and hepatitis separately from their other records, to ensure their confidentiality.

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In a letter to colleagues, Dr Charles Bowley sought to make a case for using better quality cryoprecipitate instead of imported factor concentrates.

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