PARLIAMENTARY DEBATE
Infected Blood Compensation Scheme - 14 April 2026 (Commons/Commons Chamber)
Debate Detail
I will start by updating the House on the delivery of compensation by the Infected Blood Compensation Authority—or IBCA, as we refer to it. As of 7 April, 3,273 people have received an offer and over £2 billion has now been paid out. That includes the first payments to all eligible groups. I am sure that Members across the whole House will welcome that progress.
In July last year, the infected blood inquiry published its additional report, which made recommendations for both the Government and IBCA. Part of our response to that report was a public consultation on changes to the infected blood compensation scheme. I am here today to update the House on the outcome of that consultation. First, I should say that I am deeply grateful to everyone who responded and provided deeply personal stories. They must be at the heart of the decisions that the Government make, just as they were throughout the work of the inquiry.
The consultation was vital for engaging the community on our proposals. The Government have also sought advice from the infected blood compensation scheme technical expert group. Alongside the consultation response, today I am publishing the group’s final report, which sets out its advice to the Government and amendments to the compensation scheme. To inform that advice, the technical expert group conducted roundtable discussions with community representatives on specific aspects of the scheme, and that was separate to the consultation. For transparency, I am also publishing the minutes of the roundtable discussions, the group’s own meetings and a summary of written responses to the roundtables.
Let me turn to the changes to the scheme. Today the Government have published our full response to the consultation, and that sets out how the scheme will now change. Before I lay out each change in detail, let me explain the overall package. The community was clear that the scheme must do more to recognise people’s individual experiences and compensate them fairly in a way that minimises the administrative burden placed on those who have been harmed, minimises the demand for evidence and maintains the delivery of tariff-based compensation. Those requirements underpin the changes.
For infected people, the changes will increase the amount of core compensation available and increase the options available for supplementary compensation awards. For affected people, additional core compensation will be available to those eligible. We consulted on seven specific areas, and we are making substantive changes in all seven. In four areas, we are actually going further than our original proposal.
Let me turn first to the special category mechanism. We will introduce a new supplementary award to give additional compensation to people who have been assessed as eligible for the SCM or who can now demonstrate to IBCA that they meet the criteria. After considering the community’s views, we will ensure that every eligible person has this award backdated to 2017, because that is when the special category mechanism was first introduced.
Many of those infected suffered from terrible mental health issues as a result of their infection, as we heard in their testimonies. We will amend the scheme so that the new SCM supplementary award gives people additional compensation where the psychological harm that they experienced means that the core route compensation simply does not go far enough. We believe that this will result in more comprehensive recognition of the mental health issues caused by infected blood and the resulting years of harm.
The inquiry recommended that we change the core route’s severity bandings to recognise the harms caused to infected people by interferon treatment, and proposed a new “level 2B” severity banding for those who receive this treatment. We accept that change is necessary, and we will introduce this new severity band to increase people’s injury, financial loss and care awards. In addition, if someone has had multiple rounds of interferon treatment, they will be compensated for each round.
The inquiry recommended changes to the calculation of past financial loss and past care awards for those who choose to continue receiving support scheme payments. We will remove the 25% deduction applied to past care compensation, as was recommended by the inquiry. The consultation also set out two options for how financial loss could be calculated for those who continue to receive support scheme payments: the way the scheme currently does it, and an alternative. Because of the range of views on which was best, we will ensure that people receive past financial loss compensation based on whichever of the two calculations presented is most financially beneficial for them.
The inquiry asked the Government to look at the evidence requirements for the exceptional loss award. We were keen to hear the community’s views on that in order to develop a way forward that avoided lengthy, individualised assessments of people’s circumstances. We will ensure that all forms of evidence of actual earnings can be considered by IBCA. We will also make additional compensation available to infected people who lack evidence of earnings but who had clear potential to earn more than average. We will offer a £60,000 lump sum on top of people’s core awards to those who can show they either had a job offer or recently started a job where the salary was higher than the median salary but had their progress impeded by their infection.
Through the consultation, we also heard about the experiences of affected people and the particular harms they suffered. We will increase the core injury award for several groups of affected people, including bereaved parents whose child sadly died before they turned 18, bereaved partners, and children and siblings affected under the age of 18. Those changes will give more compensation to affected people whose particular experience of the scandal was undoubtedly profound and deeply harmful. The awards will form part of the core award, and they will not require additional evidence from applicants.
I know that the matter of unethical research is of particular concern to Members across the House. It is one of the most shocking aspects of the scandal. We heard that the existing approach may not have compensated everyone who suffered that wrongdoing. We have therefore changed the scope of the award so that anyone treated in the UK for a bleeding disorder in 1985 or earlier will receive further compensation.
It was also clear from the consultation responses that the amount offered does not reflect the harm done. I say today to the House that we will increase the unethical research awards. That includes increasing the £25,000 for those who attended Treloar’s school to £60,000 as well as introducing a new unethical research award for those treated elsewhere for a bleeding disorder during childhood at a rate of £45,000. We are also tripling the award for those treated for a bleeding disorder in adulthood to £30,000. I have touched on all seven of the areas we directly addressed in the consultation; of course, I encourage hon. Members across the House to read the full response that is being published.
