Thanks for your replies. There is certainly a difference in culture between the UK & USA , probably because the USA health professionals are more “customer focused” and keen to meet the needs and requirements of patients whereas Britain has a centrally organised , publicly owned and funded NHS system which is more intent on protecting the vested interests of healthcare workers.
The Canadian situation wouldn’t happen in Britain. In the UK , the protection of children was strengthened following the Victoria Climbie case (where a child was abused and eventually killed by her parents without intervention from social services or other agencies) - enshrined in the Childrens Act (2004). This provides an absolute right for surgeons to intervene and transfuse without requiring a court order (which can delay the process for several hours) - though this must be applied for following the procedure and the presumption under the Act is that the court will retrospectively uphold the decision without sanctions , providing at least 2 consultants agree.
http://www.transfusionguidelines.org.uk/index.asp?Publication=BBT&Section=22&pageid=510
(In practice , HLCs tell the parents not to insist on non-blood management , so I am not aware of any recent case where this has been required.)
As some posters have noted , there is a dynamic within the WTS that feels that the WTS have gone too far in allowing Haemoglobin (which is 97% of RBC and not a fraction by any definition - the recent Awake reference clearly reflected unease at this admission) but not far enough in allowing storage of blood. HIS tend to be much more liberal in their attitudes (as they are on the front line) that GB / WTS leaders who are mainly elderly , childless and institutionalised.
I understand that this was almost allowed among the Witnesses with a blood card that was revoked, by a last minute dissenting Governing Body vote that tipped the balance under the two-thirds majority vote required to approve the change.
My sources confirm this and indicate intense disquiet amongst HIS that the GB , on what was by all indications a knife edge vote , vetoed a change allowing Jws to store their blood - allowing a continuation of the undefendable and illogical position that Jws can use fractions made from other peoples stored blood but not their own and can store blood during an operation but not before or afterward. Notably the WTS rarely makes any reference nowadays to the idea that “blood must be poured out” and HIS expects a revision to the storage policy when new younger members of the GB are appointed shortly.