Implementing SHOT Reports
Infected Blood Inquiry · Infected Blood Inquiry Final Report · Issued 20 May 2024 · Addressed to: UK Government
Government responseUK Government: Accepted in part (May 2025)
DeliveryScottish Government says in progress (Nov 2025)
Recommendation, verbatim from the inquiry
●Inquiry recommendation
Implementing SHOT reports:
That all NHS organisations across the UK have a mechanism in place for implementing recommendations of Serious Hazard of Transfusion (SHOT) reports, which should be professionally mandated, and for monitoring such implementation.
Infected Blood Inquiry, Infected Blood Inquiry Final Report · 20 May 2024 Source PDF →
Published evidence summary
AI-generated evidence summary
The Scottish Government reported in November 2025 that it had issued a Director letter and monitoring spreadsheet regarding recommendation 7(e) to NHS Board Medical Directors in August 2025, requesting that boards return the completed template by February 2026 (The Scottish Government action log, Nov 2025). Earlier, the UK Government stated in May 2025 that work was underway to develop governance practices for implementing Serious Hazards of Transfusion recommendations (Cabinet Office response, May 2025). It added that accreditation for SHOT to issue patient safety alerts through the Central Alerting System remained under consideration and dependent on funding, while SHOT was developing safety standards for NHS provider organisations (Cabinet Office response, May 2025).
AI-generated summary of the record on this page, checked by a second model and automatic checks, 26 Sep 2026.
About this summary
Government response
●UK Government · Accepted in part · 14 May 2025
Work is underway to develop governance practices for the implementation of SHOT recommendations, with careful consideration given to the needs for standardisations and the needs of local organisations. Accreditation for SHOT as an organisation for the use of the Central Alerting System is under consideration, which will allow the use of the web-based cascading system to issue patient safety alerts. This will streamline SHOT recommendation cascade and maximise the visibility of recommendations in Trusts, which is funding dependent. Furthermore, SHOT is developing safety standards to provide guidance for NHS provider organisations.
Extract from: Full Government Response to the Infected Blood Inquiry's May 2024 Report
Delivery
●Scottish Government says in progress · 11 Nov 2025
A Director letter and monitoring spreadsheet was issued on 13 August 2025 to Board Medical Directors on recommendation 7(e) on Serious Hazards of Transfusion (SHOT) standards. Boards were asked to complete the template and return to SG by February 2026.
From: Infected Blood Oversight and Assurance Group Minutes: November 2025
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