"Even before the Morningdale scandal"

The Morningdale scandal is fictional, but it is likely to have been inspired by actual medical events, such as the Alder Hey organs scandal.  This centred around the Alder Hey Children’s Hospital in Liverpool, where the organs of dead children were kept for experimentation without the knowledge of their families, although they were collected from a number of hospitals.  It was a significant event for medical ethics and organ donation, both of which are important themes of Never Let Me Go.