Penrose Inquiry
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The Penrose Inquiry was the public inquiry into
hepatitis C Hepatitis C is an infectious disease caused by the hepatitis C virus (HCV) that primarily affects the liver; it is a type of viral hepatitis. During the initial infection period, people often have mild or no symptoms. Early symptoms can include ...
and
HIV The human immunodeficiency viruses (HIV) are two species of '' Lentivirus'' (a subgroup of retrovirus) that infect humans. Over time, they cause acquired immunodeficiency syndrome (AIDS), a condition in which progressive failure of the im ...
infections from
NHS Scotland NHS Scotland, sometimes styled NHSScotland, is the publicly–funded healthcare system in Scotland and one of the four systems that make up the National Health Service in the United Kingdom. It operates 14 territorial NHS boards across Scotland ...
treatment with blood and blood products such as
factor VIII Coagulation factor VIII (Factor VIII, FVIII, also known as anti-hemophilic factor (AHF)) is an essential blood clotting protein. In humans, it is encoded by ''F8'' gene. Defects in this gene result in hemophilia A, an X-linked bleeding disorder ...
, often used by people with
haemophilia Haemophilia (British English), or hemophilia (American English) (), is a mostly inherited genetic disorder that impairs the body's ability to make blood clots, a process needed to stop bleeding. This results in people bleeding for a long ...
. The event is often called the Tainted Blood Scandal or Contaminated Blood Scandal. It was not in the terms of reference of the inquiry to examine events in England, a statutory public inquiry has never been held in England. The Penrose Inquiry was set up by
Scottish Government The Scottish Government (, ) is the executive arm of the devolved government of Scotland. It was formed in 1999 as the Scottish Executive following the 1997 referendum on Scottish devolution, and is headquartered at St Andrew's House in ...
under the
Inquiries Act 2005 The Inquiries Act 2005 (c. 12) is an act of the Parliament of the United Kingdom. According to the explanatory notes, published by the Department for Constitutional Affairs, the act "is intended to provide a comprehensive statutory framework for ...
and cost £12,123,754. It was announced by
Nicola Sturgeon Nicola Ferguson Sturgeon (born 19 July 1970) is a Scottish politician who served as First Minister of Scotland and Leader of the Scottish National Party (SNP) from 2014 to 2023. She has served as a member of the Scottish Parliament (MSP) sin ...
on 23 April 2008. The Rt Hon Lord Penrose was the chairman of the inquiry. Andrea Summers was the Solicitor for the Inquiry and following this Inquiry was appointed to the Scottish Child Abuse Inquiry. The Inquiry took six years and the victims branded it a "total whitewash".


Publication

Lord Penrose did not attend the launch of the final report which was held on 25 March 2015 in
Edinburgh Edinburgh is the capital city of Scotland and one of its 32 Council areas of Scotland, council areas. The city is located in southeast Scotland and is bounded to the north by the Firth of Forth and to the south by the Pentland Hills. Edinburgh ...
. He was reported to have been too ill to attend.


Criticism

The final report of the Penrose Inquiry was widely branded a
whitewash Whitewash, calcimine, kalsomine, calsomine, asbestis or lime paint is a type of paint made from slaked lime ( calcium hydroxide, Ca(OH)2) or chalk (calcium carbonate, CaCO3), sometimes known as "whiting". Various other additives are sometimes ...
after it made only one recommendation, that steps should be taken to offer blood tests to anyone in Scotland who had a blood transfusion before 1991 and who has not already been tested for hepatitis C. The Inquiry did not apportion blame. Andrea Summers, Solicitor to the Inquiry, attended a press conference to deliver the report and members of audience shouted 'whitewash' and 'cover up' as the audience walked out. Professor John Cash who was a former director of the
Scottish National Blood Transfusion Service The Scottish National Blood Transfusion Service (SNBTS) is the national blood transfusion, blood, blood product and Tissue (biology), tissue provider. It makes up a Strategic Business Unit of NHS National Services Scotland (NSS). History The ...
said the executives responsible were able to avoid giving evidence. "Did Lord Penrose get to speak to the people with the real answers? No, he didn't," "He tried but through no fault of his own he couldn't get to the truth. He ran into serious problems because the Inquiries Act meant there was a whole area he could not address". Five deaths were examined as outlined in the inquiry's terms of reference, these were, Reverend David Black, Mrs Eileen O'Hara, Alexander Black Laing, Neil Mullen and Victor Tamburrini. Out of these 5 cases, only 1 of the victims was a Haemophiliac. The 1 haemophilia case was a Hepatitis C infection that occurred in the 1960s, before Factor concentrates were in use, meaning that the case did not relate to the relevant period which is regarded at the mid-1970s–1980s. None of these examined cases involved HIV infection.


Aftermath

Following the publication of the Penrose Inquiry,
David Cameron David William Donald Cameron, Baron Cameron of Chipping Norton (born 9 October 1966) is a British politician who served as Prime Minister of the United Kingdom from 2010 to 2016. Until 2015, he led the first coalition government in the UK s ...
became the first British Prime Minister to offer a formal apology for the scandal. No
damages At common law, damages are a remedy in the form of a monetary award to be paid to a claimant as compensation for loss or injury. To warrant the award, the claimant must show that a breach of duty has caused foreseeable loss. To be recognized at ...
were paid during or following the inquiry, indeed, compensation was not mentioned within the terms of reference of the Penrose Inquiry. Damages have, however, been paid in
Ireland Ireland (, ; ; Ulster Scots dialect, Ulster-Scots: ) is an island in the North Atlantic Ocean, in Northwestern Europe. Geopolitically, the island is divided between the Republic of Ireland (officially Names of the Irish state, named Irelan ...
. On 17 August 2022, the Government announced that victims of the infected blood scandal across England, Wales, Scotland and Northern Ireland will each receive an interim compensation payment of £100,000.


See also

* Contaminated blood scandal in the United Kingdom *
Contaminated haemophilia blood products Contaminated hemophilia blood products were a serious public health problem in the late 1970s up to 1985. Hemophilia A causes a deficiency in Factor VIII, a protein required for blood clotting. Factor VIII injections are a common treatment to ...


References

{{Reflist Public inquiries in Scotland NHS Scotland Hepatitis C 2008 establishments in Scotland 2015 disestablishments in Scotland Blood donation in the United Kingdom History of blood donation Medical scandals in the United Kingdom HIV/AIDS in the United Kingdom Health disasters in the United Kingdom Contaminated haemophilia blood products