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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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In Northern Ireland, updated Better Use of Blood in Northern Ireland guidelines was issued.

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The Births and Deaths Registration (Northern Ireland) Order 1976 stated that where a person dies "as a result of any natural illness for which he has been treated by a registered medical practitioner within twenty-eight days prior to the date of his death", that medical practitioner shall sign a certificate stating "to the best of his knowledge and belief the cause of death".

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Section 51(1)(c) of 9 Registration of Births, Deaths and Marriages Regulations 1968 specified the forms to be used and details required for death registration. A report to the coroner was required where there was a gap of more than 14 days between the last doctor's attendance and death.

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The Births and Deaths Registration Act 1926 allowed the coroner to register a death in England and Wales.

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The judgment in Lopes de Sousa Fernandes v Portugal set out that Article 2 of the European Convention on Human Rights (the right to life) is engaged in medical contexts where systemic or structural dysfunction can be demonstrated, rather than mere negligence.

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The judgment in Fernandes de Oliveira v Portugal held that a hospital failed to comply with its supervision obligations to a mentally ill patient who committed suicide under its care and this was a violation under Article 2 of the European Convention on Human Rights (the right to life).

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The judgment in R (Maguire) v HM Senior Coroner for Blackpool & Fylde and Another established that states have a positive obligation to take appropriate steps to safeguard the lives of those in their jurisdiction as well as a procedural obligation regarding investigation and the opportunity to call state authorities to account for potential breaches.

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The Registration of Births and Deaths (Ireland) Act 1863 Form B required deaths and the cause of death to be registered in Ireland.

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An article "Death certificates hide AIDS truth" published in The Doctor quoted a specialist in community medicine as saying that doctors were not recording AIDS because they did not want to upset relatives.

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Amanda Patton recalled in her written statement, her mother "saying to the doctor after [her brother] Simon's death that nothing mentioning 'AIDS' should go on his death certificate."

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A written statement of a family member of an infected person said they didn't understand why an inquest was required. However the post-mortem report did comment: "The likely cause of the Hepatitis C infection was multiple transfusions of FFP [fresh frozen plasma] (for hypogammaglobulinaemina)."

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Janet Kenny described in her witness statement that her son was "adamant" that Hepatitis C should be recorded on her husband's death certificate.

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Carol Betts described in her written statement that after her brother John died of HIV, the "Coroner's Office called to say that they had put [bronchopneumonia] instead of HIV, apparently to avoid the stigma associated with HIV."

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Peter Buckland made a written statement regarding the death of his son, Mark Buckland, from vCJD transmitted by transfusion following surgery.

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Arthur Hopper (HM Deputy Coroner) wrote a letter to Dr Patricia Hewitt, Secretary of State, regarding the inquest he conducted into Mark Adam Buckland's death and expressed concern that the deceased was not informed of the risks he faced at the earliest possible stage.

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