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Dr Pettigrew noted that reliability of supply was a factor in Dr Willoughby's thinking noting that commercial concentrates tended to be used on home therapy and NHS for patients that were not.

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Dr Willoughby acted autonomously and did not communicate with the Royal Infirmary.

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There was no policy at Royal Hospital for Sick Children in Glasgow to inform parents about the risks of HIV and in relation to Hepatitis risks, the focus was on Hepatitis B.

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Dr Pettigrew admitted that tests were undertaken using stored samples when patients weren't aware that samples of their sera or their child's sera was being stored. In her testimony to the Inquiry, Dr Pettigrew asserted this practice took place at the Royal Hospital for sick children.

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During March 1983, a meeting was held, by the Haemostasis Club, where clinicians met to discuss and hold presentations that were topical to the medical field.

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Dr Bevan held the opinion that he did not understand why both UKHCDO and the reference centre directors were so slow to recognise and react to the risks of AIDS being transmitted to their patients and how he felt that it was a denial of the reality.

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Dr Bevan described how at St George's Hospital, during the late 1970s and early 1980s, that there was a move from cryoprecipitate and towards commercial concentrate.

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Dr Bevan described how at St George's Hospital, during the late 1970s and early 1980s recalled that there was a growing demand for home treatment, especially in children and young people.

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Dr Bevan described a meeting with Professor Flute during 1985 where Professor Flute stated that AIDS was in no way a proven infection.

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Dr Bevan described a meeting with Professor Flute during 1985 where Professor Flute stated that no action with regards to changing the infusion practice in haemophilia would be taken unless there was firm guidance from UKHCDO.

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Dr Bevan stated in oral evidence that there was no AIDS Advisory Document until December 1984.

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Dr Bevan recalled that at St George's hospital in the 1980s there were between 15 and 18 patients with HIV.

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Dr Bevan held that during the 1970s, the general assumption by medical professionals was that hepatitis was "an inconvenience, but essentially harmless"

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Professor Ludlam realised that factor concentrates not only gave rise to a potential risk of non-A, non-B infection and a real risk of HIV infection, but could also give rise to a deterioration in the immune system.

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Professor Ludlam thought the link between HIV and a deterioration in the immune system had been recognised by the virologist Professor Tedder: that AIDS could occur as a result of the side effects of impurities in the concentrates.

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Professor Ludlam received the first results from an AIDS study of his and was surprised, perplexed, and puzzled as he had expected no problem with those who had been on Scottish PFC concentrate.

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At the Edinburgh Royal Infirmary, tests were undertaken using stored samples - where people were unaware their sera had been stored - both in relation to HIV testing and to Hepatitis B testing with second-generation tests.

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Professor Gordon Lowe told the Inquiry that "there was a general recommendation by the UK Genetic Disorder Society...that it was preferable that records [for individuals with haemophilia] not be destroyed".

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In oral evidence to the Inquiry Professor Gordon Lowe stated that the age of hospital transfer of children was "left very much to the haemophilia director at Yorkhill to decide...it was very much up to the children's director to decide...they would have a discussion with the adult centre and then often a joint review, usually at Yorkhill".

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Professor Gordon Lowe first heard NANBH being discussed at a conference in Glasgow in 1975 where Dr Craske (UKHCDO Hepatitis Working Party Chairman) was a speaker - "I remember him saying that it wasn't only hepatitis B, you could get hepatitis from non-A, non-B."

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