PARLIAMENTARY DEBATE
Infected Blood Inquiry: Government Response - 14 May 2025 (Commons/Commons Chamber)
Debate Detail
On 20 May 2024, the then Prime Minister issued an apology on behalf of the state for the devastating impact that the use of infected blood and infected blood products has had on countless lives. That was echoed by the current Prime Minister, who was then on the Opposition Front Bench. I once again reiterate that apology wholeheartedly. No Member of this House will be in any doubt of the harm resulting from the infected blood scandal. This Government are firm that we must listen to the infected blood community and the inquiry and make tangible changes to the way that our institutions conduct themselves. As the inquiry’s report made clear, however, an apology is meaningful only if it is accompanied by action, and I am here today to set out the actions we are taking to respond to the inquiry’s recommendations.
Last week, the inquiry held further hearings on the timeliness and adequacy of the Government’s response on compensation. I attended to give evidence, along with members of the community who have been impacted by this scandal; I encourage all Members to listen to the incredibly moving testimonies of those impacted. The inquiry has set out its intention to publish a further report, and the Government remain committed to co-operating with the inquiry and acting on its recommendations.
On 17 December 2024, the Government published our initial response to the inquiry’s recommendations. I laid before the House an accompanying written statement, in which I committed to come before the House with a comprehensive update on our response to each of the inquiry’s recommendations within a year of the inquiry’s report. This statement fulfils that commitment. I am grateful for the engagement of all Members across the House, and am pleased to have the opportunity to discuss the Government’s progress today. Once again, I thank Sir Brian Langstaff and his team for their work. The recommendations he made are wide-ranging, well considered and necessarily detailed.
The Government have worked closely with the devolved Governments to make progress on the implementation of the recommendations, which we hope will lead to meaningful change. I am grateful to my ministerial colleagues for their co-operation, and in particular the Under-Secretary of State for Public Health and Prevention, my hon. Friend the Member for West Lancashire (Ashley Dalton), for her leadership on the recommendations for which her Department is responsible. I also thank Health Ministers in the devolved Governments: the Minister for Public Health and Women’s Health in Scotland, Jenni Minto; the Cabinet Secretary for Health and Social Care in Wales, Jeremy Miles; and the Minister of Health in Northern Ireland, Mike Nesbitt. Their engagement has been invaluable in ensuring that our approach is as unified as possible across the whole United Kingdom. The Government will continue to engage closely with the devolved Governments on issues such as support for advocacy charities and implementation by the national health service.
I recognise that for many in the community, the Government’s actions come after decades have passed. There is nothing that can put right the damage done by inaction on the part of multiple previous Governments, and it is not my intention for this statement to diminish that. My priority now is focusing on delivering meaningful change to ensure that the scandal of infected blood, among many other scandals, is never allowed to happen again.
I turn now to the recommendations. Alongside this statement, I have published an accompanying paper on gov.uk setting out in detail the Government’s response to each of the recommendations, and I will place a copy in the Libraries of the Houses. Equally, I am firm on the importance of these recommendations to the infected blood community, and I am writing today to community representatives to inform them of the publication of the Government’s response.
The UK and devolved Governments have accepted the inquiry’s recommendations either in full or in principle, and implementation is under way across Government, arm’s length bodies and healthcare settings. Where recommendations are accepted in principle, we have sought to explain the rationale for doing so, balancing agreement with the spirit of the recommendations and their implementation. Some are subject to future spending decisions by the Department of Health and Social Care.
I have noted the recommendations that have, quite rightly, drawn attention from across this House in previous debates, so I will take a moment to touch on those today. I turn first to the recommendation on compensation. I am grateful to those who have attended previous debates on this matter in the House; indeed, many are present today. The Infected Blood Compensation Authority delivered on the Government’s commitment to provide the first full compensation payments by the end of last year. IBCA publishes its data on compensation on a monthly basis; as of 6 May, payments totalling more than £96 million have been made. IBCA continues to scale up its operations to deliver compensation as quickly as possible and has confirmed plans to contact an average of 100 people every week to begin their claims. I am pleased to announce today that the interim chair, Sir Robert Francis KC, who developed vital work to inform the design of the compensation scheme and has overseen its delivery to this point, will continue in his role for a further 18 months.
