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If the infected persons needs or losses were greater than the set amounts

You may be able to claim extra compensation via the "supplementary route". This is for exceptional cases and the vast majority of people will only need to use the core route.

This could apply to you if the usual care and financial loss compensation amounts are not enough to cover the money the deceased infected person lost due to their infection, or due to a rare severe health condition they developed as a result of their infection.

You'll also be able to claim for extra compensation in the autonomy award category if the deceased infected person was the victim of unethical research.

If you choose to apply through the supplementary route, your core route payment will remain unaffected. You will need to provide extra information about the deceased infected person’s individual situation which could result in a longer assessment process.

Autonomy award for unethical research

This award is available to compensate victims who were subjected to unethical research practices. You may be eligible to receive either £10,000 if the deceased infected person was treated at an eligible centre or part of an eligible study during a specified date range, or £15,000 if they attended Lord Mayor Treloar College during a specified date range.

If you are eligible for both awards, you will receive the higher amount, but not both.

Meet one of the criteria belowDuring the following date range
Participant in one of Dr Craske’s studies1974 - 1984
Treatment at Oxford Haemophilia Centre1974 - 1984
Treatment at Edinburgh Haemophilia Centre1974 - 1984
Treatment at Newcastle Haemophilia Centre1974 - 1984
Treatment at Royal Free Haemophilia Centre1974 - 1984
Treatment at Glasgow Haemophilia Centre1974 - 1984
Treatment at St Thomas’ Haemophilia Centre1974 - 1984
Treatment at Cardiff Haemophilia Centre1974 - 1984
Treatment at Manchester Haemophilia Centre1974 - 1984
Treatment at Sheffield Haemophilia Centre1974 - 1984
Attended Lord Mayor Treloar College1970 - 1983

You will need to provide evidence to show that you are eligible for this award.

Severe Health Condition Award

You may be able to get extra support if the deceased infected person developed a severe health condition that is not covered by the core route. This could include a financial loss award or a care award.

You may qualify if the deceased infected person had a condition in one of these groups:

Group one - severe visual impairment

Group Two - Neurological disorders resulting in long-term severe physical or mobility disability

Group Three - Neurological disorders resulting in long-term severe neurocognitive impairment

Group Four - Severe psychiatric disorders potentially resulting in inpatient psychiatric care

Group Five - End-stage kidney disease requiring renal replacement therapy

Group Six - Other hepatic disorders caused by Hepatitis B or Hepatitis C resulting in long-term severe disability

Severe Health Condition - Financial Loss award

Under the core route the rate of financial loss for a given year is based on the severity of the deceased infected person’s illness. If they had a qualifying severe health condition this rate of financial loss is adjusted to take into account that their level of financial loss is likely to have been higher. You will need to provide evidence to show they had this condition.

For groups 2, 3 and 4 you will also need to provide evidence that the deceased infected person could not work for all or part of the year.

If the deceased infected person had HIV you are not able to apply for this route as you already receive the maximum rate of financial loss. You are also unable to apply for this route if the deceased infected person developed their condition after retirement age, because this means that the condition didn’t affect their ability to earn.

To be eligible, the years between diagnosis of a severe health condition and their date of death will need to be greater than the years of required care assumed under the core route.

Severe health conditionsConditionFinancial Loss awardCare award modification*
Group 1

Severe visual impairment
HIVNo additional award.Domestic support and ad hoc care

Equates to 6 hours per week: Support with heavier domestic tasks, attendance of medical appointments and household maintenance.
Group 2

Neurological disorders resulting in long-term severe physical or mobility disability

Evidence of inability to return to work required.
HIVNo additional award.Low care

Low care band equates to 16.5 hours per week consisting of 6 hours per week domestic support and 1.5 hours per day personal care.
Group 2

Neurological disorders resulting in long-term severe physical or mobility disability

Evidence of inability to return to work required.
HepatitisFinancial loss for years following diagnosis is adjusted to 100% financial loss.

This equates to £29,657 per annum from year of severe health condition diagnosis until age of 66 (retirement age) then the corresponding pension rate.
Low care

Low care band equates to 16.5 hours per week consisting of 6 hours per week domestic support and 1.5 hours per day personal care.
Group 3

Neurological disorders resulting in long-term severe neurocognitive impairment

Evidence of inability to return to work required.
HIVNo additional award.Low care

Low care band equates to 16.5 hours per week consisting of 6 hours per week domestic support and 1.5 hours per day personal care.
Group 3

Neurological disorders resulting in long-term severe neurocognitive impairment

Evidence of inability to return to work required.
Hepatitis Decompensated cirrhosisFinancial loss for years following diagnosis adjusted to 100% financial loss for years of severe health condition diagnosis beyond 4 years. This equates to £29,657 per annum from year of severe health condition diagnosis until age of 66 (retirement age) then the corresponding pension rate.Low care

Low care band equates to 16.5 hours per week consisting of 6 hours per week domestic support and 1.5 hours per day personal care.
Group 4

Severe psychiatric disorder

Evidence of inability to return to work required.
HIVNo additional award.Domestic support and ad hoc care

Equates to 6 hours per week: Support with heavier domestic tasks, attendance of medical appointments and household maintenance.

