IBI-9b

Trust/Board Action on Peer Reviews

Infected Blood Inquiry · Infected Blood Inquiry Final Report · Issued 20 May 2024 · Addressed to: UK Government

Government responseUK Government: Accepted in part (May 2025)

DeliveryDepartment of Health and Social Care says in progress (Apr 2026)

Recommendation, verbatim from the inquiry

●Inquiry recommendation

That NHS Trusts and Health Boards should be required to deliberate on peer review findings and give favourable consideration to implementing the changes identified with a view to ensuring comprehensive, safe, care.

Infected Blood Inquiry, Infected Blood Inquiry Final Report · 20 May 2024 Source PDF →

Published evidence summary

AI-generated evidence summary

The Inquiry recommended that trusts and health boards act upon peer review findings. In April 2026, Dr Zubir Ahmed, Parliamentary Under-Secretary of State at the Department of Health and Social Care, stated that a revised Haemophilia Service Specification requiring providers to act upon peer review findings was undergoing final approvals (Dr Zubir Ahmed, Apr 2026). The Minister added that publication of the final peer review report was expected imminently, alongside a letter asking integrated care boards and trust boards to confirm their commitment to implement findings (Dr Zubir Ahmed, Apr 2026). While the update described action regarding trust boards, health boards were not mentioned (Dr Zubir Ahmed, Apr 2026).

Sources

Dr Zubir Ahmed, Apr 2026

AI-generated summary of the record on this page, checked by a second model and automatic checks, 5 Oct 2026.

About this summary
This recommendation applies across many organisations. The record above reflects central policy activity; adoption in individual organisations may vary.

Government response

●UK Government · Accepted in part · 14 May 2025

Words of: UK Government, Full Government Response to the Infected Blood Inquiry's May 2024 Report (CP 1318), presented to Parliament by the Minister for the Cabinet Office, 14 May 2025

Recommendation 9a-9c: Peer review of UK comprehensive care centres has been an essential part of haemophilia services for many years. The triennial audit was replaced in 2019 with a more formal peer review process on a five year cycle. The existing NHS England specialist services for haemophilia and related bleeding disorders (adults and children) service specification has been updated to ensure a contractual requirement for providers to participate in, and act upon peer review findings. NHS England will also write to Integrated Care Boards and Trust Boards to emphasise the valuable role of peer review and ask for their commitment to review and implement findings. The revised service specification is intended to proceed to public consultation in summer 2025.

Extract from: Full Government Response to the Infected Blood Inquiry's May 2024 Report

Site note: The passage quoted here is the response's text for the recommendation's limbs together and does not itself state a position on this limb. The status is taken from the summary table of the same document ("Summary of the Government's response"), which lists "Recommendation 9b) (accepted in full by Scottish Government and the Welsh Government)" under "Accepting in principle".

Delivery

●Department of Health and Social Care says in progress · 16 Apr 2026

In relation to recommendation 9, a to c, of the Infected Blood Inquiry, peer review of United Kingdom comprehensive care centres has been an essential part of haemophilia services for many years. The triennial audit was replaced in 2019 with a more formal peer review process on a five-year cycle. The final peer review report is expected to be published imminently and once published, it will be shared with the NHS England Specialised Commissioning Quality Oversight Group for consideration and action. This will be supported by a letter to integrated care boards and trust boards, emphasising the valuable role of peer review and asking for confirmation of their commitment to review and implement the peer review findings. The Haemophilia Service Specification has been updated by the Blood Disorders Clinical Reference Group and is making its way through final approvals, having undergone public consultation. The new specification includes a contractual requirement for providers to participate in and act upon peer review findings.

From: Infected Blood Inquiry (written question 124052), Dr Zubir Ahmed

Site note: The source gives this passage once, for recommendation 9, a to c. The same words are recorded on IBI-9a, IBI-9b and IBI-9c.

How this page is built

The recommendation and the government responses are verbatim from primary documents. Delivery statements and other bodies' findings are shown in their own words, each with its source. The summary is written by this site and labelled as such. The Index does not paraphrase sources or characterise intent; it records what has been published.