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In a letter to Dr Patrick Zentler-Munro, Dr Whitrowit of the South Thames Regional Transfusion Centre proposed to arrange for donors in distant areas to be initially counselled and further basic investigations performed by GPs.

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A memo from Dr Brian McClelland to Dr Perry described the events leading up to the recall of Factor 8 batch 023110090 implicated with HTLV-3. A potential implication was identified on 26 October 1984. Following some confirmatory tests, the decision to recall was made on 3 November 1984.

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Dr Brian McClelland wrote to Dr John Cash about the investigation into the potential implication of Protein Fractionation Centre Factor 8 with HTLV-3. It was concluded that the single batch 023110090 was "probably responsible for seroconversion...No other recent batches stand out as being distinctively strongly implicated".

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In a letter to Dr Richard Tedder, Dr Brian McClelland explained that approximately 4,000 donors contributed to an implicated batch of Factor 8 and sought advice on the possibility of getting these donors screened.

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In a letter to the British Medical Journal, Dr William Maycock claimed that a large number of doctors did not "appreciate that both plasma and serum carry a risk of homologous serum jaundice, and that this disease is rather more than a 'transfusion reaction'. There is a small number who believe that the disease may follow the use of serum, but never that of plasma!"

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The Department of Health and Social Security, Scottish Home and Health Department and Welsh Office issued guidance to record of every transfusion to be made in a patient's case notes in addition to the details recorded in the transfusion laboratory, and that patient records must show the serial number of containers of blood or blood products.

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The Department of Health and Social Security issued a circular requesting health authorities to review record-keeping and stock control arrangements in regional transfusion centres and hospital blood banks. The circular also demanded that records "must permit the tracing of any unit of blood from collection to transfusion or disposal."

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The North London Blood Transfusion Centre's standard procedures for the initiation and working of a report of hepatitis/jaundice after transfusion was approved. The procedures involved made a separate record for donors with hepatitis.

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In a letter, Dr Contreras informed the director of clinical and scientific services at the North West Thames Regional Health Authority about difficulties tracing blood and blood products due to poor record-keeping. Specifically, Dr Contreras stated that some clinicians were not complying with the Department of Health and Social Security circular on record keeping and stock control arrangements.

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The East Anglia Regional Transfusion Centre became computerised.

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In England and Wales, a single regional transfusion centre national computer system was developed.

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In Scotland, a Scottish regional transfusion centre national computer system (DOBBIN) was introduced. Records from each of the five regional transfusion centres were segregated from one another and could not be shared.

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The Scottish regional transfusion centre national computer system (DOBBIN) was upgraded to allow records to be shared between and across centres.

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In a letter, Dr Geoffrey Tovey advised Dr Marcela Contreras that an HIV positive donor had been discovered donating at several centres under different names.

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Drs Contreras, John Barbara, and Moya Briggs wrote an article about a donor who was asked to refrain from blood donation until further notice as one of his donations had caused jaundice in the recipient. Despite this, he returned as a new donor seven months later and his donation was given to a patient.

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The North London Regional Transfusion Centre set up a library of samples of donations.

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In England and Wales, the system for reporting transfusion reactions was for Dr John Barbara to collate known cases and send a report annually to the Centre for Disease Surveillance and Control at the Public Health Laboratory Service.

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Dr Huw Lloyd, Dr Alan Beal and Mr Tony Martina produced a report entitled "Record Storage Report for the National Blood Transfusion Service in England and Wales" for the National Directorate. This recommended that donor and donation records and policy and management records, as well as records directly linked to donor and donation records such as QA reports, should be kept for 30 years.

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The Director of South London Transfusion Centre reported a case of jaundice in a patient with haemophilia to Dr William Maycock and provided the batch number of the Factor 8 implicated.

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The Glasgow and West of Scotland Blood Transfusion Service shared information with Dr John Barbara concerning the number of donors found to have HBsAg, so that it could be reported for the national survey.

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