Public Inquiry

Manchester Arena Inquiry

Status: Completed Chair: Sir John Saunders Established: Sep 2020 Report: Mar 2023 Commissioned by: Home Office

Public inquiry into the terrorist attack at Manchester Arena on 22 May 2017, which killed 22 people and injured over 1,000 others.

Response breakdown

169 recommendations total

97%

164 (97%) — Accepted

5 (3%) — Accepted in Part

Evidence & impact

AI-generated · 26 Mar 2026

The Manchester Arena Inquiry was established following the terrorist attack at Manchester Arena on 22 May 2017 that killed 22 people. Sir John Saunders published the final report on 2 March 2023, making 169 recommendations across emergency response, security arrangements, and public safety.

The government accepted 164 recommendations (97%) and accepted 5 in principle (3%). Home Secretary Suella Braverman stated in Parliament on 6 March 2023 that the government would 'carefully consider the report's findings and recommendations in full' and committed to ensuring lessons were learned. A recommendations tracking dashboard was subsequently published.

Progress updates from February 2026 indicate that 78 recommendations (46%) are recorded as completed and 91 (54%) remain in progress. Key developments documented include the publication of Joint Operating Principles Version 3 for responding to terrorist attacks, establishment of a new multi-agency radio control system, and introduction of the Ten Second Triage system for major incidents.

Several working groups and programmes have been established, including the Clinical Response to Major Incidents group and the Stronger Local Resilience Forum trailblazer programme. The Security Industry Authority has worked with the Health and Safety Executive to develop enhanced first aid training incorporating the inquiry's recommendations.

However, multiple recommendations show limited documented progress nearly three years after publication. Several relating to legislative changes, including extending Security Industry Authority licensing and reforms to the Inquiries Act 2005, remain under consideration. The development of a healthcare standard for events, while noted as progressing with research projects complete, is not due for publication until 2026. The Clinical Response to Major Incidents group has revised its timeline to 2027 due to resource constraints.

The Ministry of Justice has stated there are no current plans to increase maximum sentences under the Inquiries Act, despite this being recommended. Various guidance documents and approved professional practices are noted as being developed but have not yet been published according to the available evidence.

Reports & milestones

Reports

17 Jun 2021 7 tracked recs Manchester Arena Inquiry: Volume 1: Security for the Arena · Tracked recommendations · PDF

03 Nov 2022 157 tracked recs Manchester Arena Inquiry: Volume 2: Emergency Response · Tracked recommendations · PDF

02 Mar 2023 5 tracked recs Manchester Arena Inquiry: Volume 3: Radicalisation and Preventability · Tracked recommendations · PDF

