Infected Blood Inquiry and Compensation Framework

(Limited Text - Ministerial Extracts only)

Thursday 24th November 2022 Westminster Hall

[The Parliamentary Secretary, Cabinet Office (Alex Burghart)]

It is a pleasure to be able to speak in this extremely important debate, Dame Angela. I say to the hon. Member for Vauxhall (Florence Eshalomi), who speaks from the Labour Front Bench, that the Government absolutely hear loud and clear what has been said today. Although I am just a few weeks into the job, I have been enormously struck by the sheer weight of grief and experience that has led us to this point today and will lead us to our final destination, hopefully next year.

As so many others have, I pay tribute to the family members, the sufferers, the carers and friends of the people who were involved in this awful incident so many years ago. I also congratulate the APPG. I have listened to the debate, and this is Parliament at its best. A tragedy that affected all parts of our United Kingdom has seen very personal stories reflected by Members of Parliament, and has brought parties from different sides of the political divide together to represent their constituents and seek justice. I pay tribute to right hon. and hon. Members who have spoken up for their constituents today.

I am confident that Sir Brian Langstaff’s infected blood inquiry, whose report we expect in the middle of next year, will deliver the answers that the victims of infected blood have waited so long for, and will make recommendations for compensation and wider recommendations to ensure that such a disaster can never happen again in our country.

The infected blood inquiry has heard first hand of the terrible suffering experienced by the victims of infected blood over many years, and the terrible financial hardship faced by many as a result of their infections and the burden of caring for stricken loved ones. This Government commissioned Sir Robert Francis KC to produce an independent study with options for a workable and fair framework of compensation for those infected and affected by the tragedy. As everyone knows, Sir Robert’s study was published in June of this year.

Following Sir Robert’s detailed evidence given to the inquiry in July, the chair of the infected blood inquiry, Sir Brian Langstaff, delivered an interim report to the Government. In his report, Sir Brian made the following recommendations:

“(1) An interim payment should be paid, without delay, to all those infected and all bereaved partners currently registered on UK infected blood support schemes, and those who register between now and the inception of any future scheme;

(2) The amount should be no less than £100,000, as recommended by Sir Robert Francis QC.”

On 16 August, my right hon. and learned Friend the Member for Northampton North (Michael Ellis), then Minister for the Cabinet Office, wrote to Sir Brian to confirm that the Government had accepted his recommendations in full and that interim payments of £100,000 would be made by the end of October to all infected beneficiaries and bereaved partners registered with the four national support schemes. I am happy to confirm that those payments were made across the whole of the UK by 28 October. The payments are tax-free and will not affect any financial benefits or support an individual is receiving.

As my right hon. Friend the Member for North West Hampshire (Kit Malthouse), then the Chancellor of the Duchy of Lancaster, said when announcing those interim payments, they are the start and not the end of a process to respond positively and rapidly to the inquiry’s likely recommendations about compensation. On the comments made by the hon. Member for Central Ayrshire (Dr Whitford), we understand that this is limited justice, but we hope to fulfil that limited justice as quickly as possible. I also pay tribute to her for her work as a surgeon.

Although it would be wrong for me to try to second guess the likely recommendations of the independent inquiry, I fully expect Sir Brian to make recommendations about broader final compensation for the many victims of infected blood. In his interim report, Sir Brian referred specifically to bereaved parents and children and said that the moral case for their compensation was “beyond doubt”. He recognised what he called the

“greater degree of personal individualisation”

necessary in determining compensation for that group of victims, the complex nature of which made it difficult to include the group of bereaved victims in an interim scheme intended to be introduced as rapidly as possible. There can be little doubt that once he has considered the arguments in closing submissions, Sir Brian’s final report will make recommendations about compensation for a wider group of people.

Sir Robert’s study was commissioned so that the Government would be ready to address quickly any recommendations on compensation made by the inquiry. Officials are now working together across Government to produce options for compensation that can be quickly matched to the inquiry’s recommendations. On the point made by the right hon. Member for Kingston upon Hull North (Dame Diana Johnson) at the start of the debate, we have the resource in place across Government to do that work. We are doing it with the intention of being able to respond very swiftly to the inquiry’s findings when they come.

[Dame Diana Johnson]

I am listening carefully to what the Minister is saying, but I just want to be clear. When will we see a response to Sir Robert’s review, which the Cabinet Office received in March? We are now eight months on. I know there has been political turmoil for many of those months, but if the civil servants were getting on with that work, on what date will we see the publication of the Government’s response to a report they have now had for over eight months?

[Alex Burghart]

I understand the right hon. Lady’s point. Sir Robert’s findings have fed into the inquiry. We are now preparing for the inquiry’s final findings and we will respond as quickly as possible.

[Sir Peter Bottomley]

I have perhaps interrupted the Minister as he was about to answers the question I am about to ask, but the Cabinet Office asked for the Robert Francis inquiry, not Brian Langstaff. Robert Francis’s report has been received by the Cabinet Office. Sir Brian Langstaff’s report is expected in the middle of next year. Are we seriously expected to believe that we will not hear anything more on the Government’s reaction to the Sir Robert Francis report before the middle of next year?

