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"To no one will we sell, to no one deny or delay, right or justice."
Magna Carta - 15th June, 1215

 
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1948, 5 July - Creation of NHS - Crown Immunity
The NHS is created and Crown Immunity is applied to all NHS bodies and premises.
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
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1975, 13 May - J Walker SHHD and Health Board Secretaries
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
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1979, 23 July - Medicines Inspectorate Report
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
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1979, 10 September - Medicines Inspectorate Report
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
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1980, onwards - BPL - Crown Immunity - Incapable of Meeting Requirements of Medicines Act
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
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1980, 9 December - BPL Elstree - Medicines Inspectorate report
The Medicines Inspectorate visit BPL Elstree and discover that BPL does not conform to acceptable industry standards. The investigation discovers that:
  • There is mould growing on a glycol line that serves one of the vessels.
  • The cold freezer does not have any kind of temperature recording apparatus.
  • There is water dripping from overhead metal panels and again mould growth is noticeable.
  • There is plaster cracking in many parts of the building, resulting in bits of plaster breaking off.
  • The autoclaves in the autoclave area have not been validated. The necessary commissioning using a multi channel recorder has not been done.
  • In Room 13, paper is taped to improve the wooden benches where Factor 8 initial phase processing chromatographic work is carried out, and there are still openable windows present in what should be an aseptic area used for sterilising solutions.
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
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1981 - Her Majesty's Inspectorate - Damning Report of BPL, Elstree
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
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1981 (late) - BPL / Department of Health - Heat Treatment Operation
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.

Type: Plans
Location: UK
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1990 - Article - Crown Immunity - NHS
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
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1991, 2 February - Mr Stephen Dorrell - BPL
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
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1991, 1 April - Mrs. Virginia Bottomley
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
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2009, 17 March - Lord Morris of Manchester on Crown Immunity and BPL
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."

"...There could be no clearer text for describing the enormity of the use by the BPL of Crown immunity to dispense with all the requirements of that renowned and vital statute. I beg to move."

Timeline Copyright ©2006 Andrew March & Haydn Lewis
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