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Reviews / 2024

Statutory inquiryPublishedMedicines and devicesUK

Infected Blood Inquiry report

Sir Brian Langstaff · work from 2017 · published 2024

What this was

UK statutory inquiry into how people were infected with HIV and hepatitis by NHS blood and blood products, and into the response over subsequent decades. It found a systemic failure to put patient safety first, and a response that added to the harm.

Why it sits in the hub

It is the largest treatment-disaster inquiry in the UK. Compensation, candour and the duty of the state to tell the truth are now being tested in implementation, not only in the report.

Findings

  1. Finding 1

    Patients were infected when risks were known, and were not told.

    CandourListening to patients and familiesMedicines and devices

  2. Finding 2

    The decades after the infections compounded the harm through delay, denial and inadequate support.

    Complaints and redressCulture and conduct

Recommendations in this hub

Paraphrase of the public recommendations, not the official text.

  1. 1In progressUK government

    Pay compensation through a scheme that is independent and prompt.

    The Infected Blood Compensation Authority was established. Payment has been phased.

    Complaints and redressMedicines and devices
  2. 2In progressGovernment

    Put a duty of candour on the state and its agencies, not only on healthcare providers.

    Candour
  3. 3Partly doneGovernment and NHS

    Remember the victims, and change the culture that preferred institutional reputation.

    Bereavement careCulture and conduct