Another recommendation of particular interest to right hon. and hon. Members is recommendation 10, relating to funding for charities providing patient advocacy services. I am pleased that last week, the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for West Lancashire (Ashley Dalton), wrote to the charities confirming that £500,000 of funding has been made available for this financial year to ensure that the vital patient advocacy work they do for the infected blood community is sustained. Officials are now meeting the charities to begin the grant process to finalise the awards.
The Government recognise the importance of recommendation 5 on ending the defensive culture in the civil service. It is imperative we get this right so that the public can put their trust in institutions that have let down not just the infected blood community, but victims of other scandals that have taken place over decades. The Prime Minister has committed to legislation on a duty of candour, which he has confirmed will apply to public authorities and public servants, and include criminal sanctions. We are consulting on the issue and working to draft the best, most effective version of a Hillsborough law as part of our wider efforts to create a politics of public service.
The inquiry’s final recommendation relates to giving effect to the recommendations it has made. I am only too aware of the strength of feeling here and the need to ensure that the infected blood scandal does not fade from the public consciousness. A lot more needs to be done, and, as I made clear to the inquiry in my evidence last week, I am open to considering how we can improve the Government’s actions to ensure that we deliver justice for the victims of this devastating scandal. As progress continues to be made, my colleagues and I will report on the recommendations for which we are responsible. We are committed to transparency and accountability, and will be publishing the Government’s progress via a publicly accessible dashboard in due course, which will be regularly updated as progress is made.
The victims of this scandal have suffered immeasurably. I pay tribute once again to the infected blood community for their courage, perseverance and determination to demand justice for the wrongs that have been done to them. I hope that this update provides them with some reassurance that we are learning from and acting on the mistakes of the past, and that where there is more to do, this Government will do it. I commend this statement to the House.
On 21 May last year, my right hon. Friend the Member for Salisbury (John Glen) stood at the Government Dispatch Box and made clear his determination to act on the inquiry’s report. I pay tribute to his work and thank him for the advice and support that he has given to me and the shadow Cabinet Office team on this issue since the election.
I am pleased that the Paymaster General picked up from where his predecessor left off. As I have said previously, both sides of the House speak as one on this issue, but sadly there is nothing that we or the Government can do that will undo the terrible damage caused by this scandal. No amount of money will bring back those who have been lost, and no amount of lessons learned can make up for the suffering of those who contracted serious illnesses because of contaminated blood, but Ww would be not only failing in our duty, but failing all those who have died and all those who continue to live with life-changing conditions if we did not take up this battle on their behalf.
To do this, we must directly address the profound distress, anger and fear that is being expressed by victims and their families at the pace of the roll-out of the full compensation scheme. Victims in recent hearings have referred to the wait as “torture” and “disgraceful”—to mention just a few cases. Of course, the gravity of those concerns has been underscored by the decision to re-open the infected blood inquiry for a further report on compensation. Although we support that decision, we need to make sure that it does not delay the proper compensation for those who have already lost so much.
With every week and month that passes, we know that more infected and affected individuals will, sadly, die before receiving their full and final compensation. This underscores the human cost of every single day of delay. Therefore, although I recognise that the compensation authority was set up precisely to be independent of Government in operational matters, I ask the Minister whether he is content with the current pace of delivery and, if not, what he and the Government are doing to help David Foley and his team to speed up pay-outs to dying victims.
Let me turn to other recommendations made by the inquiry. May I ask the Paymaster General what progress has been made on recommendation 6 on monitoring liver damage for people who are infected with hepatitis C? On recommendation 8, which is on finding the undiagnosed, what action has been taken to ensure that patients who had transfusions before 1996 are offered a blood test for hepatitis C? Can the Paymaster General update the House on how many such tests have so far been carried out, and what assessment he has made of the additional infected and affected patients who may now be eligible for compensation?
The journey to rebuild trust with the victims and their families will be long and requires not only words of apology and commitment but, crucially, demonstrable action that proves that the Government and, indeed, this House, are listening and responding. The acknowledgement that the current compensation scheme has not yet won the full trust and confidence of the community is a start, and I hope the Government will continue to take these concerns seriously to put in place the robust changes that are necessary. We will support them in that work.
Let me say to the shadow Minister that the cross-party approach that we have taken has been very important. It was the approach, as he knows, that I took with my predecessor, the right hon. Member for Salisbury (John Glen), to whom I have often paid tribute in this House for the diligent way in which he pursued this matter.
