PARLIAMENTARY DEBATE
Infected Blood Compensation Scheme - 13 February 2025 (Commons/Commons Chamber)
Debate Detail
In May 2024, the infected blood inquiry’s report exposed a catalogue of failures at the systematic, collective and individual levels. Thousands of lives were needlessly lost, and too many people continue to suffer as a result of failures stretching back decades. I welcome the commitment across the House to holding the Government to account on responding to the inquiry’s recommendations, and I will continue to provide regular updates on the Government’s progress.
In December 2024, I published the Government’s response to the infected blood inquiry. In that response, on behalf of the UK Government and working closely with the devolved Governments, I accepted either in full or in principle all 12 of the inquiry’s recommendations. I will provide a further update on those recommendations in May of this year, as requested by the inquiry.
I will now update the House specifically on the inquiry’s recommendation on compensation. In August 2024, I established the infected blood compensation scheme in regulations. That enabled the Infected Blood Compensation Authority to begin making compensation payments to people who are infected. I was pleased that IBCA delivered on our shared commitment to make the first compensation payments by the end of last year. That was a significant step, and the work to progress payments quickly continues as an absolute priority.
Yesterday, I laid before Parliament the draft Infected Blood Compensation Scheme Regulations 2025. As those regulations are subject to the draft affirmative procedure, there will be an opportunity for parliamentarians to debate and approve them before they become law. When laying before the House the previous regulations to establish the scheme for people who are infected and are claiming compensation under the core route, I made a commitment on the Floor of this House that those regulations would come into force by 31 March, subject to parliamentary approval. I would welcome the support of the House in approving those regulations, enabling us to deliver compensation to those who deserve it as quickly as possible.
I am fully aware of how important it is to the House, and to the many victims of this appalling scandal, that the Government provide clear and regular updates on our progress in establishing the infected blood compensation scheme. I have therefore come before the House today to explain the steps that have been taken and what they mean.
Once approved by Parliament and in force, the Infected Blood Compensation Scheme Regulations 2025 will provide IBCA with the powers it needs to begin making payments to eligible affected people. By way of a reminder, those affected include partners, parents, children, siblings and, in some instances, carers. Those people have suffered terribly from the impact of infected blood on their loved ones, and these regulations mark a significant milestone for them. The Government will do all we can to support IBCA’s aim of the first compensation payments to eligible affected people being made before the end of this year, and by laying these regulations we are a step closer to achieving that aim.
As we set out in August, the infected blood compensation scheme is tariff-based. The tariffs are intended to work in a way that would be appropriate for the majority of people applying to the scheme. However, we know that the impact infected blood has on people’s lives varies hugely. Each person’s experience is unique and heart- breaking, and the Government recognise that there are some exceptional cases where the level of compensation offered through the core route does not sufficiently address a person’s individual circumstances. For that reason, the Government have provided for higher levels of compensation for specific awards through the supplementary route, where people can demonstrate their eligibility. The regulations I have laid before Parliament set out the details of that supplementary route.
Once in force, the regulations will allow IBCA to make payments to eligible people through both the core and supplementary routes. All applicants will need to go through their initial core route assessment before applying to the supplementary route, but doing so will not delay payment of that initial core compensation offer. The regulations I have laid propose to restate and consolidate the Infected Blood Compensation Scheme Regulations 2024, which were approved by Parliament in October last year. We have done that primarily for reasons of simplicity. Having a single set of regulations that consolidates the provisions means that it has been possible to cover all compensation routes for all eligible people in a single place.
Alongside the draft regulations, yesterday we published an accompanying explanatory memorandum and equalities impact assessment. We also updated the compensation scheme explainer on gov.uk. I have heard from the community the importance of a simpler document, so I commit today to the publishing of a wider, simpler document. I have already engaged with several hon. and right hon. Members across the House in recent days, and I will continue to do so on the substance of these regulations in the coming weeks.
I would also like to welcome the progress being made in delivering compensation. In addition to the over £1 billion of interim compensation payments that have been paid so far, IBCA has now invited 113 people to claim compensation. So far, 23 offers have been made, totalling over £34 million, and 14 offers have been accepted and paid, totalling over £13 million. IBCA remains on track to invite 250 people to apply by the end of March, and it will continue to publish its monthly statistics on its website. However, this is only the beginning, and there is much more work to do.
This week, IBCA set out its plans to open the compensation service in stages to make sure it is effective and secure for all those claiming. This decision was taken independently of the Government by the IBCA board. The groups that IBCA will work through as it builds the claim service will be as follows. The first will be people who are living infected and are already registered with a support scheme. IBCA already has the details of those people through the infected blood support schemes, and it began making payments to this group in 2024. IBCA intends to accelerate the number of claims it is processing from April.
