Public Inquiry Recommendations

IBI-A-4a Accepted in Part

Infected Blood Inquiry (2025)

Interferon Treatment Impacts

People infected with Hepatitis B or C who have received a course of treatment with or based on interferon should be recognised as entitled to core awards at Level 3.

- The available evidence indicates that implementation is in progress through an alternative design. The government decided to create a new Level 2B band rather …

IBI-A-4b Accepted in Part

Infected Blood Inquiry (2025)

Special Category Mechanism

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 …

- The available evidence indicates that implementation is in progress. The government reconsidered its earlier position and decided to create a supplementary-route award, but the …

IBI-A-5a Accepted in Part

Infected Blood Inquiry (2025)

Severe Psychological Harm

The approach of the Infected Blood Psychology Service is adopted so that both a diagnosis made by a psychiatric professional and a formulation-based opinion of all qualified psychological and counselling …

- The available evidence indicates that implementation is in progress. The government set out a Severe Health Condition award intended to recognise severe psychological harm, …

IBI-A-6a Accepted in Part

Infected Blood Inquiry (2025)

Financial Loss and Care

"x" be removed from the equation set out in Regulation 7.

- The available evidence indicates that implementation is in progress. The government decided to remove the 25% past-care deduction, but the April 2026 response described …

IBI-A-6b Accepted in Part

Infected Blood Inquiry (2025)

Exceptional Loss Evidence

The Cabinet Office consult on whether the evidential requirements for exceptional reduced earnings are likely to prove a barrier to people who have sufficient evidence that their eligibility for such …

- The available evidence indicates that this consultation-and-decision recommendation has been implemented in substance. The consultation was completed and the government decided to introduce a …

IBI-A-7a Accepted in Part

Infected Blood Inquiry (2025)

Unethical Research Award

Where there is evidence that an individual was the victim of unethical research practices IBCA should be authorised to make an unethical research practices award to that individual.

- The available evidence indicates that implementation is in progress. The government defined eligibility for an Unethical Research award, but the April 2026 response did …

IBI-A-7b Accepted in Part

Infected Blood Inquiry (2025)

Wider Definition of Unethical Research

When considering the evidence IBCA applies the wider definition of research explained in the Infected Blood Inquiry Additional Report chapter on Unethical Research.

- The available evidence indicates that implementation is in progress. The government adopted a broader eligibility approach that does not require proof of participation in …

IBI-A-8a Accepted in Part

Infected Blood Inquiry (2025)

Supplementary Route for Affected Persons

The Minister give consideration to there being a supplementary route for people affected. This could include opening the supplemental award for severe psychological harm to people affected. He should involve …

- The available evidence indicates that implementation is in progress. Following consultation, the government decided on a 50% uplift for specified affected people, but the …

IBI-4a(iv) Accepted in Part

Infected Blood Inquiry (2024)

Individual Duty of Candour for Leaders

Statutory duty of candour: The statutory duties of candour in England, Scotland, Wales (and Northern Ireland, when introduced) should be extended to cover those individuals in leadership positions in the …

- The Government stated in December 2024 that it had accepted this recommendation in principle and launched a 12-week consultation on regulating NHS managers in …

IBI-4a(v) Accepted in Part

Infected Blood Inquiry (2024)

Leadership Accountability for Safety

Statutory duty of candour: Individuals in leadership positions should be required by the terms of their appointment and by secondary legislation to record, consider and respond to any concern about …

- The Government stated in December 2024 that it accepted this recommendation in principle, referencing the Learn from Patient Safety Events service and the importance …

IBI-4b Accepted in Part

Infected Blood Inquiry (2024)

Organisational Culture Change

Cultural Change: That a culture of defensiveness, lack of openness, failure to be forthcoming, and being dismissive of concerns about patient safety be addressed both by taking the steps set …

- The Government stated in December 2024 that it accepted the recommendation in principle, and that leaders would be accountable for organisational culture through the …

IBI-5a Accepted in Part

Infected Blood Inquiry (2024)

Civil Service Statutory Duty of Candour

The Government should reconsider whether, in the light of the facts revealed by this Inquiry, it is sufficient to continue to rely on the current non-statutory duties in the Civil …

- The Government stated in December 2024 that the Prime Minister had committed to legislation introducing a statutory duty of candour for public authorities and …

IBI-5b Accepted in Part

Infected Blood Inquiry (2024)

Monitoring Non-Statutory Duties

If, on review, the Government considers that it is sufficient to rely on the current non-statutory duties in the Civil Service Code, it should nonetheless introduce a statutory duty of …

- The Government stated in December 2024 that it accepted this recommendation in principle and was considering the extent of statutory duties for senior civil …

IBI-5c Accepted in Part

Infected Blood Inquiry (2024)

Ministerial Duty of Candour

The Government should consider the extent to which Ministers should be subject to a duty beyond their current duty to Parliament under the Ministerial Code.

