Special Category Mechanism
Infected Blood Inquiry · Additional Report on Compensation · Issued 9 July 2025 · Addressed to: UK Government
Government responseUK Government: Accepted in part (Jul 2025)
DeliveryCabinet Office says in progress (Jul 2026)
Recommendation, verbatim from the inquiry
●Inquiry 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)"
Infected Blood Inquiry, Additional Report on Compensation · 9 Jul 2025 Source PDF →
Published evidence summary
AI-generated evidence summary
The Inquiry asked the Government to recognise Special Category Mechanism impacts in severe health condition awards. In July 2026, the Cabinet Office explained that regulations ensure anyone eligible for the Special Category Mechanism (SCM) or equivalent Infected Blood Support Schemes (IBSS) payments receives additional financial loss and care compensation backdated to 2017 (Cabinet Office, Jul 2026). The department stated that living individuals not previously assessed as eligible can also apply, though Hepatitis B is not mentioned (Cabinet Office, Jul 2026). Earlier, the department announced in April 2026 that it would create this supplementary route, following its July 2025 acceptance that the severe health condition award should recognise SCM impacts (Cabinet Office response, Jul 2025; Cabinet Office, Apr 2026).
AI-generated summary of the record on this page, checked by a second model and automatic checks, 1 Oct 2026.
Government response
●UK Government · Accepted in part · 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.
Extract from: Infected Blood Inquiry Additional Report Government Response
Delivery
●Cabinet Office says in progress · 23 Jul 2026
These Regulations ensure that everyone who was eligible for SCM or an equivalent payment through the Infected Blood Support Schemes (IBSS) receives additional financial loss and care compensation so that the existing acknowledgement of the impact their infection had on their day-to-day life is properly compensated. Following the consultation, these Regulations will ensure that everyone in this position has the award backdated to 2017 (when the SCM award was first introduced), regardless of when they were assessed. Living people who were not assessed as eligible for SCM can also now apply for it through the IBCS, including those who were previously unsuccessful in their application to the IBSS.
From: Explanatory Memorandum to the Infected Blood Compensation Scheme (Amendment) Regulations 2026
Earlier statements on delivery (0)
●Cabinet Office · 14 Apr 2026
We will create a new supplementary route award for people who were, or would have been, eligible for SCM. People eligible for this new award will receive more financial loss and care compensation.
From: Government response to consultation on proposed changes to the infected blood compensation scheme
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