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NHS National Institute for Health and Clinical Excellence published the article "Patient safety and reduction of risk of transmission of Creutzfeldt-Jakob disease (CJD) via interventional procedures".

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"Transmissible Spongiform Encephalopathy Agents: Safe Working and the Prevention of Infection" was published as an annex - this guidance made it clear that patient care should not be prejudiced as a result of the procedures to be followed in identifying patients at an increased risk of vCJD.

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A briefing paper for the Lord President of the Privy Council commented that the Social Services Secretary now proposed a one-off grant of up to £10 million to the Haemophilia Society to be distributed to cases of need.

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John Major wrote to Tony Newton, concerned about the precedent and recommending that the government "listen only at this stage" to the Haemophilia Society with regard to compensation for people with haemophilia who had been infected with HIV, "with no implication that the Government will take action."

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A handwritten note on a copy of Tony Newton's minute on compensation for people with haemophilia stated "Prime Minister! This is a major about-turn. Content?"

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A minute from John O'Sullivan (an adviser in Number 10) to the Prime Minister expressed agreement with the drift of Tony Newton's memorandum on compensation for people with haemophilia.

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In his reply to a parliamentary question asking when the DHSS had first become aware of AIDS and that AIDS was sexually transmitted, and could be transmitted through blood and blood products, Tony Newton stated: "Evidence that the AIDS infection could also be transmitted by blood transfusion emerged from the United States of America in 1983."

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In his reply to a parliamentary question on whether the Secretary of State would take steps to compensate those with haemophilia who had been infected with AIDS by Factor 8 imported from the US, Tony Newton undertook to give an answer as soon as possible.

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The House of Commons Social Services Committee's report noted the Government's position but suggested that "Calls for compensation for haemophiliacs and others who have become HIV positive as a consequence of infected blood transfusions and for special life insurance arrangements for haemophiliacs deserve careful consideration."

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In a letter to Anthony Nelson, Baroness Trumpington stated that "Doctors treating haemophiliacs were, we believe, careful in explaining these risks to their patients'.

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A briefing note for an interview with "The Northern Echo" prepared by Dr Moore, a civil servant in a policy division within the DHSS, continued the line of there never having been a state scheme to compensate those who suffer the unavoidable adverse effects which may arise from some medical procedures and that compensation could only be awarded by the courts when negligence had been proved.

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In a briefing for the CMO's visit to Newcastle regarding haemophilia issues, it used the line "there has never been a general state scheme in this country to compensate those who suffer the unavoidable adverse effects which may arise from some medical procedures."

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In a memo to Malcolm Harris, Dr Alison Smithies provided information to colleagues regarding compensation for people with haemophilia and described their situation as "pitiful" and "attracting a great deal of sympathy particularly due to the perceived stigma of the disease".

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In a minute sent from Tony Newton to the Prime Minister referring to John Moore's minute of 24 September, he recognised a "powerful practical case" for recognising the circumstances of "infected haemophiliacs" and that there was very strong support for their campaign, particularly from their own supporters inside and outside the house.

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Secretary of State for Health and Social Services, John Moore, stated that his initial reaction was that it would be most unwise to make the "further look" into the case of people with haemophilia public.

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Strachan Heppell, a civil servant at the DHSS, met the chair and general secretary of the Haemophilia Society and were assured the admin costs of the fund would not have to be paid from the fund or its income.

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Following the Haemophilia Society's press launch on AIDS in the haemophilia community, stories appeared in "The Times", "The Daily Telegraph", "The Guardian", "The Independent" and the "Daily Mail".

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A letter from Nicholas Medley to John Patten MP raised the question of compensation for his HIV infection following his treatment with commercial factor concentrates and stated that he hoped this did not seem an "unreasonable point of view".

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In anticipation of the Haemophilia Society's meeting with the Government, "The Northern Echo" stepped up its campaign and sent a supplement entitled a "A Fight for Justice" to every MP.

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In an oral answer, the Prime Minister responded to a question about "the desperate plight of haemophiliac AIDS victims" by stating that she would discuss the matter with the Minister of State for Health, Tony Newton, rather than repeating the Government line.

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