Timeline

22 May 2017 Manchester Arena … Terrorist attack at Manchester Arena killed 22 people.

22 Oct 2019 Inquiry Announced Home Secretary announced a public inquiry. · Source

22 Oct 2019 Chair Appointed Sir John Saunders appointed as Chair.

07 Sep 2020 Hearings Begin Public hearings commenced.

17 Jun 2021 Volume 1 Published Volume 1 report on security published. · Source

03 Nov 2022 Volume 2 Published Volume 2 report on emergency response published. · Source

02 Mar 2023 Volume 3 Published Final volume on radicalisation of the attacker published. · Source

08 Jun 2023 Government Respon… Government published response accepting recommendations. · Source

Recommendations

169 shown

Code	Recommendation	Addressed to	Response
MAI-1	School-to-college records on radicalisation vulnerability A clean start should be possible when a student moves from school to college or higher education, such that it would not …	Department for Education	Accepted	View →
MAI-2	Appoint control room intelligence collators (Ambulance) All ambulance service trusts should consider appointing a person within their control rooms who, in the event of a Major Incident, has …	Ambulance Services	Accepted	View →
MAI-3	Cross-border ambulance training and exercising All ambulance service trusts should undertake training and exercising with neighbouring ambulance service trusts to ensure that cross-border support is efficient and …	Ambulance Services	Accepted	View →
MAI-4	Appoint control room intelligence collators (Fire) All fire and rescue services should consider appointing a person within their control rooms who, in the event of a Major Incident, …	Fire and Rescue Services	Accepted	View →
MAI-5	Major Incident training for North West Fire Control staff All North West Fire Control staff should be trained on the best practices for responding to a Major Incident, as identified through …		Accepted	View →
MAI-6	Ensure Airwave Tactical Advisors availability All police services should ensure that they have made adequate provision for Airwave Tactical Advisors, in particular that an identified Airwave Tactical …	Police Services	Accepted	View →
MAI-7	Robust version control for operational plans All police services should ensure that they have robust version control arrangements in place for all plans.	Police Services	Accepted	View →
MAI-8	Review mass casualty response capacity Ambulance service trusts should review their capacity to respond to a mass casualty incident. That should include an assessment of whether they …	Ambulance Services	Accepted	View →
MAI-9	Enact Protect Duty into law A Protect Duty, as set out above, should be enacted into law by primary legislation.		Accepted	View →
MAI-10	Resolve paramedic-driver shortage in mass casualties A significant issue in a mass casualty situation is that all of those paramedics who have arrived in ambulances may be required …	National Ambulance Resilience Unit Department of Health and Social Care	Accepted	View →
MAI-11	Continue first aid and CPR in National Curriculum As of September 2020, all primary and secondary school pupils were required to be taught health education, including first aid, as part …	Department for Education	Accepted	View →
MAI-12	Train BTP Inspectors as Bronze Commanders British Transport Police should ensure that all its Inspectors are trained to undertake the Bronze Commander role in the event of a …	British Transport Police	Accepted	View →
MAI-13	Train BTP Sergeants in Bronze Commander role British Transport Police should ensure that all its Sergeants are trained in what is required of a Bronze Commander in the event …	British Transport Police	Accepted	View →
MAI-14	Improve BTP Major Incident record-making British Transport Police should reflect on its approach to record-making during and immediately following a Major Incident, with a view to improving …	British Transport Police	Accepted	View →
MAI-15	Ensure prompt BTP Bronze Commander appointment British Transport Police should review its procedures to ensure the prompt appointment of a Bronze Commander during a Major Incident.	British Transport Police	Accepted	View →
MAI-16	BTP coordination with Home Office police services British Transport Police should work with the Home Office police services with which it shares policing responsibilities at or for a particular …	Home Office British Transport Police	Accepted	View →
MAI-17	Review BTP jurisdiction overlaps BTP and all Home Office Police Services should conduct a review of the areas in which their jurisdictions overlap. In the case …	Home Office British Transport Police +1 more	Accepted	View →
MAI-18	Address BTP systemic failings from Volume 1 BTP should address the systemic failings identified in Volume 1, so as to ensure that they are not repeated.	British Transport Police	Accepted	View →
MAI-19	Provide recording equipment to control room personnel Consideration should also be given by those organisations to the provision of such equipment to key personnel within control rooms.		Accepted	View →
MAI-20	Review licensing for security contractors Consideration should be given to whether contractors who carried out security services should be required to be licenced.		Accepted	View →
MAI-21	Firearms officer training on Operation Plato Counter Terrorism Policing Headquarters and the College of Policing should ensure that all firearms officers, including firearms commanders, receive adequate training in …	College of Policing Counter Terrorism Policing	Accepted	View →
