A national quality assurance scheme has been established to monitor the validity of factor VIII assays
performed by the various laboratories of the Scottish National Blood Transfusion Service engaged in collection and
processing of donor plasma destined for fractionation. The results over the first 3-year period show that comparable
assay values can be obtained by participating centres using a common standard, despite differences in equipment,
methods or substrate chosen for the one-stage assay. The results also showed that chromogenic factor VIII assays
correlated well with the one-stage method. Random factor VIII assays performed on plasma, harvested and frozen
within 18 h from collection, were analysed to validate recently proposed Scottish specifications which stipulate that
70% of plasma donations destined for fractionation should contain at least 0.7 IU/ml. Plasma harvested and frozen
between 8 and 18 h from collection did not meet the specified level in any of the regional centres. This nationally
specified level was also not met by plasma harvested and frozen within 8 h from collection in spite of being achieved
individually by three regional centres. Assays performed on large plasma pools at the Fractionation Centre suggested
loss of some factor VIII during storage, transportation and thawing of plasma prior to bulk processing.