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The Death Certificate of Mark Adam Buckland noted his cause of death as: "the result of infection with variant Creutzfeldt Jakob disease prion agent transmitted to him by transfusion of vCJD infected blood on surgery in September 1997".

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In the Summing up of the Inquest into the death of Mark Adam Buckland (who was not advised for 3 years that he had been the recipient of infected blood), the coroner said even though the circumstances did not trigger any statutory duty in the Coroner's Rules, that he would be writing to the relevant agencies that failed to inform the deceased.

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An inquest reached a narrative verdict that: "Mark Adam Buckland died as the result of infection with variant Creutzfeldt Jakob disease prion agent transmitted to him by transfusion of vCJD infected blood on surgery in September 1997".

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A woman recalled that her mother's request that a post-mortem be carried out to investigate her father's death was refused because he had hepatitis, and it would
require the room to be fumigated. His cause of death was recorded solely as leukaemia.

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Fiona Weeks' sister died of HIV and she stated: "[The doctor] asked me what I wanted the death certificate to say. I didn't understand. He said he could put the illness that killed her on the certificate instead of AIDS but that if anyone asked he would have to tell them it was AIDS related."

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In an email chain discussing a "Telegraph" article about a post-mortem which was carried out on a man with haemophilia which found the vCJD prion in his spleen, it was held that an update should be urgently sent to people with bleeding disorders saying that "

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Professor Ironside reported to the HCDO the first positive result detecting the abnormal prion protein found in vCJD in a spleen sample from a patient included in the DH-funded prevalence study of vCJD infection in haemophilia.

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In Sir Ian Kennedy's statement he said that lack of scientific evidence that vCJD was transmitted by blood transfusion at the time was "crucial". If such evidence became available, recipients should be identified and notified, since at that point their futures would be wholly changed, and they were entitled to know that.

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In Dr Connor's written statement she remarked that, by 2014, the threshold was revised so that only patients who had received transfusions donated by an aggregate total of 300 or more donors were to be considered at risk for public health purposes.

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In Dr Connor's written statement, she said that by 2013, 11 patients who had received transfusions from more than 80 donors and were due to undergo surgery had been identified.

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The House of Commons Science and Technology Committee advised the Government take a more precautionary approach to both vCJD risk mitigation and blood safety more generally in order to safeguard against future infections.

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The National CJD Research & Surveillance Unit Annual Report stated that no new case of vCJD had been identified since 2016.

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Sir Robert Owen was invited to be chair of the Board of Trustees of the vCJD Trust.

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Studies had shown that 1 in 2,000 of the population had abnormal prion protein in their appendix and may be infected with vCJD.

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A Department of Health press release recommended the use of recombinant Factor 8 as the first choice of treatment for those with haemophilia.

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Professor Collinge told the Inquiry about the progression of vCJD, stating that about 1 in 5,000 people will develop it during their lifetime.

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Professor Ironside told the Inquiry that there had been 178 cases of vCJD in the UK identified as definite (supported by post-mortem) or probable (no post-mortem), though the latter category was virtually certain.

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In Dr Hewitt's oral evidence she referred to a case where a recipient developed vCJD, whose family had said that "If they had known that he had been at risk, his last few months would have been dealt with differently...they would have known what they were dealing with, or what they were likely to be dealing with."

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A man infected with Hepatitis C told the Inquiry that after being told he was "at-risk" for public health purposes he noticed a significant change in how he was treated by the medical profession, having been made to feel dirty and experiencing frustrating last minute changes of plan.

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A man was refused a liver biopsy as part of care for Hepatitis B and C.

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