MAI-22	Unarmed officer training on Operation Plato Counter Terrorism Policing Headquarters and the College of Policing should ensure that all unarmed frontline police officers receive training in what Operation …	College of Policing Counter Terrorism Policing	Accepted	View →
MAI-23	Guidance on Silver command deployment to scene Counter Terrorism Policing Headquarters and the College of Policing should issue guidance on the circumstances in which a police officer or officers …	College of Policing Counter Terrorism Policing	Accepted	View →
MAI-24	Review combined vs separate Gold/Silver Control Rooms Counter Terrorism Policing Headquarters and the College of Policing should review the advantages and disadvantages of a combined Silver and Gold Control …	College of Policing Counter Terrorism Policing +1 more	Accepted	View →
MAI-25	Review embedding doctors with firearms teams Counter Terrorism Policing Headquarters should review the evidence heard during the Inquiry, including that heard in restricted sessions, to consider the advantages …	Counter Terrorism Policing	Accepted	View →
MAI-26	Review international practice on medics with firearms officers Counter Terrorism Policing Headquarters should review the experience of other jurisdictions that embed medics with police firearms officers, such as Recherche, Assistance, …	Counter Terrorism Policing	Accepted	View →
MAI-27	Review terrorist attack notification procedures Counter Terrorism Policing Headquarters should review the procedures by which it is notified of a terrorist attack to ensure that all police …	Counter Terrorism Policing Police Services	Accepted	View →
MAI-28	Senior emergency service representation at LRFs Each emergency service should ensure that it is represented at a senior level at every meeting of a local resilience forum.	Local Resilience Forums	Accepted	View →
MAI-29	Adequate first responder training time for police Each police service must ensure that adequate time is allocated to the training of all police officers and frontline police staff in …		Accepted	View →
MAI-30	Nationally accredited Force Duty Officer training Given the broad command responsibilities that the Force Duty Officer or Force Incident Manager will have in the early stages of the …	College of Policing Home Office	Accepted	View →
MAI-31	Joint GMFRS/NWFC incident log review procedures Greater Manchester Fire and Rescue Service and North West Fire Control should conduct a joint review of the circumstances in which it …	Greater Manchester Fire and Rescue Se…	Accepted	View →
MAI-32	Train GMFRS commanders in operational discretion Greater Manchester Fire and Rescue Service should ensure that its commanders are adequately trained in the use of operational discretion.	Greater Manchester Fire and Rescue Se…	Accepted	View →
MAI-33	Improve GMFRS Major Incident record-making Greater Manchester Fire and Rescue Service should reflect on its approach to record-making during and immediately following a Major Incident, with a …	Greater Manchester Fire and Rescue Se…	Accepted	View →
MAI-34	Review GMFRS information sharing during incidents Greater Manchester Fire and Rescue Service should review its guidance and policies on how it receives and passes on information during a …	Greater Manchester Fire and Rescue Se…	Accepted	View →
MAI-35	Review GMFRS Incident Commander policy Greater Manchester Fire and Rescue Service should review the policy by which the Incident Commander takes up the role, in light of …	Greater Manchester Fire and Rescue Se…	Accepted	View →
MAI-36	Regular expert review of GMP Major Incident plans Greater Manchester Police should ensure that its plans for responding to a Major Incident, including a terrorist incident, are reviewed regularly by …	Greater Manchester Police	Accepted	View →
MAI-37	Ensure GMP role cards are accessible Greater Manchester Police should ensure that its role cards are always immediately accessible to the officers who are to perform those roles	Greater Manchester Police	Accepted	View →
MAI-38	Improve GMP Major Incident record-making Greater Manchester Police should reflect on its approach to record-making during and immediately following a Major Incident, with a view to improving …	Greater Manchester Police	Accepted	View →
MAI-39	Single consolidated GMP Operation Plato plan Greater Manchester Police should review its Operation Plato plans to ensure that there is only a single plan to which all can …	Greater Manchester Police	Accepted	View →
MAI-40	Include GMFRS capabilities in GMP Major Incident Plan Greater Manchester Police's Major Incident Plan should be reviewed to ensure that it includes clear guidance on the capabilities of Greater Manchester …	Greater Manchester Police Greater Manchester Fire and Rescue Se…	Accepted	View →
MAI-41	Include NWAS capabilities in GMP Major Incident Plan Greater Manchester Police's Major Incident Plan should be reviewed to ensure that it includes clear guidance on the capabilities of North West …	Greater Manchester Police North West Ambulance Service NHS Trust	Accepted	View →
MAI-42	SMG sharing of emergency response plans SMG should review its processes to ensure that it shares with Greater Manchester Police, Greater Manchester Fire and Rescue Service, British Transport …	Greater Manchester Police Greater Manchester Fire and Rescue Se… +2 more	Accepted	View →
MAI-43	Guidance on covering deceased at mass casualty scenes Guidance should be provided to event healthcare providers, to emergency service responders other than paramedics and to the public generally about the …	National Ambulance Resilience Unit Department of Health and Social Care	Accepted	View →
