Oral Answers to Questions
Debate between Nick Thomas-Symonds and John Glen(1 month, 4 weeks ago)
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John Glen (Salisbury) (Con)
I warmly welcome the right hon. Gentleman’s announcement on the £100,000 interim payments to the estates of the deceased infected, thereby maintaining the momentum that was established earlier this year, and I thank him for his thorough statement to the House yesterday introducing the statutory instrument. Will he confirm that it is his intention to ramp up rapidly from the payouts to the test case cohort of 20 infected? Can he give the House as much detail as he can about when others in the infected cohort should expect to receive their payouts?
Nick Thomas-Symonds
I am grateful to the right hon. Gentleman for the constructive tone he has taken throughout the debates under this Government. That continues the work we did when I was the shadow Minister, when we worked together to try to deliver these payments as quickly as possible.
The whole purpose of having the test cohort is to enable a range of different cases to be considered by the Infected Blood Compensation Authority, to give us the best possible opportunity to ramp up as quickly as possible. That is why I expect the first payments to be made before the end of this year. I then expect payments to the affected to begin next year, and I will ensure that regulations are placed before this House to make sure those deadlines are reached.
Infected Blood Compensation Scheme
Debate between Nick Thomas-Symonds and John Glen(2 months ago)
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Nick Thomas-Symonds
I hope to be able to make an announcement about it shortly. I have told the House previously how important I think the memorialisation proposals are, and they will certainly form part of the update that I will give the House before the end of the year.
I join the Liberal Democrat spokesperson, the hon. Member for Richmond Park (Sarah Olney), in congratulating the students whom she has had with her and on the work that they did in researching this subject for her speech. What she said about a culture of cover-up was important. What Sir Brian Langstaff said was not that there was some specific conspiracy between individuals, but that there was something far more pervasive, which he described as a culture of “institutional defensiveness”. People and institutions put their own reputations above the public interest, and to tackle that the Government will be pushing forward with a duty of candour. That, in my view, will be a powerful lever that the House can pull for change, but it is not just about a change in the law. It is about leadership as well, and it is about culture and changing the culture, in order to bring about a system in which the public interest is put first and we collectively do all that we can to minimise the chances of a repetition of what has happened in relation to not just this scandal but others, such as Horizon and Hillsborough.
The hon. Lady and a number of other Members asked about the severity bands. The scheme is tariff-based, and the tariffs were developed through the work of the infected blood inquiry response expert group, whose members were appointed by the right hon. Member for Salisbury when he was Paymaster General. They were clinical and legal advisers, assisted by social care specialists. The Government then chose to improve the scheme after the engagement exercise that Sir Robert Francis carried out, as I mentioned to the right hon. Gentleman during the general election campaign.
The comparison between HIV and hepatitis C has been raised. For people infected with hepatitis C there are four severity bands, and they are designed in line with clinical diagnostic markers. Recognised health conditions, for example liver damage, have, therefore, been informed by the work of the expert group. It is correct that in comparison there is a single severity band for people infected with HIV. That is because HIV is a lifelong infection. The vast majority of people infected with HIV through blood products have experienced progression to advanced symptomatic HIV disease, including AIDS conditions, and have died as a consequence of the infection. Those who survived continue to be severely impacted by the infection, and the view of the expert group was that it was disproportionately complex and onerous to disaggregate that category into different experiences, and that contrasted with hepatitis, where there is a wide range of experiences, including both acute infections with long-term limited impacts and very serious and ultimately fatal infections. That is the approach, based on the expert group, that the Government have adopted.
Similarly, on siblings, which several Members have raised, the scheme is based on recommendations from Sir Robert Francis’s framework compensation study. It does not exclude siblings over 18 who may have been carers and provided care.
John Glen
Will the right hon. Gentleman confirm that when he assessed the June engagement exercise that Sir Robert Francis supervised, he did not resist any of the recommendations from the expert group that interrogated the scheme—apart from four or five where he thought the Government could do better—and there was no attempt either by the previous Government or his to resist the advice of the expert group who are engaged with the communities?