The consultation also invited respondents to raise any other concerns they had about the design of the scheme. One of the most compelling things we heard was that the scheme does not sufficiently recognise the profound impact of infection during childhood. We have heard the community clearly on that, so we will make a further change to the compensation scheme to address it: we will introduce a 50% increase to the core autonomy award for people who were infected at age 18 or under.Official Report, 25 June 2026; Vol. 788, c. 2WC. (Correction).
I hope those changes go some way to showing our commitment to listening to the community and making decisions, with those impacted at the forefront of our minds. In order to make those substantial changes to the scheme, we will bring forward further legislation in due course.
While the consultation provided one way for the community to offer feedback, the inquiry recommended there be an identified way for concerns to be considered. Today, I am pleased to launch a new mechanism that builds on existing engagement and feedback channels through which people can raise concerns about the function of the infected blood compensation scheme with the Cabinet Office and with IBCA. Both organisations will then publish quarterly summaries of feedback received on the scheme’s design and delivery, and any action being taken as a result. I expect the first of those summaries to be published in early July.
The findings of the inquiry must be met with tangible, systemic change. I hope that what I have set out goes some way towards showing our commitment to enacting this change. I pay tribute to Sir Brian Langstaff, his team and everyone who gave testimony to the inquiry for ensuring that that human element of this tragedy remains a focal point of the inquiry’s work.
The compensation scheme’s most basic purpose is to provide financial recognition of the losses and harms faced by victims, both infected and affected. Beyond that, it must reflect and embody their stories if it is to truly deliver justice, not just for those we tragically lost, but for those who continue to fight. I commend this statement to the House.
As Baroness Finn said in the other place,
“what we call the scandal was, in truth, the infliction, collectively, of grievous harm upon thousands of people by the state.”—[Official Report, House of Lords, 4 November 2025; Vol. 849, c. 1821.]
Nowhere was that more egregious or more shocking than in those cases where victims were infected as a result of deliberate experimentation in the name of science. We therefore commend the Minister for the specific increases to the unethical research awards, and in particular the uplift to £60,000 for the survivors of Treloar’s school and the expansion of the scheme to include those treated as adults. Those are necessary recognitions of a truly outrageous chapter of the scandal.
However, while the Minister spoke of tangible, systemic change, many victims and their families will be looking at the fine print with a degree of trepidation. I therefore have a number of questions regarding the delivery and scope of these announcements. The Minister noted that further legislation will be required later this year to enact these substantial changes. Given that the infected blood inquiry’s additional report was published back in July last year, will he reassure the House that the legislative timetable will not lead to further agonising delays for those in declining health? Will the first quarterly feedback summaries, which he has promised will come in July, provide a hard deadline for when those new level 2B severity awards and backdated supply chain management payments will actually reach bank accounts? If not, does he have an expectation of when those payments will be made?
I think the Minister mentioned increased core injury awards for bereaved parents whose children died before the age of 18. Can he provide greater clarity on the justification for excluding parents whose children were infected when they were young children but turned 18 before the time of their death? Regarding the 50% increase to the core autonomy award for those infected at age 18 or under, will he confirm that that will also apply to those infected through their mothers in utero?
The Government rightly aim to minimise the administrative burden and the demand for evidence. We welcome the £60,000 lump sum for those with clear potential to earn but who lack evidence of earnings, but how will the Infected Blood Compensation Authority define “clear potential” without falling back into the lengthy, individualised assessments that the Minister says he wants to avoid?
Finally on the compensation scheme, the Minister announced that for past financial loss, the Government will use whichever calculation is “most financially beneficial” for the recipient. We welcome that pragmatic step, but can he clarify whether the removal of the 25% deduction for past care will be applied automatically to all existing offers, or will those people who have already received offers need to reapply to have their awards adjusted? As the Minister said, the compensation scheme must “embody their stories”. Justice delayed is justice denied, and we must ensure that the new supplementary awards do not become a secondary bureaucratic hurdle for a community that has already given so much testimony and waited so long.
Before I close, I turn to a matter that seems to be missing from the Minister’s statement: the inquiry. When he last updated the House before Christmas, I raised the need to
“move from a period of review to one of rectification and delivery.”—[Official Report, 30 October 2025; Vol. 774, c. 516.]
I also asked him how and when the inquiry might be drawn to a close so there could be a degree of policy certainty. I did not hear him refer to that in his statement, so will he confirm that, with the implementation of the key recommendations from the additional report and Sir Brian’s letters, the public inquiry has now drawn to a close?
Once again, I thank Sir Brian Langstaff and his team for their diligent and comprehensive work over the past eight years to help deliver some justice after decades of scandal and suffering. Most of all, I again pay tribute to the tireless campaigning of the many victims and their families who were infected or affected by the infected blood scandal. They have suffered for far too long in ways that we can barely begin to imagine, and no compensation scheme can ever reverse the horrific harms needlessly done to them. I hope, however, that the universal acceptance of the conclusion of the reports and the determination of us all to do what we can to make changes that will stop others suffering in future will bring them some comfort.
