Doctors, health officials, the NHS, civil servants and government ministers have all been accused of failing to “put patient safety first” across the half a century of failures that led to thousands of deaths from diseases related to infected blood.

In an excoriating report that attacks many of the pillars of the British state, the inquiry into the scandal has identified “systemic, collective and individual failures to deal ethically, appropriately and quickly” with the risk of HIV and hepatitis C infection and the devastating consequences of contaminated blood transfusions and haemophilia drugs.

More than 3,000 people have died so far and about 30,000 were infected as the result of a litany of “missed opportunities” to heed warnings over the contamination risk. This was then “compounded”

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