The second stage will be people making supplementary claims. The regulations I am laying provide IBCA with the ability to process these claims. As IBCA develops its service, this will it to process the different types of evidence needed for supplementary claims and allow people to settle their claims in full as quickly as possible. People who have registered estates are in the third group IBCA has set out. This is where an estate has already been verified as eligible for compensation through the interim payment scheme that I announced in October last year. This will ensure that significant compensation can reach multiple people, who could include both those who are infected and those who are affected.
People who are affected and linked to a registered infected person or a registered estate will be in the fourth group. If an infected person or an estate is registered, this will allow IBCA to progress an affected person’s claim more quickly. The fifth group that the service will be developed for is people who are infected, but not registered with a support scheme. The sixth group will be people who are either applying on behalf of an infected person who has not previously been registered with an infected blood support scheme, or people who are affected and not linked to a registered claim. IBCA expects that it may take slightly longer to work through the claims of people who have not previously been registered for compensation.
The IBCA board assures me that this is in no way intended as a prioritisation of different claimants, but is the best way of building the service so that IBCA can get to the point where it can progress all claims as quickly as possible. Crucially, it does not mean that all claims in each group need to be finished before developing and opening the service for the next group.
IBCA has communicated its decision on its website and through the regular community update, and it has written to members of the infected blood community and right hon. and hon. Members with whom it has previously engaged to inform them of its plans. Determining these groupings is a heavy responsibility, and I am pleased that IBCA sought feedback from the infected blood community in reaching this decision. The community must, after all, be kept at the centre of all this work.
While the roll-out of the scheme is an operational decision for IBCA as an independent body, I fully support its commitment to moving forward as swiftly as possible, and I was encouraged to see the dedication of its staff and leadership in my visit to the organisation last month. As compensation applications increase, I know that IBCA is determined to ensure payments are made to people as soon as possible. I will set out more detail on this in due course, but it will include key performance indicators that IBCA will be working towards to make sure that compensation claims are dealt with effectively and efficiently. Of course, decisions on the parameters of and eligibility for the scheme remain ones for the Government, subject to parliamentary approval, as is set out in the regulations I have laid, and are not impacted by IBCA’s decisions.
Let me conclude by saying that in laying these regulations, we are one step closer to having the entire infected blood compensation scheme fully established in law. I understand the importance of providing an opportunity for everyone across the House to debate this matter. This will be another significant moment for all those who have waited too long. On 30 January, I was able to meet a number of representatives from the community to update them on the Government’s plans. As ever, I found it an invaluable experience, and I am hugely grateful to those who shared their thoughts and experiences.
On my appointment to this role in July, I was determined to meet the first statutory deadline of 24 August for the first set of regulations. Over the past seven months, I have been insistent to my officials and the community on the importance of making sure that, after 40 years of injustice, justice is now finally being delivered and compensation rightly being paid. The Budget announced £11.8 billion of funding for this compensation scheme, showing the scale of this Government’s commitment to concrete action. I hope parliamentarians across both Houses will support the regulations, so we can finally focus solely on delivering compensation to those who have waited for justice for far too long. I commend this statement to this House.
I want to start by thanking the campaigners and victims who have spent years pushing for justice for this terrible tragedy that occurred over a number of decades. The previous Conservative Government took the first steps towards recognising the horrific wrong inflicted on so many patients and their loved ones in opening and concluding the inquiry into the infected blood scandal, but particular acknowledgement must go to my right hon. Friend the Member for Salisbury (John Glen) who worked so hard when he was Paymaster General to make sure that victims and their families could at last receive some degree of justice.
I welcome the progress the Government have made since the election. Parliamentary politics inevitably focuses on division and there is plenty on which we profoundly disagree with the Government, but on this matter we speak as one. There is nothing of substance that the right hon. Gentleman and his Department are doing that is meaningfully different from what we would have done if we had still been in government. We will of course review the legislation on the next stage of the infected blood compensation scheme, but the Minister and all who are campaigning for justice can be assured that we will support the Government in their efforts.
We welcome the start of compensation payments by IBCA, but we know that victims have raised concerns about the pace of processing applications for compensation. I hope the Minister can confirm what measures he is putting in place to ensure that the processing capacity within the authority is adequate and that application processing can be sped up, because the next phase of the compensation framework will mean that applications to the authority could increase by tens of thousands. All victims and their families need to know what is being done to ensure that those claims can be processed at pace.
I am concerned by reports that only a very small fraction of those who may be eligible to claim compensation have been contacted so far; one estimate puts it as low as 0.2% of possible claimants, although I recognise that such estimates can sometimes be out of date. I hope the Minister will be able to provide some clarity on the percentage of those believed to be eligible who have been contacted so far. I know that the Minister will understand the need for the Government to communicate clearly to all who may be eligible to encourage them to apply.
