Payment disincentives for vulnerable patients
NHS payment mechanisms that inadvertently disincentivise local systems from prioritising or providing adequate care for hard-to-reach patients.
20 items
1 source
4 inquiries
Source spread
Where this theme appears
Payment disincentives for vulnerable patients has been flagged across 1 independent accountability source:
20 inquiry recs
This theme has been identified in one data source. As more data is added, cross-references may emerge.
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Source-grouped records are useful for tracing where a concern came from. Large sections show the 50 strongest matches for that source; counts still show the full theme total.
Inquiry Recommendations (20)
30 — Enhance Professional Standards Unit independence and seniority
Recommendation: The Home Office must: take steps to enhance the independence of the Professional Standards Unit from the Home Office and the perception of this independence; and increase the seniority of the Head of the Professional Standards Unit so that they …
Words of: Home Office, Government response to the public inquiry into Brook House Immigration Removal Centre (CP 1041), March 2024
Gov response: 6.9.3. Whilst the seniority of the Head of the PSU will not be changed, the government is confident that the PSU operates within Advisory Conciliation and Arbitration Service (ACAS) Code of Practice on disciplinary procedures …
Not accepted
BRIS-142 — Prioritise quality and safety for specialist services; fund patient travel and accommodation
Recommendation: Where the interests of securing quality of care and the safety of patients require that there be only a small number of centres offering a specialist service, the requirements of quality and safety should prevail over considerations of ease of …
Unknown
HIA-4 — Compensation as Lump Sum Payment
Recommendation: We therefore recommend that compensation should take the form of a lump sum payment.
Gov response: No formal government response published. The Inquiry reported on 20 January 2017, the month the Northern Ireland Executive collapsed; the report The Executive Office and the Northern Ireland Office laid before Parliament in September 2019 …
Unknown
No update 2+ yrs
IR2-9 — Status of Awards and Legal Rights
Recommendation: I recommend that, with reference to the status of awards: a) eligible infected and affected persons should not be required to accept the offer of an award in full and final settlement of any right to pursue legal actions related …
Words of: The UK Government, in the Government response to the Infected Blood Inquiry (CP 1224), 17 December 2024
Gov response: In line with recommendations 9 and 10 of the Second Interim Report, acceptance of an award does not require applicants to waive their right to pursue litigation. In defined circumstances, if an infected person's condition …
Accepted
IR2-8 — Tariff-Based Compensation Framework
Recommendation: I recommend that the Government should approve a scheme setting out a framework of tariff based compensation for eligible infected and affected persons, at rates which broadly take account of but are not limited by current practice in courts and …
Words of: UK Government, Full Government Response to the Infected Blood Inquiry's May 2024 Report (CP 1318), presented to Parliament by the Minister for the Cabinet Office, 14 May 2025
Gov response: In line with recommendation 8 of the Second Interim Report, the Scheme will use a tariff-based framework to calculate the amount of compensation payable to those eligible. In practice, this means that compensation will be …
Accepted
IR2-6 — Categories of Loss and Award Heads
Recommendation: I recommend that the appropriate award in any case should be composed under the following categories of loss, applicable to both eligible infected and affected persons: a) an Injury Impact Award for past and future physical and mental injury, emotional …
Words of: The UK Government, in the Government response to the Infected Blood Inquiry (CP 1224), 17 December 2024
Gov response: With respect to recommendation 6 of the Second Interim Report, the Government has accepted the Inquiry's recommended categories of award, and has therefore designed the Scheme to award compensation to include the following: Injury Impact …
Accepted
IR2-4 — Affected Persons Categories
Recommendation: I recommend that the following relevant affected persons should be admitted to the scheme: a) spouses, civil partners and long term cohabitees (for at least one year in the case of the latter) of living or deceased eligible infected persons; …
Words of: The UK Government, in the Government response to the Infected Blood Inquiry (CP 1224), 17 December 2024
Gov response: With respect to recommendation 4 of the Second Interim Report, for those who have been affected by this scandal, affected persons will be eligible where their case is linked to that of an eligible infected …
Accepted
IR2-3 — Standard of Proof and Automatic Eligibility
Recommendation: As above, save that (a) the last bullet point should read: "eligibility is accepted if the information available points towards eligibility and the opposite cannot be shown to be more likely" and (b) eligibility should be automatic for individuals already …
Words of: UK Government, Full Government Response to the Infected Blood Inquiry's May 2024 Report (CP 1318), presented to Parliament by the Minister for the Cabinet Office, 14 May 2025
Gov response: The Government acknowledges the further distress and trauma that can be caused to those applying for compensation, and so the Scheme has been designed to minimise the burden on applicants whilst protecting against fraud. People …
Accepted
IBI-1 — Compensation Scheme
Recommendation: My principal recommendation remains that a compensation scheme should be set up now
Words of: UK Government, Full Government Response to the Infected Blood Inquiry's May 2024 Report (CP 1318), presented to Parliament by the Minister for the Cabinet Office, 14 May 2025
Gov response: This recommendation is accepted in full. The Inquiry was unequivocal that those who have suffered as a result of this scandal must be compensated for the harm that has been inflicted upon them. The UK …
Accepted
In progress
IBI-A-9a — Bereaved Partner Support Scheme
Recommendation: The IBSS cut-off date of 31 March 2025 be reviewed, that the scheme should as soon as possible reinstate support payments to partners bereaved after 31 March 2025 until such time as they receive compensation and that they should have …
Words of: Cabinet Office, Infected Blood Inquiry Additional Report: Government Response, 21 July 2025
Gov response: In his oral evidence to the Inquiry, the Minister for the Cabinet Office agreed to look again at the 31 March 2025 'cut-off' date for bereaved partners to join an Infected Blood Support Scheme. The …
Accepted
IBI-A-8b — Affected Estates
Recommendation: The Regulations be amended such that where someone who would be an eligible affected person dies between 21 May 2024 and 31 December 2029, their claim does not die with them but becomes part of their estate.
