health departments for the basic sample collection; and get another
organisation for the central co-ordination role and dealing with the results.
The DUOB itself could help with finding suitable experts to advise on the
interpretation of test results.
c) Professor Coggon suggested that it would be useful at this stage to carry out a
‘pilot’ exercise with, say, 30 veterans in a single geographical area in order to
test the procedures. Spot samples of urine as well as 24 hour collections could
be requested. Analysis would be carried out by more than one laboratory and
the results from the spot samples would be compared with those from the 24
hour samples. A similar comparison could be done as part of the civilian
normative values study. If the spot results proved to be as good as those from
the 24 hour collections in both cases, the logistics of the main testing
programme could be greatly simplified. Professor Coggon recommended this
approach to the Board. He said it would provide extra useful information and,
importantly, get the testing programme started.
d) Dr Lewis said that spot samples must definitely be ratioed to creatinine.
Professor Coggon agreed.
e) Dr Busby said that the Board might as well invite all the veterans who wanted
a test in the area concerned to participate in the pilot. He had no objection to
the proposal and considered it a good way forward. The geographical area
could be chosen on the basis of how many veterans there were to be tested in
various parts of the country. Professor Coggon said that for practical reasons,
London would be the easiest area.
f) Mr Glennon said that he had reservations about the proposal, and wanted to
discuss it with the members of his organisation. Professor Coggon said that
participants in a pilot exercise would gain the advantages of having their tests
done earlier than most and multiply analysed. The drawback was that more
would have to be asked of them, in giving both 24 hour and spot samples.
g) Dr Paterson supported the proposal. He said it would be embarrassing for the
Board if contracts had been let with the analytical laboratories but no samples
were being collected. He also felt that the Occupational Health department
involved in a pilot exercise could be asked to continue into the main
h) The Chairman asked whether Dr Paterson would be willing to take on the
advisory role in relation to a limited pilot of testing in veterans . Dr Paterson
declined, saying that he did not have all the specialised expertise required and
the job should preferably be done by one person. Mr Brown said that it would
not be possible to find a single individual able to advise expertly on all
aspects. The Chairman suggested that alternatively a panel of members drawn
from the DUOB might undertake the work.
i) Mr Glennon asked that the proposed way ahead for the healthcare provision
be discussed at the next Oversight Board meeting. He was uncomfortable at
the way, as he saw it, the subject was being pushed. Dr Paterson asked Mr
Glennon to state his concerns. Mr Glennon replied that the proposal was too
close to the official ‘side’, and differed from the protocol agreed by the Board.
j) Dr Busby asked who would carry out the administrative functions. Professor
Coggon said that either members of the DUOB or the Occupational Health
department could write to the participating veterans.
k) Maj Gen Craig said that the proposal made eminent sense. The information
obtained from a pilot exercise could change totally what happened next. Dr
Lewis said the proposal was a good idea, but an area must be chosen where