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The Government position in relation to the cost of payments for HCV infected individuals was that "If payments were made to haemophilia patients infected with Hepatitis C, there would be a similar number of HCV infected blood transfusion recipients who would press for payment."

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In a memo from Roger Scofield to Dr Rejman on the Hepatitis C Payment Scheme it was noted that "Ministers have clearly got the wind up and don't feel that we have a good defence."

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In a memo from Roger Scofield to Charles Blake and others on the Hepatitis C Payment Scheme it was noted that "the Government might have to reconsider its position if determined cross party support were to emerge, especially if this was fuelled by a major press campaign."

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In a memo from Roger Scofield to Rosamund Roughton on the Hepatitis C Payment Scheme it was noted that ministers had "publicly stated that they are against making any payments to those infected but are concerned that the arguments we have given them for defending such a policy are unconvincing."

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An official within the Department of Health's finance division minuted the Permanent Secretary's Private Office regarding the Hepatitis C Payment Scheme, stating that past experience was that obtaining Treasury agreement was not an easy matter and was somewhat time-consuming.

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The Permanent Secretary held a meeting with officials to discuss whether it would be appropriate to prepare options for some kind of payment scheme for those infected with Hepatitis C as a result of NHS treatment.

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Roger Scofield wrote to colleagues outlining that the Minister of Health has come out in favour of making payments to people with haemophilia and others infected by HCV.

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The Top of the Office meeting was held once a week and attended by the five ministers, Permanent Secretary, Chief Medical Officer, Chief Nursing Officer, NHS Chief Executive and Chief Inspector of Social Services.

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Viriginia Bottomley described how, in light of the report on Gerald Malone's meeting with John Marshall MP, alarm bells started to ring.

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In a paper, Roger Scofield cautioned (regarding the Hepatitis C Payment) that such a scheme was the exact opposite of the position that the Government generally and health ministers in particular had taken to date.

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Graham Hart was highly doubtful about a scheme, suggesting that there would be great resistance to any weakening of the line and that any concession towards Hepatitis C victims would be very difficult.

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Tom Sackville thought the Permanent Secretary's position looked "pretty decisive" and that it would be "'important that the Secretary of State is well briefed for a Cabinet discussion'."

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In a memo to Andy Taylor, Graham Hart wrote "I do not need to repeat the difficulties that would arise over any decision to concede on payments to those infected with Hepatitis C by blood transfusions or blood products. Those are difficulties of principle as well as practice".

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Baroness Cumberlege contended that it would be "a great mistake to concede payments for Hepatitis C victims. It was a mistake to concede the HIV victims but the scheme was at least clearly defined".

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Gerald Malone changed his mind in asserting that he would "firmly and enthusiastically support a strategy to resist compensation payments" and that a "logical and defensible distinction can be drawn between HIV sufferers and Hepatitis C sufferers."

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Virginia Bottomley agreed with Gerald Malone regarding resisting compensation payments for Hepatitis C sufferers, arguing that "there will always be new examples" and that a consistent line must be held.

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In accordance with the Secretary of State's request, the views of officials from Scotland, Wales and Northern Ireland were sought.

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Guidelines produced by the British Committee for Standards in Haematology did not recommend the use of PAD unless the "clinical circumstances are exceptional".

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The Scottish Government set up the NHS Scotland Better Blood Transfusion Programme to reduce risks to patients from blood transfusion.

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Mark Foster described that his mother was not told of any of the risks of the transfusions she had. She was not provided with an explanation as to how she had contracted Hepatitis C.

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