Words of: Cabinet Office, Infected Blood Inquiry Additional Report: Government Response, 21 July 2025
Gov response: In his oral evidence to the Inquiry, the Minister for the Cabinet Office agreed to look again at how the Scheme compensates the estates of affected people. The Inquiry originally recommended that it was beyond …
Accepted
IBI-A-7a — Unethical Research Award
Recommendation: 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.
Words of: Cabinet Office, Infected Blood Inquiry Additional Report: Government Response, 21 July 2025
Gov response: The issue of unethical research is one of the most shocking areas of this scandal. In his oral evidence to the Inquiry, the Minister for the Cabinet Office agreed to look again at how the …
Accepted in part
In progress
IBI-A-6b — Exceptional Loss Evidence
Recommendation: 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 an award could with confidence be established on a balance …
Words of: Cabinet Office, Infected Blood Inquiry Additional Report: Government Response, 21 July 2025
Gov response: The exceptional loss award which is part of the supplementary route provides additional compensation for those infected people who would have received higher pay if it were not for their infection. The Government commits to …
Accepted in part
In progress
IBI-A-6a — Financial Loss and Care
Recommendation: "x" be removed from the equation set out in Regulation 7.
Words of: Cabinet Office, Infected Blood Inquiry Additional Report: Government Response, 21 July 2025
Gov response: The Inquiry has raised concerns regarding the calculation of past care and financial loss awards for those who choose to continue receiving support scheme payments. The Inquiry has recommended that a formula in the regulations …
Accepted in part
In progress
IBI-A-4e — Evidence of Diagnosis Date
Recommendation: Regulation 14(2)(c) be amended to remove the requirement for evidence of the date of diagnosis of Hepatitis B or C. An appropriate redraft to achieve this would be: "where the diagnosis mentioned in sub-paragraph (a) is one of HIV, the …
Words of: Cabinet Office, Infected Blood Inquiry Additional Report: Government Response, 21 July 2025
Gov response: In order to aid processing of claims quicker, the Government has accepted the Inquiry's recommendation to remove the requirement for people with Hepatitis B or C to evidence their date of diagnosis with those infections …
Accepted
IBI-A-4d — Deeming of Severity Bands
Recommendation: Where the level of severity of a person's infection at Level 3 or more has been established to IBCA's satisfaction in relation to a given year, but it is not known when it reached Level 3 or more, the legislative …
Words of: Cabinet Office, Infected Blood Inquiry Additional Report: Government Response, 21 July 2025
Gov response: The Government acknowledges the concerns that the Inquiry has set out regarding the mechanism for determining the number of years a person with Hepatitis was likely to have spent at particular severity bands when there …
Accepted
IBI-A-4c — Effective Treatment - Earnings Floor
Recommendation: For the calculation of Financial Loss awards for Hepatitis B, people born after 1953 should be treated like those born in or before 1953 on provision of evidence that their health did not improve or that it remained difficult to …
Words of: Cabinet Office, Infected Blood Inquiry Additional Report: Government Response, 21 July 2025
Gov response: The Government acknowledges the concerns raised by the Inquiry regarding the calculation of financial loss awards for individuals with Hepatitis B or C. Currently the amount awarded is determined partially by reference to the introduction …
Accepted
IBI-A-4b — 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 …
Words of: Cabinet Office, Infected Blood Inquiry Additional Report: Government Response, 21 July 2025
Gov response: 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 …
Accepted in part
In progress
IBI-A-4a — Interferon Treatment Impacts
Recommendation: 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.
Words of: Cabinet Office, Infected Blood Inquiry Additional Report: Government Response, 21 July 2025
Gov response: The impact of interferon treatment on those infected with Hepatitis B or C often resulted in severe side effects, both psychological and physical. The Inquiry recommended that more be done to recognise the impact of …
Accepted in part
In progress
IBI-A-3a — HIV Eligibility Start Date
Recommendation: An amendment to the Regulations be made as soon as possible to remove the reference to 1 January 1982 from Regulation 3.
Words of: Cabinet Office, Infected Blood Inquiry Additional Report: Government Response, 21 July 2025
Gov response: In his oral evidence to the Inquiry, the Minister for the Cabinet Office agreed to look again at the Scheme's eligibility criteria for people infected with HIV. The Inquiry went on to recommend that the …
Accepted