Nick Thomas-Symonds
The right hon. Gentleman is absolutely right. He took exactly the same approach that I did to the expert group. I accepted, as I told the House, 69 of the 74 recommendations, including, crucially, the continuation of the support schemes. On the other five, there were reasons of simplicity or speed—of getting compensation to people more quickly. I hope the House will take the assurance that there is that imperative to act as quickly as possible.
Infected Blood Compensation Scheme
Debate between Nick Thomas-Symonds and John Glen(3 months, 3 weeks ago)
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John Glen (Salisbury) (Con)
I thank the Paymaster General not only for early sight of the statement, but for his communications with me over the recess, when he kindly updated me and gave me advance notice of his intention to make a statement to the House today.
The Paymaster General rightly reminds the House of the gruesome nature of this part of our state’s recent history with respect to the infected blood scandal. He points to the fact that people were misled over treatments they needed and received, and Members on both sides of the House will need to take ownership of the enormous delay in bringing justice to those who have suffered so much over several decades.
I am grateful for the Paymaster General’s update on the work that the previous Government commissioned. After the infected blood inquiry’s final report was published on 20 May, we took swift action to establish the Infected Blood Compensation Authority on 21 May, when we also appointed Sir Robert Francis as interim chair of the authority and asked him to work with Sir Jonathan Montgomery as chair of the expert group to undertake an engagement exercise with the infected and affected communities. The right hon. Gentleman kindly updated the House on 26 July, when he confirmed that he was considering the outputs of that engagement exercise.
Those conversations were always intended to be a critical step in ensuring that the Government—whichever Government—delivered a final scheme that brought justice to the deserving victims, and was seen by them to do so. I welcome the Government’s determination to continue listening to the concerns of the infected and affected communities.
Could the Paymaster General confirm whether thought has been given as to how representatives of the infected and affected communities will be embedded in the organisational structures of the compensation authority? In my 18 meetings across the UK in May, it was very clear to me that their levels of trust in any Government would likely remain low, so determining exactly how their voices will be heard in future is critical.
In essence, the statement acknowledges that the Government have met their obligation under the statutory deadline imposed by the Victims and Prisoners Act to lay regulations to enable the scheme to be operationalised by 24 August. I warmly welcome that. The statement makes it clear that the Government will accept 69 of the 74 recommendations of Sir Robert’s June engagement exercise, and they offer a better practical solution for the five that they do not accept. Having read them, that seems sensible.
As the Paymaster General will know, however—I recognise the pressure that he will feel—what victims want to hear from him is when all the regulations will be laid, when the claims will be processed, and when the deserved payments will be transferred into victims’ bank accounts. The statement does not offer anything specific in that regard. I would welcome any further details on the timetable for the laying of further regulations pertaining to the infected communities core route for compensation delivery.
As the Paymaster General knows, those communities have suffered the most and the urgency of their need for the final balancing payment remains acute. Today’s statement does not give them clarity on the timetable they can expect. It was my understanding that the Infected Blood Compensation Authority was aiming to make the final balancing payments on the core route by the end of 2024. I think he committed to that, and it would be good if he reconfirmed that in his response.
I will move on to the supplementary route outlined in the statement, which involves a commitment to provide a supplementary additional autonomy award of up to £15,000 to those subjected to unethical medical research. Further, a recommendation to increase the social impact award for affected individuals has been accepted. We on the Opposition side of the House support these new developments, but I have a few questions about the implications for delivery.
I ask the Paymaster General to clarify the additional autonomy awards for unethical medical research, especially for the nearly 100 haemophiliac children from Treloar’s, who the Government have now stated will be paid a higher £15,000 award. Comments have been reported from some in the Treloar’s community who appear unhappy with these relatively modest supplementary amounts. It would be helpful if he reiterated and explained how unethical research can be quantified, graded and added to the heads of loss that already take account of loss of autonomy and social impact.
Furthermore, it continues to trouble me that those who determined that this research should take place in the first place appear unaccountable for those decisions. I recognise that is not the Paymaster General’s personal responsibility, but we need to keep that in focus in the broader response to Sir Brian Langstaff’s report. May I also ask when the estates of the infected who have died will be paid? Many thousands of individuals who have lost family, friends and loved ones will be entitled under the terms of the scheme, and they now need to know a realistic timeline for those payments to be made. Equally, when will the work to evaluate the affected communities’ individual entitlements begin, and what is the timeframe for when payments will be made to those qualifying individuals?