On the point about the inquiry, yes, there has now been the formal exchange of letters between me as the responsible Minister and Sir Brian Langstaff. Also, I entirely agree with the shadow Minister about the need for policy certainty going forward. He asked some very reasonable, detailed questions, and I will come back to him properly in writing on those, but let me just deal with a few of them.
I want to bring forward further legislation as soon as possible. When I have brought forward legislation in the past, parties across the House have always worked in a collaborative way throughout to get it through as quickly as possible. Obviously, positions are a matter for the Opposition parties, but continuing that constructive spirit is helpful in getting these things through as quickly as possible.
On the issue of exceptional loss, again, that £60,000, as referred to by the shadow Minister, is not designed to be a very detailed, individualised assessment. That is not what a tariff-based scheme is meant to do. Rather, it is meant to look at the situation of loss of a chance—the situation where somebody, but for their infection or how they were affected by the infection, would have had the opportunity to have gone on and perhaps been a higher-than-average earner but were denied that—and is designed specifically to look at that. On the other very reasonable and detailed matters that the hon. Gentleman raises, I will ensure he gets a full written response.
The infected blood scandal is one of the greatest failures in our national health service, which was unacknowledged for far too long. Over 30,000 people were infected across the country and faced the devastating consequences of that systematic failure. Yet there are people who continue to feel that the scheme has not gone far enough, including one of my constituents, from Marple, who feels the scheme should investigate more potential conditions.
Thousands of victims and their families have waited decades for the justice they deserve. Sir Brian Langstaff was straightforward in his findings: victims have been ignored and frozen out of the process they fought for decades to secure, while payments have proceeded at an infuriatingly glacial pace. The Liberal Democrats have long stood with the victims. The Government are right to seek to answer the needs of those infected and affected by setting out a clear timeline for how compensation can be delivered to them. My colleagues and I will continue to hold this Government to account until every eligible person receives the justice they are owed.
Sir Brian Langstaff rightly highlighted how victims have not been listened to by successive Ministers, and we welcome the new feedback mechanism that the Minister has set out today. Will he expand a little on his remarks and confirm that that will be a formal advisory body of victims to IBCA, as recommended by the Langstaff inquiry?
After so many years of secrecy, deceit and delay, the Government should ensure full transparency over the progress of the scheme and open ongoing communication with all those affected. Enshrining a statutory duty of candour is a long-overdue reform championed by those infected and affected by the scandal, and the continued delays to passing the Hillsborough law are shameful. Victims and campaigners should not be made to wait any longer, so will the Minister say when the Government will get that vital piece of legislation moving again and finally get the Hillsborough law on the statute book?
Secondly, with regard to IBCA and the voice of victims, I have been on more than one occasion to IBCA’s offices in Newcastle. It already has what are known as the user consultants, who provide the voice of the community on the premises and who have been encouraged by Sir Robert Francis to do that. I think they make a very important contribution. Thirdly, on transparency, I could not agree more. That is why, on the technical expert group for example, I take the view of publishing everything. I think we have to continue to do that. Fourthly, on the issue of the Hillsborough law, work is ongoing. I have been very involved in that in recent months and, certainly, we are committed to delivering it.
I also welcome the Minister’s comments on the new level 2B severity banding for people who received interferon treatment, but I would like to raise a couple of points of detail on that. The Minister might not be able to answer them today, but if he could answer them in writing, that would be helpful. Do these new measures remove the 2017 reduction in rates for compensation, and will they ensure that people are fairly compensated for health harms caused by interferon treatment from the date those harms occurred?
My right hon. Friend knows how complex this issue is, so the devil will be in the detail of the statement, but I welcome the news that the requirements for evidence will be reduced where people have already produced evidence and gone through previous thresholds, and are then required to provide it again when it is not available. Mistrust inevitably exists for people who have had to campaign for so long for justice from the state, so I welcome the fact that he is creating a new mechanism to listen to the community continuously as the process goes on. Does he agree that taking that way forward will help to avoid the disagreements we have had in the past?
I am pleased to hear the Minister make specific reference to Treloar’s school in Hampshire, where at least 72 children died after being given a drug contaminated with HIV and viral hepatitis. I know that you, Madam Deputy Speaker, have a particular interest because your constituent Mike Webster’s son, Gary Webster, was infected. Can the Minister update the House on what progress is being made in pursuing criminal charges against those involved in experimenting on children?
The hon. Gentleman rightly raises the heinous activities that happened at Treloar’s school, which was a place that parents sent their children—vulnerable children—for protection, and then had this truly chilling medical experimentation that happened. We will ensure that things move as quickly as possible, but I also say to the hon. Gentleman that we must ensure that we learn the lessons of what happened there to ensure that something like that never happens again.
In an earlier question, the hon. Member for Keighley and Ilkley (Robbie Moore) asked about the potential for criminal prosecutions relating to this matter. Of course, prosecutions are a matter for the independent Crown Prosecution Service, but I have made it absolutely clear that the Government stand ready to provide any evidence required by the authorities.
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