Public Inquiry Recommendations

The Government and IBCA establish a mechanism by which individuals or organisations may raise concerns which arise about any aspect of the …

An amendment to the Regulations be made as soon as possible to remove the reference to 1 January 1982 from Regulation 3.

For the calculation of Financial Loss awards for Hepatitis B, people born after 1953 should be treated like those born in or …

Where the level of severity of a person's infection at Level 3 or more has been established to IBCA's satisfaction in relation …

Regulation 14(2)(c) be amended to remove the requirement for evidence of the date of diagnosis of Hepatitis B or C. An appropriate …

The Regulations be amended such that where someone who would be an eligible affected person dies between 21 May 2024 and 31 …

The IBSS cut-off date of 31 March 2025 be reviewed, that the scheme should as soon as possible reinstate support payments to …

My principal recommendation remains that a compensation scheme should be set up now

A permanent memorial be established in the UK and consideration be given to memorials in each of Northern Ireland, Wales and Scotland. …

A memorial be established at public expense, dedicated specifically to the children infected at Treloar’s school. The memorial should be such as …

There should be at least three events, approximately six months apart, drawing together those infected and affected, the nature and timing of …

The General Medical Council, and NHS Education for Scotland, Health Education and Improvement Wales, Northern Ireland Medical and Dental Training Agency and …

They should look favourably upon putting together a package of training materials, with excerpts from oral and written testimony, to underpin what …

The Inquiry website is maintained online

Duty of candour: A statutory duty of candour in healthcare should be introduced in Northern Ireland.

Duty of candour: The operation of the duties of candour in healthcare in Scotland and in Wales should be reviewed, as it …

Duty of candour: The review of the duty of candour currently under way in England should be completed as soon as practicable.

Regulation: That external regulation of safety in healthcare be simplified. As a first step towards this, there should be a UK wide …

Regulation: That the national healthcare administrations in England, Northern Ireland, Scotland and Wales explore, and if appropriate, support the development and implementation …

Patient Records: Before the end of 2027 there should be a formal audit, publicly reported, of the extent of success of digitisation …

Coordination of patient records with devolved governments: Consideration should be given by the national healthcare administrations in England, Scotland, Wales and Northern …

All patients who have contracted hepatitis via a blood transfusion or blood products should receive the following care: Those who have been …

All patients who have contracted hepatitis via a blood transfusion or blood products should receive the following care: Where there is any …

All patients who have contracted hepatitis via a blood transfusion or blood products should receive the following care: Fibroscan technology should be …

All patients who have contracted hepatitis via a blood transfusion or blood products should receive the following care: Those bodies responsible for …

In Scotland, Wales and Northern Ireland offering the use of tranexamic acid should be considered a treatment of preference in respect of …

Consideration be given to standardising and benchmarking transfusion performance between hospitals in order to deliver better patient blood management

Review of progress towards the Transfusion 2024 recommendations: Progress in implementation of the Transfusion 2024 recommendations be reviewed, and next steps be …

Establishing the outcome of every transfusion: That a framework be established for recording outcomes for recipients of blood components. That those records …

Establishing the outcome of every transfusion: To the extent that the funding for digital transformation does not already cover the setting up …

When doctors become aware that a patient has had a blood transfusion prior to 1996, that patient should be offered a blood …

As a matter of routine, new patients registering at a practice should be asked if they have had such a transfusion.

That peer review of haemophilia care should continue to occur as presently practised, with any necessary support being provided by NHS Trusts …

That NHS Trusts and Health Boards should be required to deliberate on peer review findings and give favourable consideration to implementing the …

A peer review of each centre should take place not less than once every five years.

The necessary administrative and clinical resources should be provided by hospital trusts and boards, integrated care boards, and service commissioners to facilitate …

Recombinant coagulation factor products should be offered in place of plasma-derived ones where clinically appropriate. Service commissioners should ensure that such treatment …

That the National Haemophilia Database, run by the UKHCDO, merits the support of additional central funding.

A clinical audit should as a matter of routine include measures of patient satisfaction or concern, and these should be reported to …

That the following charities receive funding specifically for patient advocacy: the UK Haemophilia Society; the Hepatitis C Trust; Haemophilia Scotland; the Scottish …

That favourable consideration be given to other charities and organisations supporting people infected and affected that were granted core participant status (as …

Steps be taken to give greater prominence to the online Yellow Card system to those receiving drugs or biological products, or who …

Within the next 12 months, the Government should consider and either commit to implementing the recommendations which I make, or give sufficient …

During that period, and before the end of this year – the Government should report back to Parliament as to the progress …

This timetable should not interfere with earlier consideration and response to the Recommendations of the Second Interim Report of the Inquiry.

An interim payment, of no less than £100,000, should be paid to all those infected and all bereaved partners currently registered with …

I recommend that the scheme should offer redress to those infected with HCV and/or HIV, and/or HBV (limited to chronic HBV unless …

I recommend that the conditions of eligibility for admission of relevant infected persons to the scheme should be that: a) they have …

As above, save that (a) the last bullet point should read: "eligibility is accepted if the information available points towards eligibility and …

I recommend that the following relevant affected persons should be admitted to the scheme: a) spouses, civil partners and long term cohabitees …