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Dr Gillon carried out a controlled clinical trial of autologous cell salvage in cardiac surgery in Scotland and was the Chairman of the Working Party on Autologous Transfusion in the mid 1990s.

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Only 133 patients had been referred for autologous cell salvage in Scotland, resulting in 90 patients donating 171 units of blood for their own use by 1996. Although the number of referrals briefly doubled in 1997 due to clinical referrals, demand for the services became low and the autologous transfusion service was reduced to a single provider in Scotland.

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Red cell salvage became more widely available. A study of intraoperative cell salvage in cardiac surgery at The Edinburgh Royal Infirmary found the procedure was shown to be feasible and safe and it became an accepted part of surgical practice.

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Senior individuals working in the transfusion services focused on the issue of blood transfusion after the establishment of the Consumer Protection Act 1987 and the introduction of the European Directive on blood.

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In his written evidence to the Inquiry, Professor Michael Murphy noted that "best transfusion practice" meant that a transfusion should only occur when the benefits outweigh the risks, and that alternatives should be considered and used where appropriate.

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The NHS Executive funded a national audit initiative relating to two blood transfusion protocols.

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Red cell salvage was not widely available or commonly used in the 1970s to 1990s as it specialist equipment and knowledge.

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The first meeting of the NBTC took place.

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SHOT published its first report covering 1996-97, which noted that 8 out of 169 reported serious hazards involved a viral or bacterial infection.

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The National Blood Transfusion Committee produced an online toolkit to implement the Better Blood Transfusion initiative.

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Although progress had also been made in relation to the Better Blood Transfusion Initiative, further progress was required for the training of staff, the development of hospital transfusion teams, the development of protocols for the appropriate use of blood, the provision of information to patients and intra-operative cell salvage.

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A Department of Health circular set out the Better Blood Transfusion Action Plan, and anticipated progress in all areas by the time of the first audit of compliance was to be undertaken.

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In Electronic identification systems reduce the number of wrong components transfused, it was noted that the implementation of electronic transfusions systems in the UK was patchy.

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An NHS funded national audit relating to two blood transfusion protocols demonstrated a considerable variation in the performance of standard blood transfusion procedures, and described the level of shortfall in practice as "alarming".

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A survey of 98% of NHS Trusts in England found that 27% of Trusts were not using tranexamic acid for trauma patients, and 30% were not using tranexamic acid for surgical patients.

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Dr Elizabeth Mayne stated she did not put HIV on the death certificate: "This question highlights a very difficult and thorny problem which affected all doctors in managing HIV deaths."

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Sir Donald Acheson gave evidence to to the Social Services Committee of the House of Commons. He referred to an arrangement whereby cause of death can be added in a
confidential way to a death certificate.

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Dr Peter Jones confirmed that each individual death involving HIV/AIDS was referred to the Coroner's Officer.

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Guy Dewdney explained how the delays caused by inquests was upsetting. His father died as a result of being given contaminated blood. There was a delay in the burial due to the coronial process.

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Sarah Gough recorded that when her father died of AIDS, they were visited by the coroner's officer that day: "because there was concern about what to put on my father's death certificate."

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