IBI-A-4b Response Accepted in Part AI-assessed

Special Category Mechanism

Recommendation

The Government reconsider whether to maintain its rejection in February 2025 of the recommendations of Sir Robert Francis KC and advice from the Infected Blood Inquiry Response Expert Group of August 2024, which was expressly accepted at the time by the Government, to introduce (as one of six health impact groups which would justify a severe health condition award) the following for people infected with Hepatitis B and Hepatitis C: "Other Hepatitis C associated extra hepatic disorders resulting in long-term severe disability. This includes those currently assessed as the following category on IBSS: Hepatitis Special Category Mechanism (EIBSS); 'Severely Affected' Hepatitis C (SIBSS); Hepatitis C Stage 1 Plus (WIBSS); Hepatitis C Stage 1 Enhanced Payments (NIIBSS)"

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
According to the official government response of 2025-07-21, the UK Government accepted in principle to re-examine how the compensation scheme reflects the Special Category Mechanism (SCM), which addresses significant impact on daily duties due to infection or treatment. The Infected Blood Compensation Authority (IBCA) was established by the Victims and Prisoners Act 2024, and according to the IBCA Community Update of 2026-01-15 and UK Parliament of 2025-12-31, three sets of compensation regulations were in force by December 2025, providing the legal framework for the scheme. First payments from the scheme were made in December 2024, and by January 2026, according to UK Parliament of 2025-12-31, £1.89 billion had been paid to 2,861 people.
How was this assessed?
Assessed by gemini-2.5-flash on 19 Mar 2026
Checked data held on this site (government responses, progress updates, independent evidence)
External sources searched: www.gov.uk, www.legislation.gov.uk, hansard.parliament.uk
Jurisdiction
UK-wide
Response
Accepted in Part
Accepted in Part UK Government
21 Jul 2025

In his oral evidence to the Inquiry, the Minister for the Cabinet Office agreed to look again at how the Scheme reflects the existing Special Category Mechanism and its equivalents. The England Infected Blood Support Scheme (EIBSS) includes a payment category for those with chronic Hepatitis C where beneficiaries have experienced a significant impact on their ability to carry out daily duties as a result of their infection or treatment: this is referred to as Special Category Mechanism (SCM). Equivalent payment categories are also provided under the other national support schemes. The Government acknowledges the level of community concern raised during the Inquiry regarding how the Scheme considers the impacts captured by SCM. The Government accepts that a change must be made to the scheme in terms of recognition of SCM impacts. The Government has accepted the Inquiry's recommendation that the Severe Health Condition award should recognise impacts associated with SCM. Current IBSS beneficiaries will be automatically eligible for the award. The Government will consult on how eligibility should be established for non IBSS applicants.

Read Full Response
Published Evidence

Published assessments of implementation progress from inspectorates, select committees, official progress reports, and other sources. Check the source type badge to see whether each assessment is independent or government self-reported.

Good Progress
15 Jan 2026
IBCA Community Update Other

As of 13 January 2026: 3,721 people asked to start claims, 3,546 begun process, 3,074 received offers totalling £2.47bn, 2,861 paid totalling £1.89bn. Third compensation regulations in force 31 December 2025.

View detailed findings

IBCA exceeded initial expectations. Three sets of regulations now in force covering infected persons, affected persons, and supplementary routes. £11.8bn committed in October 2024 Budget. Independent review found "very creditable progress."

IBCA Community Update, 15 January 2026 View Source
Good Progress
31 Dec 2025
UK Parliament legislation

Victims and Prisoners Act 2024 established IBCA. Three sets of scheme regulations in force (Aug 2024, Mar 2025, Dec 2025). First payments December 2024. £1.89bn paid to 2,861 people by January 2026.

Infected Blood Compensation Scheme Regulations 20… View Source
Reasonable Progress
28 Oct 2025
IBCA Independent Review Other

IBCA has contacted 2,215 people to begin compensation claims; 1,934 started process. £812m+ paid via Horizon Shortfall Scheme. £11.8bn committed in Autumn Budget.

View detailed findings

IBCA exceeded expectations for first cohort and established operational service with "compassionate ethos." Target: bulk of infected payments by 2027, affected by 2029. Third compensation scheme regulations came into law 31 December 2025.

IBCA CO-Sponsored Independent Review Report, Octo… View Source
Source
Report Additional Report on Compensation 09 Jul 2025
Responsible Bodies
UK Government Primary
Recommendation age 0.7 yr
Last formal update 21 Jul 2025