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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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A briefing for the Prime Minister reiterated both the lack of plans to provide compensation and that patients received "the best treatment available in the light of medical knowledge at the time."

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John Marshall MP asked to bring a deputation to see the Prime Minister, John Major, to discuss the position of people infected with Hepatitis C from blood products.

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The Department of Health advised the Prime Minister's office that it would not be appropriate for the Prime Minister to meet the deputation to discuss the position of people infected with Hepatitis C from blood products as health ministers had recently met and decided to "maintain the current line."

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As shown in a letter from Baroness Cumberlege to John Marshall, the "current line" was the expression of "great sympathy", followed by the Government not accepting "that there has been any negligence" and an assertion that patients infected with Hepatitis C "received the best treatment available in the light of medical knowledge at the time".

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Stephen Dorrell stated in his evidence before the Health Select Committee that "any patient who undertakes a course of medicine must accept that there is a risk attached to modern medicine and in cases where a patient is damaged but without any fault, I do not believe that it is a sensible use of NHS resources to provide compensation in those cases".

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Stephen Dorrell, the Secretary of State for Health, wrote to Sir Edward Heath MP stating that there were no plans to make payments to those infected with Hepatitis C.

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Stephen Dorrell clarified that he "did not (and do not) support the principle of no-fault compensation payments to NHS patients who suffer as a result of the inevitable risks associated with medical treatment."

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Briefings to the Prime Minister were part of the regular process of ensuring that the PM was briefed on current issues ahead of his twice weekly appearances at Prime Minister's Questions, and that they were "therefore the subject of regular scrutiny [by] both ministers and senior officials."

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