Finally, I would like to address the decision of the Government to continue the existing payments of the infected blood support scheme beyond the final payment from the Infected Blood Compensation Authority. There is now surely a risk of administrative complexity whereby victims continue to interact with existing support schemes and the newly enabled authority. I urge the Minister to consider the trade-offs between efficient speedy delivery of final compensation packages with administrative overlaps and the confusion arising amid a very troubled and vulnerable group of distinct communities that can often disagree with each other.
I conclude by thanking the right hon. Gentleman sincerely for his openness and clarity about what he is intending to do. However, I urge him to bring more specificity on the timelines for different communities to this House as quickly as he is able. I note he acknowledges that the victims have waited too long for justice, and I am encouraged that the Government are beginning to deliver, but as he used to urge me, speed is of the essence, and granular timetables that some of his officials will be reticent for him to specifically commit to are now required if good will is to be generated from the combined efforts of all parties in this House in 2024.
Nick Thomas-Symonds
I am grateful to the right hon. Gentleman not only for his work in Government in seeking to deliver this compensation package, but for the constructive tone he has taken in responding to the statement. I will try to deal with the issues that he raised. First, he is right to raise the continuing importance of engagement with the infected and the affected, which I know is a priority for Sir Robert Francis in how he conducts the business of the Infected Blood Compensation Authority.
The right hon. Gentleman asked me about some of the timelines. In respect of the estates of deceased infected persons, there will be a further interim payment of £100,000, and applications for that will be open from this October—next month. I can confirm, as he asked me to, that the timetable for payments to the infected on the core route should start to be made by the end of this year. In relation to the affected, which he also asked me about, I would expect those payments to start to be made next year.
The right hon. Gentleman also asked about the payments for unethical medical research. I should say to the House that no amount of money is ever going to make up for the horrors we have seen as part of this scheme, but the recommendations made to us by Sir Robert Francis were in the sum of £10,000 for unethical medical research generally, and because of the very specific breach of trust at Treloar’s, that those payments should be £15,000. The Government have accepted those figures, and these amounts of compensation serve as a marker of those appalling unethical medical practices. However, it should be pointed out that, given the other heads of loss, that will form but a small part of the overall amounts I would expect to be paid out under this scheme.
On accountability, the shadow Paymaster General will be only too aware that individual prosecutorial decisions are quite rightly independent decisions for the prosecuting authorities. However, I can confirm that on 9 August I wrote to the National Police Chiefs’ Council—I think he has had sight of that letter—to make it clear that the Cabinet Office and, indeed, the Government will co-operate fully and make any evidence within our control and possession available, as appropriate, so that decisions can be made about people being held to account.
The final point the shadow Paymaster General made about complexity is a sound one, and I think one of the priorities—and I know it is a priority for Sir Robert Francis —is to ensure that the Infected Blood Compensation Authority operates in a way that does give those making claims to it the most appropriate possible experience with appropriate support from caseworkers. I think it is absolutely essential that it does that.
Infected Blood Inquiry
Debate between Nick Thomas-Symonds and John Glen(4 months, 3 weeks ago)
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John Glen (Salisbury) (Con)
Thank you, Madam Deputy Speaker. I congratulate you on your elevation. I thank the Paymaster General for his statement, and thank him very much for the customarily early sight of his statement this morning.
The findings of the infected blood inquiry remain a shameful moment for the British state. First of all, I reiterate our apologies to all those whose lives have been changed as a result of this appalling tragedy, which never should have happened. On 20 May 2024, the day of the inquiry’s final report, the then Prime Minister confirmed that the Government would pay comprehensive compensation to those who have been affected and infected, as quickly as possible.
Before the election was called, on 22 May, I took a number of steps to ensure that interim compensation of £210,000 would be paid as quickly as possible to those registered with existing infected blood support schemes, as well as those who registered with the support scheme before the final scheme became operational, and to the estates of those who passed away between then and payments being made. I am delighted that the Paymaster General this morning confirmed that over £1 billion has now been paid during the run-up to the general election.
