8 times the Penrose Inquiry described potential negligence as "unfortunate"

Reading the final report of the Scottish Penrose Inquiry into the tainted blood scandal (which was widely branded a white-wash) some common language emerges. Specifically, the use of the words unfortunate and unfortunately when referring to acts of potential negligence, or worse. Here’s our list of just 8 times that happened, complete with the reference numbers to the relevant section in the Inquiries final report.

  1. 9.106 – When discussing the decision not to withdraw Factor concentrates in mid-1983 due to the risk of AIDS, Penrose said “Unfortunately, this was to prove an inaccurate assessment”

  2. 9.134 – When discussing Diana Walford’s (of the Department of Health) opinion in October 1983 that  2 – 4 people with Haemophilia may die from AIDS, Penrose said “Unfortunately this was to prove to be a considerable underestimate”.

  3. 10.155 – After acknowledging that there was “inconsistent and incomplete disclosure of relevant information by significant numbers of Haemophilia Centres” Penrose said “the outcome was unfortunate

  4. 23.266 – Discussing a request in 1983 for funds to accelerate the programme to heat-treat Factor VIII (inactivate the viruses it contained) which was denied, Penrose said “Unfortunately, this request was turned down”.

  5. 26.260 – When commenting on the lack of consideration to stop blood donations from prisons prior to 1982, Penrose said “It is unfortunate”.

  6. 27.155 – On the use of an erroneous report in 1984 that “was not based on sound evidence” to conclude “Hepatitis was 'not a major problem'” Penrose said this happened “Unfortunately”.

  7. 27.116 – On the fact that the report referenced above continued to be used for several years Penrose said happened “Even more unfortunately”.

  8. 34.220 – Commenting on a patient given infected Factor VIII when the patient believed it was not even required, Penrose said “It is very unfortunate