- The Government stated in December 2024 that it would consider the extent to which Ministers should be subject to a duty beyond the Ministerial …

IBI-6a(ii) Accepted in Part

Infected Blood Inquiry (2024)

Specialist Hepatology Centre Access

All patients who have contracted hepatitis via a blood transfusion or blood products should receive the following care: Those who have fibrosis should receive the same care

- The Government's implementation dashboard records this recommendation as: Accepted in principle by the UK Government, the Welsh Government, the Scottish Government, and the Northern …

IBI-6a(v) Accepted in Part

Infected Blood Inquiry (2024)

Consultant Hepatologist Access

All patients who have contracted hepatitis via a blood transfusion or blood products should receive the following care: Those who have had Hepatitis C which is attributable to infected blood …

- The Government's implementation dashboard records this recommendation as: Accepted in principle by the UK Government, the Scottish Government, the Welsh Government and the Northern …

IBI-7a(i) Accepted in Part

Infected Blood Inquiry (2024)

Transfusion Committees and Tranexamic Acid - England

In England, Hospital Transfusion Committees and transfusion practitioners take steps to ensure that consideration of tranexamic acid be on every hospital surgical checklist; that hospital medical directors be required to …

- The Government's implementation dashboard records this recommendation as: Accepted in principle (Infected Blood Inquiry Recommendations Dashboard, Cabinet Office, May 2025). - The Government stated …

IBI-7c Accepted in Part

Infected Blood Inquiry (2024)

Transfusion Laboratory Staffing

Transfusion laboratories: Transfusion laboratories should be staffed (and resourced) adequately to meet the requirements of their functions.

- The Government's implementation dashboard records this recommendation as: Accepted in principle by the UK Government, Scottish Government, Welsh Government, Northern Ireland Executive (Infected Blood …

IBI-7d Accepted in Part

Infected Blood Inquiry (2024)

Training in Transfusion Medicine

Training in Transfusion Medicine: That those bodies concerned with undergraduate and postgraduate training across the UK of those people who are, or intend to be, working in the NHS ensure …

- The Government's implementation dashboard records this recommendation as: Accepted in principle by the UK Government, Scottish Government, Welsh Government, Northern Ireland Executive (Infected Blood …

IBI-7e Accepted in Part

Infected Blood Inquiry (2024)

Implementing SHOT Reports

Implementing SHOT reports: That all NHS organisations across the UK have a mechanism in place for implementing recommendations of Serious Hazard of Transfusion (SHOT) reports, which should be professionally mandated, …

- The Government's implementation dashboard records this recommendation as: Accepted in principle by the UK Government, Scottish Government, Welsh Government, Northern Ireland Executive (Infected Blood …

IBI-7f(iii) Accepted in Part

Infected Blood Inquiry (2024)

Blood Tracking Systems Funding

Establishing the outcome of every transfusion: That funding for the provision of enhanced electronic clinical systems in relation to blood transfusion be regarded as a priority across the UK.

- The Government stated in December 2024 that enhanced electronic clinical systems for blood transfusion were part of the broader digital transformation programme, but that …

IBI-10a(iv) Accepted in Part

Infected Blood Inquiry (2024)

Thalassaemia Society Support

Particular consideration be given, together with the UK Thalassaemia Society and the Sickle Cell Society, to how the needs of patients with thalassaemia or sickle cell disease can best holistically …

- The Government stated in December 2024 that NHS England had established a comprehensive programme to prioritise reduction of clinical risk, increase community support and …

IBI-11a Accepted in Part

Infected Blood Inquiry (2024)

Ministerial Power to Call Inquiries

That a minister should retain the power to call an inquiry as the minister sees fit, in accordance with the Inquiries Act 2005 – but where a minister does not …

- The Government stated in December 2024 that it accepted the principles behind this recommendation and noted the broader debate about the effectiveness and reform …

IBI-11b Accepted in Part

Infected Blood Inquiry (2024)

Parliamentary Referral to PACAC

If there is sufficient support from within Parliament for there to be an inquiry, the question whether there should be one should be referred to the Public Administration and Constitutional …

- The Government stated in December 2024 that it accepted the principles behind this recommendation, and noted that the question of whether PACAC should consider …

IBI-11c Accepted in Part

Infected Blood Inquiry (2024)

PACAC Recommendation Power

If it appears to PACAC that there is sufficient concern to justify a public inquiry, either because what happened and why has caused concern (as the committee sees it) or …

- The Government stated in December 2024 that it accepted the principles behind this recommendation regarding PACAC's potential role in recommending public inquiries (Government Response …

IBI-11d Accepted in Part

Infected Blood Inquiry (2024)

Ministerial Reasons for Disagreement

If the minister disagrees with the recommendation, they must set out in detail and publish reasons for this disagreement which are sufficient to satisfy PACAC that the matter has been …

- The Government stated in December 2024 that it accepted the principles behind this recommendation regarding the requirement for ministers to publish detailed reasons for …

IBI-12d Accepted in Part

Infected Blood Inquiry (2024)

PACAC Oversight of Implementation

The Public Administration and Constitutional Affairs Committee (“PACAC”) should review both the progress towards responding to the Inquiry’s recommendations and, to the extent that they are accepted, implementing those recommendations.

- The Government stated in December 2024 that it accepted the principles behind this recommendation, noting that it was for Parliament to consider, and referenced …

IBI-12e Accepted in Part

Infected Blood Inquiry (2024)

PACAC Role for Future Inquiries

PACAC should accept the role in respect of any future statutory inquiry of reviewing the government’s timetable for consideration of recommendations, and of its progress towards implementation of that inquiry’s …

- The Government stated in December 2024 that it accepted the principles behind this recommendation regarding PACAC's role in future inquiry follow-up, noting it was …