Infected Blood Inquiry: Government Response

Judith Cummins Excerpts

Wednesday 14th May 2025 Commons Chamber

[The Paymaster General and Minister for the Cabinet Office (Nick Thomas-Symonds)]

With permission, Madam Deputy Speaker, I will make a statement on the Government’s work to respond to the recommendations made in the infected blood inquiry’s 20 May 2024 report. I am grateful for the opportunity to update the House on this work.

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.

[Madam Deputy Speaker (Judith Cummins)]

I call the shadow Minister.

--- Later in debate ---

[Gregory Stafford (Farnham and Bordon) (Con)]

On a point of order, Madam Deputy Speaker.

[Madam Deputy Speaker (Judith Cummins)]

Points of order come after the statement.

[Nick Thomas-Symonds]

I think I can anticipate the hon. Gentleman’s point order, Madam Deputy Speaker. I have been reassured by the Department that the statement has been sent and is on its way; I hope that deals with that issue.

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.

[Madam Deputy Speaker (Judith Cummins)]

Before I call any Member to speak, I would like to say that we have looked into Gregory Stafford’s point regarding the lack of copies of the statement. I understand that the Department has now sent the statement to the Vote Office, and it is currently being printed and will be with us shortly. I know that the Minister will be looking into this problem and I am sure that he is as dissatisfied with the situation as the House is.

[Andrew Cooper (Mid Cheshire) (Lab)]

I met two of my constituents who have been tragically affected by this scandal and attended the hearings last week. They told me what an emotional day it had been—almost like a family reunion in some ways—but they also spoke of their immense frustration at still having to fight through the long wait for justice that remains. They told me again that the pace of payments to victims and families is far too slow, and it is still unclear what evidence they need to provide to support their claim.

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?

[Nick Thomas-Symonds]

The hearing last week was an extremely moving experience. I am sure that my hon. Friend will be aware of the evidence that I gave to the inquiry. His point about evidence is important. First, so much happened a long time ago, which makes evidence difficult to source. Secondly, Sir Brian Langstaff’s inquiry also identified evidence of deliberate document destruction. For those two reasons in particular, it is essential that IBCA takes a sympathetic, enabling view to the evidence that is required and has caseworkers assisting victims in finding the evidence that they need.

[Madam Deputy Speaker (Judith Cummins)]

I call the Liberal Democrat spokesperson.

[Sarah Olney (Richmond Park) (LD)]

I thank the Paymaster General for advance sight of his statement. The infected blood scandal is a harrowing story of people being failed not only by the medical professionals who treated them, but by the NHS, which should have been responsible for the safety of their treatment, and by a series of Governments who should have prevented such horror from ever taking place. As the Minister knows, I and my Liberal Democrat colleagues welcome the introduction of the infected blood compensation scheme. The Government were right to introduce the scheme at the start of the Parliament, and I am glad to hear the Minister say that the Infected Blood Compensation Authority is scaling up its operation. However, we are alarmed that the roll-out of the scheme has been far too slow, leaving victims without the justice that they deserve.

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?