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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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Dr Vanessa Martlew described that throughout her career she believed that blood is not without risk and must be used appropriately.

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Professor Sir Magdi Yacoubs' use of fresh warm blood remained an issue until 1999, and inferentially until he retired in 2001.

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Professor Sir Magdi Yacoub described that fresh warm blood was used only when the situation was one of extreme emergency, in order to prevent imminent death. He did so in less than 1% of cases.

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When discussing his use of fresh warm blood on patients, Professor Sir Magdi Yacoub described that he was "not aware that any of these patients were infected by the use of fresh warm blood."

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Oleander Agbetu described that her mother, Agatha who was infected with through blood transfusions was likely to have been treated "without her explicit, informed consent" as she had "complete faith in the medical profession."

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Trevor Clarke described that his partner, Enid needed transfusions to maintain recovery from Sickle Cell crises. As regular blood transfusions were the norm, "consent was not sought".

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Professor Dame Marcela Contreras described that in 1951 Professor Patrick Mollison published his textbook which came to be known as the "'bible' of blood transfusion".

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Professor Dame Marcela Contreras described that Professor Sir Magdi Yacoub used fresh warm blood due to the clinical benefits he believed it provided.

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