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The Transfusion 2024 plan was announced, which outlined key priorities and recommendations for clinical and laboratory transfusion practice for safe patient care across the NHS.

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SHOT has had consistently high levels of engagement.

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SaBTO published guidelines on consent.

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The Royal College of Physicians published a summary of the SaBTO guidelines on consent in their Concise Guidance series.

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A lack of compliance with giving both verbal and written information, such that national compliance is 26%. Only 64% of transfused patients had evidence of receiving one or the other.

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Dr Jean Harrison said that the RTC provided teaching and training for senior registrars in haematology in blood transfusion, laboratory and nursing staff also attended.

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Paul Mouncey's wife, Jane, was not given any indication that there was a risk from the transfusion.

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Better Use of Blood in Northern Ireland in Northern Ireland was updated in 2009 and 2011.

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All clinicians, both junior doctors and consultants, are now required to keep up to date with medical developments via continuous professional development. Medical staff are required by the GMC to undergo annual appraisal which is linked to revalidation.

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A witness, when making it clear she was concerned about having a blood transfusion, was told 'You have nothing to worry about as all the blood is now heat treated.' and then went on to be infected with Hepatitis C.

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Additional testing for Hepatitis B infections was agreed in 2021.

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Tranexamic acid was invented in the early 1960s.

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In 2021 the National Comparative Audit of Blood Transfusion programme found that the NICE Quality Standards on tranexamic acid are not being complied with: such compliance would probably prevent "over 15,000 major surgical bleeds, save 33,000 units of blood and save many millions of pounds for the NHS each year.".

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The 2023 audit of the NICE Quality Standards produced near identical results to the 2021 audit on tranexamic acid.

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Dr Williamson formed a small working group of hospital and transfusion consultants to investigate the risks associated with blood transfusions; including transfusion transmitted infections

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Set up in 1996, SHOT is a haemovigilance scheme which collects and analyses adverse events and reactions related to blood transfusions in the UK.

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Implementation of electronic transfusion systems in the UK has been "patchy".

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Professor John Fairclough described that "Blood to a surgeon was like a medication in that you were aware of need but assumed its safety".

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Professor WIlliam Ribbans told to the Inquiry that topping up blood with two units was customary for some general and orthopaedic surgeons.

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The SHOT annual report recorded 2 transfusion-transmitted infections for 2022.

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