MAI-44	Ambulance trusts submit resource recommendations Having carried out that review, the trusts should make recommendations to their NHS commissioners about the additional and/or different resources they require …		Accepted	View →
MAI-45	Ensure effective explosive detection dog deployment His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, Counter Terrorism Policing Headquarters and the College of Policing should take steps …	College of Policing HM Inspectorate of Constabulary and F… +2 more	Accepted	View →
MAI-46	Guidance on Major Incident plan review frequency His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing and the Home Office should issue guidance for …	College of Policing HM Inspectorate of Constabulary and F… +2 more	Accepted	View →
MAI-47	Sufficient resources for operational planning His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing and the Home Office should work together to …	College of Policing HM Inspectorate of Constabulary and F… +2 more	Accepted	View →
MAI-48	Statutory powers for witness attendance at inquiries It is recommended that consideration be given to the creation of statutory powers under section 36 that can be used to prevent …		Accepted in Part	View →
MAI-49	Review analgesia rollout to HART operatives If the decision is that the regulatory regime should be altered in this way, the National Ambulance Resilience Unit should consider urgently …	National Ambulance Resilience Unit Security Industry Authority	Accepted	View →
MAI-50	Address Arena failings identified in Volume 1 Improvements, to the extent that they have not already been made, should be made at the Arena to address the failings identified …		Accepted	View →
MAI-51	Address Showsec failings identified in Volume 1 Improvements, to the extent that they have not already been made, should be made by Showsec to address the failings identified in …		Accepted	View →
MAI-52	Consider Commission for Countering Extremism report In 2021, the Commission for Countering Extremism published a report entitled Operating with Impunity. Hateful Extremism: The Need for a Legal Framework. …	Home Office	Accepted	View →
MAI-53	CPS protocol for section 35 prosecution takeover It is recommended that the Crown Prosecution Service establish a written protocol in relation to its approach to any application from an …		Accepted	View →
MAI-54	School records on radicalisation vulnerability It is recommended that the Department for Education consider whether schools should include notes of any significant behavioural problems on the Common …	Department for Education	Accepted	View →
MAI-55	Risk-based visitor restrictions for radicalising prisoners It is recommended that the Home Office consider introducing a system based on a robust assessment of the risk a prisoner poses …	Home Office	Accepted	View →
MAI-56	Address extradition difficulties for section 35 offences It is recommended that the Home Office give consideration to addressing the difficulties in extradition in relation to an offence under section …	Home Office	Accepted in Part	View →
MAI-57	Amend section 21 for witness interview requirements It is recommended that the Ministry of Justice give consideration to amending section 21 of the 2005 Act to include the express …		Accepted in Part	View →
MAI-58	Amend section 36 for pre-emptive witness enforcement It is recommended that the Ministry of Justice, possibly in conjunction with the Law Commission, give consideration to amending section 36 of …		Accepted in Part	View →
MAI-59	Codify prisoner communication restrictions scheme I recommend that the scheme be codified, and clear policy and guidance be published so that it can be applied consistently across …		Accepted	View →
MAI-60	Record images of students with weapons It is recommended to all educational establishments and the Department for Education that images of school pupils or college students handling firearms, …	Department for Education	Accepted	View →
MAI-61	Independent inspection regime for LRFs Local resilience forums have a vital role in the preparation for the response to any Major Incident. The Cabinet Office and the …	Home Office Cabinet Office +1 more	Accepted	View →
MAI-62	LRF oversight of lessons from exercises and incidents Local resilience forums should establish procedures to ensure that they oversee the process of identifying the lessons to be learned from major …	Local Resilience Forums	Accepted	View →
MAI-63	Monitor LRF attendance and flag concerns Local resilience forums should monitor attendance and participation at their meetings, and flag promptly any concerns about attendance by members to the …	Home Office Local Resilience Forums	Accepted	View →
MAI-64	Create centralised NaCTSO training library NaCTSO should create a centralised library of training materials.		Accepted	View →
MAI-65	NaCTSO guidance on terrorism risk assessments NaCTSO should issue guidance in relation to the completion of risk assessments addressing the threat of terrorism.		Accepted	View →
MAI-66	Multi-agency site-specific plans for NWAS North West Ambulance Service should ensure that all its site-specific plans are multi-agency and that all Category 1 responders operating in the …	North West Ambulance Service NHS Trust	Accepted	View →
