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Ann Hume told the Inquiry that she never received a conclusive diagnosis: she was first diagnosed as having hereditary haemorrhagic disorder, then told she had Haemophilia B and later that she had von Willebrand disorder, although both these diagnoses were later discredited.

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Jill Stewart, Complaints Investigator at Scottish Public Services Ombudsman sent a letter to Ann Hume regarding her complaint against an NHS Board in relation to her being given Factor 8 which led to infection with Hepatitis C. It was decided that further action would not be taken.

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"Mark" told the Inquiry that he made a complaint to the GMC regarding Professor Christopher Ludlam in June 2005.

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Ann Abraham, Parliamentary and Health Service Ombudsman, wrote to Jennifer Willott MP in relation to Haydn Lewis' complaint against the Department of Health.

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The GMC told this Inquiry that the question of consent was raised in the majority of the complaints it received against clinicians in relation to infections caused by blood transfusion or blood products.

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There were delays of up to 18 months between a decision by the Screeners to refer the case to the Preliminary Proceedings Committee and then a decision by the Case Examiners to close the case in the GMC complaint process.

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The complaint against Dr Audrey Dawson was dismissed because there was "no suggestion that the Dr acted in anything other than the patient's best interests."

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In a complaint process against Professor Ludlam the investigating officer's view was that the realistic prospect test (of establishing impaired fitness to practise) was satisfied with regard to the allegations about the failure to inform the patient or his parents of the results of his tests, the failure to inform about the risks of treatment and of Professor Ludlam making a misleading statement to the GMC regarding the AIDS study.

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Khalid Mahmood gave a detailed account on the background to Shamin Mahmood's infection with, and diagnosis of, Hepatitis C in his statement.

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A witness' complaint was responded to regarding missing medical records that records had been destroyed in accordance with retention policies, although as the individual pointed out in correspondence reliance was placed on a retention policy which postdated the date given for destruction of the records.

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A request was made in December 2007 for Lothian and Borders Police Force to investigate the complaint of two individuals that Professor Ludlam knowingly infected them with AIDS through blood products.

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William Gilchrist asked Stephen McGowan, Principal Procurator Fiscal Deputy, to produce a report to Crown Counsel to consider whether or not there should be a criminal investigation into a complaint was made to the police in Scotland regarding the supply of blood products to people with haemophilia in Scotland.

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Lord Advocate Colin Boyd wrote to the Minister for Health and Community Care stating that Crown Counsel had decided that there would be no further investigation [into a complaint made to the police in Scotland regarding the supply of blood products to people with haemophilia in Scotland] because there was "insufficient evidence that any criminal offence has been committed."

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A complaint against the North Hampshire NHS Trust was reviewed by the Independent Review Panel. The panel found that the decision not to resuscitate the witness' husband had been reached without reference to or discussion with the patient or his wife, and that it had been inappropriate to remove samples from his body after his death without her consent.

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Some aspects of the complaint about a patient who was not resuscitated were upheld by the Health Services Ombudsman.

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Detective Superintendent Stephen Heath produced a report on the consideration of criminal proceedings in respect of the use of contaminated blood products, which provided an overview of circumstances to aid decision-making in establishing whether a criminal enquiry was merited.

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Mr AK, speaking of his haemophilia centre said: "They were out of their depth...it just seemed a bit weird, the director of haemophilia was trying to give us this drug [AZT] no-one knew very much about as a trial and it was just all very scary."

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A witness described how "It took about six years before [my husband] saw a Virologist and to find out how far the HIV virus had progressed. We were always worried as we didn't know what was happening."

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A witness described how the Genito-urinary and Sexual Health Clinic served all HIV patients with the exception of the haemophilia patients with HIV, who were ring-fenced within the haemophilia centre. This meant that her husband did not have the benefit of discussing treatment options with HIV specialists.

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A witness was infected with HIV in 1981 but his parents were not informed of his infection until 1988, when he was 14.

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