Adjustment to low care upon provision of social services needs assessment confirming requirement for long term personal and domestic care as defined by scheme in the ‘low care’ band.

Low care band equates to 16.5 hours per week consisting of 6 hours per week domestic support and 1.5 hours per day personal care.
Group 4

Severe psychiatric disorder

Evidence of inability to return to work required.
HepatitsFinancial loss for years following diagnosis adjusted to 100% financial loss.

This equates to £29,657 per annum from year of severe health condition diagnosis until age of 66 (retirement age) then the corresponding pension rate.
Domestic support and ad hoc care

Equates to 6 hours per week: Support with heavier domestic tasks, attendance of medical appointments and household maintenance.

Adjustment to low care upon provision of social services needs assessment confirming requirement for long term personal and domestic care as defined by scheme in the ‘low care’ band.

Low care band equates to 16.5 hours per week consisting of 6 hours per week domestic support and 1.5 hours per day personal care.
Group 5

End-stage kidney disease requiring renal replacement therapy (RRT)
HIVNo additional award.Domestic support and ad hoc care from diagnosis of condition.
Group 5

End-stage kidney disease requiring renal replacement therapy (RRT)
HepatitisFinancial loss for years on dialysis adjusted to 100% financial loss.

This equates to £29,657 per annum from year of severe health condition diagnosis to the age of 66 (retirement age) then the corresponding pension rate.
Domestic support and ad hoc care from diagnosis of condition.
Group 6

Other Hepatic disorders resulting in long-term severe disability
HepatitisEstate of a deceased infected person:

Fixed financial loss award of £71,178.
Estate of a deceased infected person:

Up to 10 years additional domestic support and ad hoc care.

*An applicant’s Severe Health Condition Care award will be dependent on the applicant’s Infection Severity Band and the number of years and type of care already included in the core Care award

Exceptional Loss awards

You may be eligible for an additional award If the deceased infected person suffered financial loss or care costs that are greater than what is assumed under the core route.

This may apply if:

  • they were a very high earner before becoming infected
  • they had higher-than-expected care costs before 31 March 2025

There are 4 types of exceptional loss award:

  • financial loss (PAYE earnings)
  • financial loss (self-employment earnings)
  • care award for excess deemed costs
  • care award for excess actual costs

Exceptional Loss awards - Financial Loss

You may be able to get this award If you can provide evidence that the deceased infected person was a high earner and had to significantly reduce the amount they could work as a result of their infection.

You will need to provide extensive evidence of earnings both before and after their ability to earn was impacted. You are also unlikely to be eligible for an additional award if they were able to keep working normally for a number of years after they were infected. This is due to the assumptions already made under the core route.

For Hepatitis B or C you must show the deceased infected person had annual earnings exceeding the 60th percentile.

For HIV applicants you must show the deceased infected person had annual earnings exceeding the 90th percentile.

This award might provide a lower amount than the financial loss award received under the Severe Health Condition. If this is the case you will receive the exceptional loss award amount. However, you will never receive less than what you are offered under the core route.

You should carefully consider the circumstances and seek guidance if needed before applying.

You can either apply for the PAYE earnings award or self-employment earnings award, depending on the deceased infected persons type of income. You are unable to apply for both awards.

High earners: Employment Income (PAYE earnings)

This is for deceased infected people who were employed through Pay As You Earn (PAYE). The award considers:

  • basic salary
  • overtime pay
  • incentive pay

You will need to provide:

  • proof of income from when their earnings fell due to infection until they turned 66
  • evidence of their annual salary before their earnings reduced due to the infection

High earners: Employment Income (self-employed)

This is for the deceased infected people who were self-employed. The award considers:

  • basic salary
  • overtime pay
  • incentive pay

It does not include income from:

  • dividends
  • investments
  • capital gains
  • savings
  • shares or trusts

You will need to provide:

  • proof of income from when their earnings fell due to infection until they turned 66
  • income records for the 5 years before their earnings were affected — this will be averaged to calculate the award

Exceptional Loss awards - paid for care costs

You may be able to apply for this award if the deceased infected person paid for care in the past, on or before 31 March 2025.

This is because the core route assumes that care was provided informally and for free by friends or family.

You may be eligible for one of the following care awards:

Care (excess deemed costs) award

This award removes the 25% deduction (‘gratuitous care’) applied to past care costs under the core route.

You may qualify if:

  • you can show the deceased infected person received evidence of paid care over a minimum of 6 months
  • your evidence includes details of the type of care provided

Care (excess actual costs) award

For care costs higher than 2024 commercial rates

This award allows you to submit all evidence of the past care costs (before 31 March 2025) that the deceased infected person incurred.

You may qualify if:

  • these costs exceed the combined total of the severe health condition award (if applicable) and the core award for care

This award is capped at an additional 25% above the total you would have received under both the core route and Severe Health Condition award.

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