Today, the Chairman of the Infected Blood Scandal Inquiry, Sir Brian Langstaff, published his long-awaited final report and recommendations, after many years of painstaking scrutiny and investigation.
Responding to the publication of the report during an Oral Statement to the House of Commons, the Prime Minister said that "From the National Health Service to the civil service, to Ministers in successive Governments, at every level the people and institutions in which we place our trust failed in the most harrowing and devastating way. They failed the victims and their families, and they failed this country."
He went on to say that Sir Brian's findings laid bare a "catalogue of systemic, collective, and individual failures... taken together amounting to a calamity".
Commenting, Leo said:
The report makes for difficult reading, but it is important that we fully understand the extent of the failure and the cover-up which allowed this scandal to go unaddressed for so long.
"Of course, appropriate compensation will be an important step towards justice - but this is not enough. As the Prime Minister said at the despatch box, we must fully change the system so that such a scandal can never happen again."