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Within his written statement to the Inquiry Dr Morris McClelland explained that the experiences of trying to implement or pilot these technologies demonstrated that there were so many practical disadvantages as to preclude their use on a large scale

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Paul Mouncey's explained within his witness statement to the Inquiry how neither him or his wife, Jane were given clear advice about the screening of blood products, or never
given any indication that there was a risk from the transfusion

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Marlene Neve explained in her written statement to the Inquiry how she was aware of the risks posed by HIV so she asked the consultant prior to surgery if she could donate her own blood in advance of the procedure, should a transfusion be necessary. She was told that she was not fit enough and that her haemoglobin levels were too low

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Maria Fletcher within her written statement to the Inquiry explained how she was never given any information or advice about the possibility or risk of being exposed to infection before receiving any blood

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Maureen Harrison was infected with Hepatitis C when she received a blood transfusion after the birth of her second child: "The midwife told me that I could stay in hospital and have a transfusion of two units of blood. She said that the alternative would be to take six months of iron tablets. She advised that it would be better to stay overnight and have the transfusion, so I agreed to have the transfusion of blood."

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Angela Irons received a blood transfusion of two units the day after she had her son at Dryburn Hospital in Durham. She had a haemoglobin level of 9.1 prior to the transfusion, and does not think she was actively bleeding. She was diagnosed with Hepatitis C in 2000.

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Deborah Jones was given a blood transfusion at St David's Hospital in Bangor, North Wales, after a normal delivery. She was told by a nurse on the ward that she "would be given a blood transfusion the following morning...She told me that I was a bit anaemic and would be bouncing about down the ward after the transfusion."

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Lesley McEvoy received a blood transfusion at Staincliffe Maternity Hospital.

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Susan Dennison received a blood transfusion at the Peterborough Hospital. She gave evidence to the Inquiry that "The doctor did not say the word 'transfusion', just that I needed some blood. I did not know that I had received a transfusion at the time, let alone what the risks of receiving one might be. I simply followed the doctor's advice as I assumed that he knew what I needed in order to be able to take good care of my daughter."

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One man, who was infected with Hepatitis C, was injured while working on an offshore rig. He suffered a broken hip, pelvis and left arm as well as pelvic abrasions and cuts. He was given the blood transfusion when unconscious.

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Fiona Crawford was diagnosed with acute myeloid leukaemia and underwent chemotherapy at the Edinburgh Royal Infirmary.

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Maureen Drane underwent a hysterectomy and was transfused with two units of blood. Her widower has told the Inquiry that following the surgery he and his wife were told by clinicians that she had received a blood transfusion and that she "could have possibly managed without having the blood transfusion, but would have taken a little longer to recover."

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Terri Kuman described that her husband, Cem who was infected with Hepatitis C from blood transfusions was not fully informed of the link between transfusions and blood borne diseases.

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Mary Heath described that her husband was infected with Hepatitis C during treatment for acute myeloid leukaemia. This treatment was a 'do or die situation' that was left it in the hands of the experts.

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Charles Massey described that until the 1990s the role of the GMC in regulating the actions of doctors in practice was limited.

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Charles Massey described that there were no specific powers available to the GMC to approve or intervene in postgraduate training until 2010, although the GMC made recommendations.

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Charles Massey described that during the 1970s and 1980s there was no mandatory requirement for clinicians to undertake continuing professional development.

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Charles Massey described that doctors were required to undergo a two-year foundation programme after graduation and then to undertake speciality training. The Specialist Training Authority was established in 1995, followed by the Postgraduate Medical Education and Training Board in 2005, which merged with the GMC in 2010.

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The UK CMOs hosted a symposium at St Thomas' Hospital. This was attended by transfusion experts, clinicians, NHS managers and health authority chief executives from across the UK.

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A draft health services circular made a series of recommendations that were "very much a first step along the way to better blood transfusion".

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