The legislation passed on 24 May established the Infected Blood Compensation Authority to administer the compensation scheme, and appointed Sir Robert Francis as the interim chair. Sir Robert had previously led the infected blood compensation framework study, and I understand from engagement with senior officials right up till the day of the general election that he undertook a meaningful series of engagement meetings, as the right hon. Gentleman confirmed, with representatives of the infected and affected communities during the purdah period.
We also accepted the then Opposition’s call for regulations to set up the scheme to be made within three months of the legislation receiving Royal Assent. We asked for an update to be provided to the House within 25 sitting days of the inquiry’s final report being published. I believe that the statement this morning honours that. I welcome the fact that the new Government have continued to prioritise this issue, and to keep the House and, of course, the victims and their families updated on progress. However, there remain questions, and matters on which I think the infected and affected blood communities would, respectfully, expect me to challenge the Government.
Will the Paymaster General confirm that the debate that I promised after the Whitsun recess could be scheduled for September? That would give Members a reasonable amount of time over the recess to study this considerable report. Will he reiterate my commitment to respond to Sir Brian’s recommendations one by one, as quickly as possible, within a comprehensive response to the report?
I am grateful today that the Paymaster General is considering the advice from Sir Robert’s engagement with the infected blood community in June. I hope that he will not just consider it, but decide to publish it in advance of the 24 August deadline for making regulations. In my modest experience, any regulations laid would be open to misinterpretation unless the Government set out Sir Robert’s considered reflections on the engagement exercise that he supervised and his considered judgment on what changes, if any, to qualifying criteria and parameters may be required to ensure that the scheme has maximum credibility. I believe that the Paymaster General’s new ministerial colleague, the right hon. Member for Kingston upon Hull North and Cottingham (Dame Diana Johnson), would also advise him that maximum early transparency will yield maximum understanding and acceptance of the path forward.
I am anxious that the guarded optimism I heard during my 18 meetings with representatives from 40 groups in May will be sustained, and that the good will generated on the path the delivery will not be squandered. I give my commitment this morning that I will seek to support the Paymaster General as he completes the delicate process of finalising regulations by building on the engagement exercises and the invaluable work of Sir Jonathan Montgomery and his expert team.
On wider matters, can the Paymaster General confirm that the £1 billion he referred to represents the completion of the 90-day interim compensation commitment, or indicate to the House what quantum is outstanding and confirm that that will be paid within the 90 days that I set out on 21 May? It is critical that Sir Brian’s forensic assessment of culpability across the medical, civil service and ministerial domains is properly addressed as part of the Government’s evolving thinking on legislation on the duty of candour. While recognising that this is ultimately a matter for this House, it would be good if the Paymaster General could define what role the Public Administration and Constitutional Affairs Committee could play in scrutinising the Government’s progress.
Following my statement on 21 May, the Paymaster General referred to potential criminal charges and asked me to ensure that all relevant evidence would be made available for consideration by the prosecuting authorities. Will he update the House now on whether he is in a position to be able to do so? I also ask him to reiterate my acknowledgement of the call for memorialisation and to say whether he will appropriately frame the commitment the Government will make to the recommendations by the end of 2024, as I committed to do.
Finally, I wish the Paymaster General every success in this delicate work. I believe that he is well supported by an excellent team of civil servants to complete this work, and he will have my full support as he operationalises the legislation that the previous Government passed on 24 May.
Nick Thomas-Symonds
I am very grateful to the right hon. Gentleman for the characteristically collegiate way in which he approached his perfectly reasonable questions. I shall deal with them one by one.
I will certainly push for the debate to be scheduled as soon as possible. It is really important that across the House we are able to comprehensively consider not just the recommendations, but the level and scale of the criticisms that have been made. Yes, the Government will respond one by one to the 12 recommendations made by Sir Brian Langstaff. In relation to Sir Robert Francis, I entirely agree with the right hon. Gentleman about the need for transparency. I certainly undertake to publish those findings and that report ahead of the regulation to operationalise the scheme being laid by 24 August.
In relation to the right hon. Member’s point about the 90 days, my understanding is that the payments were completed on 24 June, which is within that 90-day period, but there will be, as I announced in my statement, additional interim payments to the estates of infected people and that process will begin from October.