[Alex Burghart]

My hon. Friend the Father of the House is absolutely right that it was the Cabinet Office that asked Sir Robert to conduct the work. The findings have now been fed into the inquiry and are being considered. I draw his attention to the remarks that Sir Robert made on the BBC’s “Today” programme on 17 August. He said that the Government were considering the matter and that it was very complex. He said that they had to wait for Sir Brian’s recommendations because his own work was feeding into that inquiry, and he had given options for them to consider.

[Sir Peter Bottomley]

The Minister fairly quotes Robert Francis. It would be possible for us to text Robert and ask whether he would like to us to say the following, but if the Minister can give some responses to some of Sir Robert’s recommendations before the middle of next year, would he be willing to consider doing that, please?

[Alex Burghart]

I am very happy to have that conversation. The Minister for the Cabinet Office and I are meeting the right hon. Member for Kingston upon Hull North in the coming weeks, and I am sure that will be a central part of our discussion.

[Dame Diana Johnson]

I am sorry to press the point, but in March, when the Government were given a copy of Sir Robert’s report, they made it very clear that they were going to publish it at the same time as the Government response. They wanted to publish the full response at the same time. Is the Minister now saying that that was not what was intended and that any Minister telling Parliament that that would happen was actually misleading Parliament?

[Alex Burghart]

I hope that the right hon. Lady will appreciate that I was not the Minister at the time; I have been in post for just a few weeks and I do not want to say anything that is incorrect. However, my understanding is that following the work done by Sir Robert, Sir Brian called Sir Robert to give evidence and then he himself made recommendations about interim payments that the Government immediately responded to. I also hope that the right hon. Lady will bear that in mind when considering the Government’s likely response in the future. The Government said that they would respond very swiftly on interim payments and they did so. Before the end of October, as we pledged, the interim payments were all received by those affected. I hope that she will take that as an indication of our desire to move as quickly as possible, in keeping and in line with Sir Brian’s ultimate recommendations.

[Dr Whitford]

I am also a member of the APPG who has been part of the campaign throughout and took part in the tabling of parliamentary questions that were repeated ad nauseam to get a response. What was talked about in the Chamber was a response from the Government to the Sir Robert Francis report that would come at the same time as the publication—the reference was not to Sir Brian Langstaff’s call for interim payments nor to Sir Robert’s, but to the Sir Robert Francis report. The Minister must surely understand that given the 19 recommendations in the report, victims and their families want to know whether they can trust what is coming down the line. The idea of keeping them waiting for another seven or eight months is just cruel.

[Alex Burghart]

I understand what the hon. Lady is saying, but it is very important that Sir Brian’s findings are the final word on this matter and that the Government can respond to them as quickly as possible. The work that Sir Robert has done has obviously informed an enormous amount of work across Government to make sure that we can respond very quickly when the findings are produced in the middle of next year.

[Ian Lavery]

I am sure that an enormous amount of work is going on, but if we consider the recent trend of one individual dying every four days since 2007, my calculation is that if we have to wait until the middle of next year, in excess of another 50 people, all victims of contaminated blood, will pass away before they see even a penny of compensation. As a Minister of the Crown, the Minister cannot accept that that is fair to the victims. What message will he give to them?

[Alex Burghart]

The hon. Gentleman will have heard me pay tribute to everyone who is going through and has been through this awful experience. However, I hope he will appreciate that it is very important to ensure that what the Government might say now does not cut across what Sir Brian intends to say in his final report. Everyone can have confidence that that will be the final word and that the Government will then have the opportunity to respond quickly, to get everyone affected the support that they deserve.

[Chris Stephens]

Can I gently suggest to the Minister that he needs to be careful here? There is is already a significant lack of trust in the Government among those impacted. Sir Robert’s study made a number of recommendations, but we have not heard the Government’s response to those recommendations, including on the setting up of an arm’s length body to administer the compensation scheme. Can he confirm that the Government accept that recommendation?

[Alex Burghart]

I hope that the hon. Gentleman will know that that is one of the things that Sir Brian is looking at and that we will respond to Sir Brian’s findings. We take the matter enormously seriously and we understand the real desire for maximum speed; I know that people have waited for a very long time to get what the hon. Member for Central Ayrshire called limited justice. However, the truth is that I very much hope and believe that we are in sight of that endpoint now.

[Chris Stephens]

I am trying to be polite, Dame Angela, but significant recommendations from Sir Robert’s study were put to the Government. Not all of them are about compensation moneys; some of them are about the administration of any scheme, so that the Government are ready. Can we have some sort of response from the Government about those aspects of that report, please, because that will build confidence and do away with the lack of trust out there?

[Alex Burghart]

The hon. Gentleman will have heard me say that we are working across Government to make sure we are in a position to respond very quickly to what happens with Sir Brian’s report in the middle of next year. I understand that there are questions of trust for historic reasons, but I hope that the fact that the Government have been able to respond quickly, promptly and to our own timescales on the delivery of the interim payments will do something to show that the Administration are absolutely committed to doing the right thing.

