The taintedblood.info timeline - what really happened...
"To no one will we sell, to no one deny or delay, right or justice."
Magna Carta - 15th June, 1215
The NHS is created and Crown Immunity is applied to all NHS bodies and premises.
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Source:
Mr A Kerr MSP, Minister for Health Scotland, Submission from Robert Mackie, Agenda Item 2, HC/S2/06/09/06, 18 April 2006 http://www.scottish.parliament.uk/business/committees/health/papers-06/Ag2MackieSubmission.pdf Type: Statement (Submission) Scottish Parliament Location: UK Find related entries |
According to correspondence between J Walker SHHD and Health Board Secretaries, "In England and Wales the view is taken that in law the activities of health authorities attract Crown exemption so that the provisions of the Medicines Act are not binding on them. … arrangements are being made whereby health authorities will be brought within the licensing provisions of the Act in a manner analogous to that which applies to commercial pharmaceutical manufacture…" |
Source:
Scottish Parliament, Submission from Robert Mackie, Agenda Item 2, HC/S2/06/09/06, 18 April 2006 http://www.scottish.parliament.uk/business/committees/health/papers-06/Ag2MackieSubmission.pdf Type: Correspondence Location: UK Find related entries |
Medicines Inspectorate inspection report published on plasma fractionation facilities at BPL recommending a set of actions that should take place immediately, and others that should be implemented in the long term. |
Source:
Holgate JA. Medicines Division. Report of inspection of the Blood Products. Type: Report Location: UK Find related entries |
Medicines Inspectorate reports on BPL: more investment is needed; there should be no increase in production until essential steps are taken to improved safety. |
Source:
Haemophiliac HIV Litigation, Advice on Settlement Document, Appendix 1, Chronology, pp 56-58. Type: Report Location: UK Find related entries |
Since 1980, it is clear that BPL is not capable of meeting the requirements of the Medicines Act 1968 and is actually relying on Crown Immunity to stay in operation. |
Source:
Self-Sufficiency in Blood Products in England and Wales: A Chronology from 1973 to 1991, page 25. Type: Report Location: UK Find related entries |
The Medicines Inspectorate visit BPL Elstree and discover that BPL does not conform to acceptable industry standards. The investigation discovers that:
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Source:
The National Blood Transfusions Service Joint Management Committee (Dept Of Health Northwest Thames Regional Health Authority for the Central Blood Laboratories) Type: Inspectorate Findings Report Location: UK Find related entries |
Following visits in 1979 and 1980 by Her Majesties Inspectors, a damming report declares BPL to be unfit for the good pharmaceutical manufacturing practice under the provisions of the Medicines Act 1968. As a result of failure in Duty of Care and breach of statutory duties, there was a significant delay in the introduction of a system to pasteurise Factor VIII by heat treatment, thus directly leading to many haemophiliacs becoming infected with Hepatitis C. |
Source:
The National Blood Transfusions Service Joint Management Committee (Dept Of Health Northwest Thames Regional Health Authority for the Central Blood Laboratories) Type: Official Report (on BPL) Location: UK Find related entries |
Following the highly critical report of Her Majesty’s Inspectors, plans are drawn up that specifically include a heat-treatment operation for the inactivation of Non-A Non-B hepatitis.
The Government is slow to implement these plans. |
Crown Immunity is soon to be removed from NHS establishments. |
Source:
Quarterly information for hospitals served by the National Blood Service, March 2000, Issue 3, page 4. http://www.blood.co.uk/pdfdocs/blood_matters_3.pdf Type: Crown Immunity Development Location: UK Find related entries |
BPL is still not covered by the licensing requirements of the Medicines Act because of Crown Immunity. However, some of its products and facilities are already so licensed and it will be seeking licences for other products, including high purity Factor VIII, under the arrangements leading to the removal of Crown Immunity. For many years the BPL has been inspected by the Medicines Inspectorate and its products have been tested by the National Institute of Biological Standards and Control, as are similar licensed pharmaceutical products. |
Source:
Commons Hansard, 19 February 1991, Column 86. http://www.publications.parliament.uk/pa/cm199091/cmhansrd/1991-02-19/Writtens-2.html#Writtens-2_spnew12 Type: Commons Hansard Location: UK Find related entries |
Crown Immunity comes to an end as of 1 April 1991. The products of BPL are now within the scope of formal licensing arrangements of the Medicines Act. |
Source:
Commons Hansard, 7 November 1991, Column 254. http://194.128.65.4/pa/cm199192/cmhansrd/1991-11-07/Writtens-8.html#Writtens-8_spnew32 Type: Commons Hansard Location: UK Find related entries |
On Tuesday 17th March 2009, Lord Morris of Manchester made important reference to Crown Immunity and BPL (raised in the Archer report) during the Committee Stage debate of Amendment 133 of the Health Bill:
CROWN IMMUNITY: Lord Morris of Manchester: "The other issue to which I must finally refer is that of Crown immunity, on which the Archer report raises in commenting on behaviour of the Blood Products Laboratory (BPL). The report says: “In July 1979, the Medicines Inspectorate visited BPL. They reported that the buildings were never designed for the scale of production envisaged. They commented: ‘If this were a commercial operation we would have no hesitation in recommending that manufacture should cease until the facility was upgraded to a minimum acceptable level.’”."...The report then says: “BPL was rescued by Crown Immunity”, and goes on to say that, “the existing plant continued production, relying on Crown Immunity to dispense with all the requirements of the Medicines Act, but was able to meet only about 40 per cent of the national requirements”". Lord Morris of Manchester: "Surely, words have lost their meaning if this does not mean that by the use of Crown immunity, a relic of feudal England, the lives of countless haemophilia patients were blatantly and gravely put at risk." |
Source:
http://www.publications.parliament.uk/pa/ld200809/ldhansrd/text/90317-gc0008.htm#90317-gc0008.htm_para13 Type: Lords Hansard Location: UK Find related entries |
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