John Patten

Patten Q’s

WS

1. 3.3 - Why did he anticipate there would be questions?

2. 3.4 - Last sentence. Should he have?

3. 3.14 - Does he accept that is necessary for blood transfusion services to discriminate on all kinds of grounds, wether that is sexual practices, age, health conditions etc in order to provide a safe as possible blood supply?

   1. Perhaps there was a failure to realise this sooner, or at least, a failure to fully embrace this principle?

4. 3.28 - He alleges that in 1983, a three week turnaround time for leaflet printing was unavoidable. Not So.

   1. 1983 - 145,000 leaflets printed in 3 days from artwork receipt - https://www.newspapers.com/clip/101028432/aldershot-news/

5. 3.37 - Last para. He says “the documents do indicate that there was a risk”

   1. Please can he point to where, in any of those extracts it says “there was”/”there is” a risk?

   2. Is he willing to accept that this may be his interpretation but that none of the extracts actually state this?

6. 3.40 - Does he recall at any time, seeking or being given advice by any other DH expert epidemiologist on this matter?

   1. If not, would it be right to understand, to his knowledge, that Galbraith’s advice remained the only such advice from a DH expert epidemiologist?

   2. Does he understand that Diana Walford is not an epidemiologist?

   3. Perhaps we could go through Galbraith’s credentials and ask if there would be any reason not to regard Galbraith as the most important voice?

      1. http://www.bmj.com/content/suppl/2009/05/07/bmj.b1827.DC1/galbraith0409long.pdf

7. 3.46 - So in his mind the options were imported FVIII or NHS FVIII? That was it. No alternatives?

8. 3.53 - Can he expand on this? Why?

9. 6.5 - What did being “committed” to self-sufficiency mean in practice to him? Government can say they are committed to all kinds of things without any specific actions being taken.

Non-WS & Additional Documents

1. To what extent did the idea of privatisation, pursued in many areas by Thatcher’s government, play a role in, for example, self-sufficiency, importation of Factor VIII?

   1. I refer, for example, to: (Dec 1984) “If a hospital's own service and staff can provide what is necessary, that is a good thing. If not, someone from the private sector should be given the opportunity. There is nothing dogmatic about that. It is a fair and even-handed policy, which is leading to substantial savings. Costs in the NHS are reduced when contracts are awarded within the service as a result of tendering. We already have evidence that substantial savings are being made, not only by letting contracts to the private sector, but by driving down the cost of providing services within the NHS.”

      1. https://www.theyworkforyou.com/debates/?id=1984-12-21a.686.0#g692.7

   2. https://www.newspapers.com/clip/101059678/the-guardian/

2. Does he think this front page news article would have been brought to his attention? (He is mentioned and quoted in the second part)

   1. Front page bit - https://www.newspapers.com/clip/101059741/

   2. Inner - https://www.newspapers.com/clip/101059723/the-daily-telegraph/

3. Would he agree that this is an example of the Department of Health giving advice to patients about a medical treatment?

   1. And that in this case, that was in relation to an incident where no one had died?

   2. https://www.newspapers.com/clip/101059779/the-guardian/

4. In relation to Page 6/7 of this Cabinet Meeting he attended (Section on HIV Infection), what were the general criteria in his experience that determined which issues were brought up at a cabinet meeting?

   1. https://www.dropbox.com/s/wddxy80w6gs5hwe/CAB_128_102_19_0001%20-%20Cornes%20Bro%20on%20P%206%20-%201992.pdf?dl=0

   2. Does he recall this meeting / any further discussion regarding this case?

   3. Does he recall other cabinet meetings where haemophilia / AIDS was brought up?