[Dr Whitford]

Not all of Sir Robert Francis’s recommendations are about the future and a final compensation scheme. Some relate to the support schemes that people are dependent on now. Why should action on those recommendations be delayed until the middle of next year when people face a cost of living crisis now? Surely if the Government responded to the more acute recommendations, saying they want to wait longer, would that not at least be a start?

--- Later in debate ---

[Alex Burghart]

I will say to the hon. Lady what I said to the right hon. Member for Kingston upon Hull North a few moments ago: my right hon. Friend the Minister for the Cabinet Office and I are meeting the right hon. Member for Kingston upon Hull North in the coming weeks and I would be happy to make sure that that is at the top of the agenda.

[Dame Diana Johnson]

It is really not acceptable to say that the Minister will meet the APPG as a way of deflecting from the important points that have been raised in the Chamber and the promises that have been made by successive Ministers in the Cabinet Office to this group of people who have suffered for far too long. We were told there would be a Government response to Sir Robert’s review. That is what we were told; that is what everybody is expecting. We were never led to believe that we would have to wait until the middle of next year when Sir Brian produces his final recommendations. The Cabinet Office put forward that work to have the review so it is ready to go as soon as Sir Brian makes his recommendations. It is totally unacceptable that the Government are behaving in this way.

[Alex Burghart]

I hope the right hon. Lady will not see it as deflection that we want to meet her and discuss these matters with her. I am sorry that she is dissatisfied with the response today. She will have a chance to discuss this with the Minister for the Cabinet Office and me in coming weeks, as she knows, because it is in her diary.

[Dr Whitford]

That will be in private.

[Alex Burghart]

For the sake of Hansard, the hon. Member for Central Ayrshire said that that meeting will be in private, but I am quite confident that at least one of the people participating will talk about it in public afterwards and that it may be the start of a longer dialogue.

[Sir Peter Bottomley]

On a point of order, Dame Angela, can we take what the Minister says as a definite maybe?

[Dame Angela Eagle (in the Chair)]

It is probably not a matter for me, but I observe that in here we are on the public record, so the Minister might wish to make some comments that he knows the Public Gallery and anyone who watches our proceedings will hear, rather than relying simply on a private meeting.

[Alex Burghart]

Thank you, Dame Angela. As I say, this is the continuation of a conversation that I very much look forward to having with the right hon. Member for Kingston upon Hull North and the Minister for the Cabinet Office.

[Florence Eshalomi]

I hope the Minister will appreciate that a number of people who have come today to listen to the proceedings, the people who are watching and those who will watch on playback may not feel reassured that the Government are taking the matter seriously. My hon. Friend the Member for Newport East (Jessica Morden) mentioned how people do not want to have to travel again to relive and retell what they went through. I hope the Minister will understand that a number of us do not feel that his response has been acceptable.

--- Later in debate ---

[Alex Burghart]

I hear what the hon. Lady is saying, but I want to assure her that we take the matter extremely seriously. That is why the inquiry has been set up, why we have engaged fully with it, why we responded immediately to the call for interim payment, why we paid those payments on time and why we will continue to do what is necessary to see that justice is done.

I will now turn to the point raised by the hon. Member for Foyle (Colum Eastwood) on backdating payments for Northern Ireland. I am afraid I will have to write to him on the issue, because I will need to consult colleagues in the Department of Health and Social Care and the Northern Ireland Department of Health. I will write to him as swiftly as I can.

[Colum Eastwood]

I am grateful for that commitment. Can the Minister bear in mind that we do not have a single Minister in Northern Ireland over any devolved area right now, and that people in Northern Ireland are getting a bad deal as a result of this scheme? The Government today published a budget in the devolved space for Northern Ireland, so what I am asking for is very doable for this Government. Please, please take it seriously.

[Alex Burghart]

I understand what the hon. Member is saying, and I will write to him as swiftly as I can.

A couple of Members raised the matter of destroyed medical records, and the inquiry is considering that closely. We expect the inquiry to make findings on this important issue, and we will respond to them as soon as we can after the inquiry reports.

To those individuals and others who are out of scope of the interim payments we have already made, I emphasise that the interim payments that the Government have announced are the start of the process, not the end. There is much work still to be done. Sir Robert’s compensation framework study has been warmly welcomed by the inquiry, and without prejudicing the findings of the independent inquiry, we fully expect Sir Robert’s wider recommendations to inform the inquiry’s final report when it is published next year. Until that time, the Government will continue to work in consideration of the broader recommendations of the compensation framework study so that we are ready to respond promptly when the inquiry concludes its work, as was our intention when we commissioned the study.

There is a point I wish to make that bears much repeating. No sum of money can ever compensate for the turmoil that infected people and their loved ones have faced, but I hope that the interim payments and the further work being undertaken by the Government demonstrate that we will do everything in our power to support them.