With regard to parliamentary scrutiny, I welcome the scrutiny that there rightly will be on this, whether it is by PACAC or, indeed, by the House more generally. I certainly undertake, as the right hon. Gentleman did, to ensure that all relevant information is provided to the prosecuting authorities as they see fit for any action that needs to be taken against specific individuals.
Finally, in respect of memorialisation, Sir Brian Langstaff set out that there should be memorials in the constituent parts of the United Kingdom, and also a specific memorial to those children who were sent to Treloar’s for protection, but who ended up in the hideous situation of being experimented on when they were at their most vulnerable. I look forward to taking forward the process, as the right hon. Gentleman committed to do, of ensuring that we do have appropriate memorialisation, which is crucial to recognising the scale of what happened.
Oral Answers to Questions
Debate between Nick Thomas-Symonds and John Glen(4 months, 4 weeks ago)
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John Glen (Salisbury) (Con)
May I start by offering my warmest congratulations to the Paymaster General? I offer him my sincerest good wishes in these opening weeks of a new Government. I start with deep respect for him, and I wish to support him where I can while fulfilling my constitutional responsibility.
It was the privilege of my ministerial life during my six months in office to accelerate and then deliver the legislation to set up the Infected Blood Compensation Authority. Will the Paymaster General set out what progress has been made, given the urgency of this work? Is he on track to meet the expectations of Sir Brian Langstaff and Sir Robert Francis, given the engagement he will undoubtedly have had with them already?
Nick Thomas-Symonds
First, I am grateful to the right hon. Gentleman for his welcome. I pay tribute to the work that he did in government to push this agenda forward. When I was sat where he now is, I always sought to work on a cross-party basis, while holding the Government of the day to account. It is good to hear that he will continue to work in that spirit. With respect to the timetable that he refers to, our aim is still that final compensation payments will begin to be made by the end of this year. The Infected Blood Compensation Authority is established in law, and the team is working hard to put the operational systems in place to make sure that we start delivering final compensation payments by that target.
John Glen
When the right hon. Gentleman was sat here, he described my commitment to set out a clear timetable as “another important victory” for the victims in delivering the compensation scheme. In that spirit, will he reassure the House that the regulations I committed to by Act of Parliament on 24 May will be laid by the three-month legal deadline of 24 August? Will he report to the House at the earliest opportunity on when he will respond to the inquiry’s report, which is intended by the end of the year?
Nick Thomas-Symonds
That three-month deadline was hugely important in speeding up a process that frankly had taken far too long for victims. I give the shadow Minister that commitment about meeting that statutory deadline of 24 August. I hope to update this House sooner than that on the ongoing work.
John Glen (Salisbury) (Con)
There can be no doubt of the high regard in which the right hon. Gentleman is held by the Prime Minister given that within his responsibilities he is tasked with resetting EU relations, reforming the House of Lords and renewing the constitution as well as legislation, delivering all public inquiries and completing delivery on infected blood. But will he confirm how he will work with the Foreign, Commonwealth and Development Office and whether in effect the Cabinet Office now runs the Europe desk in the FCDO from 70 Whitehall?
Nick Thomas-Symonds
I am grateful for that question and the reminder of the number of responsibilities and tasks that will require delivery over the coming months and years. The written ministerial statement issued in the Prime Minister’s name yesterday clearly sets out the division between the roles. I look forward to leading from the Cabinet Office on the cross-Department and cross-Whitehall UK-EU reset. Of course, the FCDO will continue to deliver the diplomacy across Europe that is vital to that.
John Glen
I thank the right hon. Gentleman for that answer, but many in the House and in the public at large will be curious as to what plans he will develop in terms of trade-offs between any changes he seeks to make on behalf of the Government with the EU. For the sake of clarity and transparency, will he describe how he expects to evaluate the benefits of any changes and how his Prime Minister’s commitment to respect the referendum outcome will be meaningfully adhered to through the process? When does he expect to make a statement to the House on his progress?
Nick Thomas-Symonds
The Government’s approach was set out in the Labour manifesto that was endorsed overwhelmingly at the general election. We will not rejoin the European Union, we will not return to freedom of movement, and we will not rejoin the customs union or the single market. What we will do is advance a reset in the relationship, and our test for that is for our European continent—the UK and the EU together—to be more secure, safer and more prosperous. That is what is in our national interest. It is in the EU’s interest as well.