The shadow Minister asked me about the current pace of delivery. I am restless for progress, and will not be satisfied with the pace of delivery until everyone who is eligible for compensation has received it. He asked me about what we will do about the pace of compensation going forward. IBCA has adopted a test-and-learn approach, which has now been completed, and I expect to see a significant increase in the pace of the payments. While respecting IBCA’s operational independence, I will be holding it to account, and quite rightly I will be held to account by this House over the pace of payments. I also stand ready to assist IBCA in whatever way I can to speed up the payments.
On the monitoring of liver damage, a new surveillance registry will be set up. The shadow Minister asked about the blood test prior to 1996; I will ask the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for West Lancashire, who is beside me on the Front Bench, to write to the shadow Minister with the precise figures.
Overall, the whole House is united on this matter. We all want to see the pace of payments speed up, and that is exactly what I am seeking to do.
I welcome the fact that the Government have identified £11.8 billion to pay compensation, and that, for the first time, this has been properly budgeted for, but I am sure that my right hon. Friend will agree that the challenge now is to ensure that trust is built and maintained as we complete this process. Will he tell the House what he can do to ensure that the evidential requirements are clear to families to allow them to prepare for being contacted, that payments are accelerated, and that justice is delivered to everybody affected by this appalling scandal?
Victims and their families have been waiting for decades for answers and recognition of the suffering they endured. So far, only 106 people have received payments from IBCA, and 54 others have received offers. Compensation payouts are not due to conclude until 2029, and that date would rely on a rapid increase in the rate of payments. We are deeply concerned by the speed at which victims are receiving their long-overdue compensation, and I am glad that last week’s hearings looked into the adequacy and timeliness of the Government’s response. To echo the words of Sir Brian Langstaff,
“People infected and affected do not have time on their side.”
To that end, and to provide confidence to victims and their families, can the Paymaster General clarify what deadline he has for the implementation of the inquiry’s recommendations? Moreover, what further steps is he taking to increase the speed at which payments are being made, and can he confirm when all victims can expect to have received their long-overdue compensation? What more can be done to help those who need to provide proof of infection but whose medical records have been destroyed?
It is crucial that there are mechanisms in place to ensure that the concerns of charities, organisations and the affected individuals are heard. Supporting the work of those vital organisations and engaging with them to understand exactly the needs of those affected is crucial.
The Liberal Democrats are backing the survivors’ call for a duty of candour on all public officials. As such, I am glad to hear the sentiment behind the Government’s response to recommendation 5, but when will the Government bring forward proposals to that effect so that such a scandal is never repeated? Can the Paymaster General clarify why there has been a delay, given that relevant legislation was originally meant to be published in April?
The hon. Lady asked about evidence, which I dealt with in response to the question from my hon. Friend the Member for Mid Cheshire (Andrew Cooper). She refers to a situation where someone’s medical evidence has for whatever reason been destroyed, and that is precisely the kind of situation where we expect IBCA to take a sympathetic approach.
On the duty of candour, the Government remain committed to bringing in duty of candour legislation, but it is important that we get it right and ensure that the legislation will actually achieve the shared objective that I am sure the whole House has of trying to prevent this type of scandal from happening again. We must ensure that there are no unintended consequences, so it is because we want to get the legislation right that we are taking a bit more time.
Could my right hon. Friend offer any advice to my constituent Suzanne Morgan, who very recently visited my surgery? Her mother Marie Jupe died due to infected blood, but as her mother was not registered with an existing infected blood scheme or the Alliance House organisations scheme, Suzanne is not eligible for any compensation. Will he meet me to discuss that case?
With regard to the point about the whole United Kingdom, one of the issues, which I am sure right hon. and hon. Members will appreciate, is that the awful days when the infected blood products were being imported were in the pre-devolution age. Many of the recommendations require measures to be implemented across the NHS, but health is of course devolved. The undertaking I give to the House is that I will continue to work closely with Ministers in the devolved Administrations to get the equity that my hon. Friend talks about regarding the recommendations across the UK.
“defensive culture in the civil service”.
Will he expand on that phenomenon? It is quite extraordinary, is it not, that when people in all innocence were infected with lethal diseases by the NHS, civil servants should have gathered round to deny them the help and compensation they needed? Surely some sort of sanction ought to be involved. Will anyone be held to account for this, because otherwise, it will happen again, won’t it?
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