The final report of the Infected Blood Inquiry identified six key themes, with the failure to prioritize patient safety in decision making being of paramount concern. The report highlighted the need for a safety culture within the NHS and recommended the General Medical Council provide training materials incorporating patient testimony to promote safety. The inquiry also recommended extending the statutory duty of candour to executive positions, including board members, to ensure accountability for patient concerns. The report specifically mentioned the need to protect the safety of haemophilia care. Recommendations for cultural change and patient involvement in healthcare discussions were emphasized, alongside the importance of compensating those affected by the scandal. Ultimately, tangible change is necessary to prevent similar tragedies in the future.
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Infected blood inquiry: justice will only be delivered when all the recommendations are acted upon