That reinforces the importance that must be placed on processing claims quickly. Those who are eligible must have confidence that their claims will be accurately and quickly processed so that they receive the payment they are entitled to as soon as possible. I appreciate, of course, the staged manner in which the authority is taking claims and the need to prioritise certain claims, but I hope the Government can reiterate clearly that no one needs to worry about the capacity within the authority and the system, particularly in relation to claims that will be processed in the later stages.
I ask the Minister to offer some clarity on his assessment of whether the funding allocated so far will cover all the expected claims. We know that up to 140,000 relatives could apply for compensation as a result of the planned expansion of claim eligibility. While the Government understandably cannot provide an exact estimate of the total funding required, that would go some way to offering reassurance to victims and their families that the funding for the authority to compensate in full all who suffered harm or loss and for all the operational requirements of the authority is properly provided for.
All of us in this House understand the scale and damage of this scandal and recognise the immense efforts of victims and their families in pushing for justice, and we welcome the laying of the regulations. I conclude by repeating my assurance on behalf of His Majesty’s Opposition that we will work with the Government to ensure that everyone who is eligible is aware and that they receive the compensation that they need and deserve as quickly as possible.
May I start by echoing the comments of the hon. Member for Kingswinford and South Staffordshire (Mike Wood) about my predecessor as Paymaster General, the right hon. Member for Salisbury (John Glen), who did so much in government to push this forward? Just as I offered cross-party support when shadowing him, the continued cross-party support today is very important in respect of the speed at which we are able to push forward with the legal framework we are putting in place.
On the issue of speed, I am restless for progress. While IBCA is of course an arm’s length body and has operational independence, I will none the less have more to say in due course about key performance indicators, as the House will want to continue to raise the speed of payments being made to constituents.
I entirely agree with the hon. Gentleman’s comments about clarity of communication. I am forever emphasising the need for simple explainer documents on what are complex regulations. Finally, the Government have already allocated £11.8 billion in funding for the operation of IBCA and for compensation, and we are committed to compensate all the victims of this terrible scandal.
The Liberal Democrats are glad to see the introduction of this legislation and the extension of the infected blood compensation scheme. This scandal is a chilling story of people being failed not only by the medical professionals who treated them but by the NHS that should have been responsible for the safety of their treatment, and by a series of Governments who should have prevented the scandal from ever taking place.
We are glad that the new regulations will move the victims, both those infected and those affected, closer to long overdue justice. However, we are deeply concerned by the speed at which victims have been receiving compensation, with only 25 people having been invited to claim by December last year. It is right that the Government are now widening the scheme so that compensation reaches many more people as soon as possible.
It is also crucial that there are mechanisms in place to ensure that the concerns of the charities, organisations and affected individuals are heard. To that end, and to provide confidence to victims and their families, will the Minister outline a timeline for when all victims can expect to have received their long overdue compensation? Furthermore, will the Government introduce a duty of candour on public officials so that such a scandal is never repeated?
“There is no central coordinated approach when government sets up new compensation schemes resulting in a relatively slow, ad-hoc approach.”
The report recommended that the Cabinet Office reviews its arrangements to
“allow compensation schemes to begin and operate in a more timely…and effective manner”.
When the Minister returns to the House, will he reflect on that recommendation and perhaps say to the House what the Government will do in response?
On the right hon. Gentleman’s second point, a victim making an application to the IBCA will be given a particular claim manager—I met the first claim managers only in recent weeks—to speak to and guide them through the process, which is crucial. I know that the culture imbued by Sir Robert Francis is an enabling one about helping victims, particularly with evidence. I have also signed off both legal support and financial support, because it is about receiving what are, in many cases, life-changing sums of money.
Can the Minister say how many of the 5,000 infected victims will be invited to apply to the scheme during 2025? Has he considered, or is there potential to consider, allowing victims to take support scheme payments as a lump sum without any reductions?
On my hon. Friend’s other points, the number of victims paid will be regularly published by the IBCA during the course of the year. The payments to the infected have started, and I expect payments to the affected to begin before the end of the year. As regards the support schemes, one change that the Government made was to allow both a lump sum payment and the continuation of the support schemes. That came through from the consultation that Sir Robert Francis undertook during the general election campaign. I have made that change to the scheme, and how that works precisely is set out in the explainer document.
One of Sir Brian Langstaff’s recommendations is that we look at support for voluntary organisations. That will be covered in an update that I will give to the House in due course on all 12 recommendations. However, I give the hon. Gentleman the general assurance that I am, and will continue to be, restless for progress. On his point about IBCA scaling up and having more staff and claims managers, that is precisely what it is doing at the moment.
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