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Dr Frank Boulton gave oral evidence to the Inquiry that it was part of his job to go round the hospitals, talking to the consultants and the laboratory staff as well encouraging them to cut down on the use of blood for the benefit of the patients.

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According to Dr Vanessa Martlew's evidence to the Inquiry, the regional transfusion centre in Merseyside played a role in auditing the use of blood in their hospitals.

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Professor Contreras educated clinicians about the responsible and ethical use of blood and organised meetings on transfusion-transmitted infections.

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Scottish National Blood Transfusion Service directors recommended that regional transfusion centres accept formal responsibility for encouraging good practice in the hospital blood banks they supplied.

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According to Dr Gamal Gabra's recollection, Dr John Wallace started early attempts to achieve self-sufficiency in Scotland by introducing the concept of reducing the use of whole blood transfusion and promoting the use of components instead.

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Professor Stanislaw Urbaniak set up a Hospital Transfusion Committee in the Aberdeen Royal Infirmary to monitor usage and compliance with maximum surgical blood ordering schedules for each operation and procedure that might require a transfusion.

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Regional transfusion centres kept the records of donors who tested positive for HIV and hepatitis separately from their other records, to ensure their confidentiality.

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In a letter to colleagues, Dr Charles Bowley sought to make a case for using better quality cryoprecipitate instead of imported factor concentrates.

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Donor eligibility was established by a qualified clerk asking pre-prepared questions in the presence of a medical officer.

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Regional transfusion directors were asked to increase their production of cryoprecipitate as a much lower risk product.

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Dr John Cash published an article in The British Medical Journal entitled "Haemophilia A and the blood transfusion service: a Scottish study". The article stated that cryoprecipitate was suitable for home treatment.

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At a meeting of directors of the Scottish National Blood Transfusion Service and haemophilia directors, Dr Cash "emphasised the important part cryoprecipitate could play in haemophilia treatment" and urged for "serious consideration of the use of cryoprecipitate for" home treatment. Haemophilia directors were reported as "generally not in favour of using cryoprecipitate in this way".

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In a meeting of the Haemophilia and Blood Transfusion Working Group, Dr Cash raised concerns about the amount of commercial product being used.

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In a meeting of directors of the Scottish National Blood Transfusion Service, Dr John Cash recommended reducing the number of batch exposures per patient per year.

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Scottish National Blood Transfusion Service directors and haemophilia centre directors discussed the effectiveness of the AIDS leaflet. It was felt that "some modifications might be made" and emphasised that the leaflet must, in the absence of a screening test, be given to all prospective donors.

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In a memo to Dr Metters, Roger Scofield said he had amended his original submission to Carolyn Fairbairn and "the territorials" slightly "to put it in such a way that Ministers do not appear to be at odds with one another; nor do I wish to spell out their concerns on paper."

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Number 10 was alerted to the issue of payments for those infected with Hepatitis C.

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In advance of a meeting of ministers, a Department of Health memo set out the views of officials in Scotland, Wales and Northern Ireland on the issue of compensation for those infected with Hepatitis C.

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In a Department of Health ministers and officials' meeting it was decided that further work on legal vulnerability, in particular in relation to consumer protection legislation, was required before the question of ex gratia payments could be decided.

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Alf Morris tabled an Early Day Motion calling for financial assistance, to which the Department of Health responded: "We have great sympathy for those affected, but we have no plans to make special payments."

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