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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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Dr Cash maintained a call for more effective integration of the blood transfusion services, as well as further finance for research and development in blood products from voluntary British donors.

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Individual directors at regional transfusion centres wrote letters in support of Dr Cash, recording their concerns about the limited authority of the national directorate.

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Ernst and Young published a structural review of the NBTS. The report favoured a central contracting authority rather than a centrally managed service with direct line management.

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The Technical Working Group on Operational Aspects of the NBA concluded that the NBA should become a central strategic management authority, which should directly manage both the Blood Products Laboratory and the RTCs.

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In Northern Ireland, the NHS was merged with the broader social care system and called the Health and Personal Social Service.

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