MAI-67	NWAS policy for relieving Operational Commanders North West Ambulance Service should ensure that it has a policy that sets out the circumstances in which an Operational Commander may …	North West Ambulance Service NHS Trust	Accepted	View →
MAI-68	Up-to-date site-specific plans for high-risk locations North West Ambulance Service should ensure that it has up-to-date site-specific plans for all large, complex or high-risk locations within its area.	North West Ambulance Service NHS Trust	Accepted	View →
MAI-69	Train NWAS commanders in operational discretion North West Ambulance Service should ensure that its commanders are adequately trained in the use of operational discretion.	North West Ambulance Service NHS Trust	Accepted	View →
MAI-70	Include non-specialist ambulance personnel in exercising North West Ambulance Service should ensure that non specialist ambulance personnel are involved in multi agency exercising	North West Ambulance Service NHS Trust	Accepted	View →
MAI-71	Improve NWAS Major Incident record-making North West Ambulance Service should reflect on its approach to record-making during and immediately following a Major Incident, with a view to …	North West Ambulance Service NHS Trust	Accepted	View →
MAI-72	Review NWAS Tactical Advisor rostering coverage North West Ambulance Service should review how it rosters Tactical Advisors and National Interagency Liaison Officers so as to ensure that there …	North West Ambulance Service NHS Trust	Accepted	View →
MAI-73	NWAS predetermined attendance for specialist teams North West Ambulance Service should review its Major Incident Response Plan to consider whether, in order to speed up mobilisation, it should …	North West Ambulance Service NHS Trust	Accepted	View →
MAI-74	NWAS predetermined attendance for Major Incidents North West Ambulance Service should review its Major Incident Response Plan to consider whether it should be updated to include a predetermined …	North West Ambulance Service NHS Trust	Accepted	View →
MAI-75	Operational Commander to gain situational awareness first North West Ambulance Service should review its Major Incident Response Plan to make clear that the first resource on scene should assume …	North West Ambulance Service NHS Trust	Accepted	View →
MAI-76	Review HART mobilisation policies North West Ambulance Service should review its policies for mobilising the Hazardous Area Response Team resource, to ensure that this team is …	North West Ambulance Service NHS Trust	Accepted	View →
MAI-77	Review procedures for patient dispatch to hospitals North West Ambulance Service should review its procedures with local NHS trusts to ensure that it has effective policies in place for …	North West Ambulance Service NHS Trust	Accepted	View →
MAI-78	Review NWAS Tactical Advisor numbers North West Ambulance Service should review the number of Tactical Advisors and National Interagency Liaison Officers it has, and whether the number …	North West Ambulance Service NHS Trust	Accepted	View →
MAI-79	Train NWAS commanders on command relief procedures North West Ambulance Service should train its Operational Commanders on the appropriate practice for relieving another of command and being relieved of …	North West Ambulance Service NHS Trust	Accepted	View →
MAI-80	North West Fire Control regular multi-agency exercising North West Fire Control should ensure that it regularly tests how it operates, by ensuring that its staff participate in regular exercises …		Accepted	View →
MAI-81	Improve NWFC Major Incident record-making North West Fire Control should reflect on its approach to record-making during and immediately following a Major Incident, with a view to …		Accepted	View →
MAI-82	Allocate best-trained operators to Major Incident roles North West Fire Control should review how it allocates the best-trained and most suitable Control Room Operators to roles during a Major …		Accepted	View →
MAI-83	Review NWFC information policies during incidents North West Fire Control should review its guidance and policies on how it receives and passes on information during a Major Incident. …		Accepted	View →
MAI-84	Review NWFC incident log information storage North West Fire Control should review the way it captures and records key information on its incident logs in order to ensure …		Accepted	View →
MAI-85	NWFC involvement in multi-agency exercises North West Fire Control should take steps to ensure that it is involved in multi-agency exercises, particularly those that test mobilisation and …	JESIP	Accepted	View →
MAI-86	Arena healthcare provider staffing requirements SMG should ensure that the healthcare service provider at the Arena has adequate staffing and skill levels for every event at that …		Accepted	View →
MAI-87	Healthcare provider relationship with NWAS SMG should ensure that the healthcare service provider at the Arena has a strong working relationship with North West Ambulance Service.	North West Ambulance Service NHS Trust	Accepted	View →
MAI-88	Review Arena healthcare equipment provision SMG should review its approach to the provision of healthcare service equipment at the Arena to ensure that adequate equipment is always …		Accepted	View →
MAI-89	CQC regulation of event healthcare standards That standard needs to be regulated and enforced. The Care Quality Commission is the appropriate body to provide regulation and enforcement. The …	Department of Health and Social Care	Accepted	View →
MAI-90	Firearms officers trained in Care Under Fire The College of Policing and Counter Terrorism Policing Headquarters should ensure that all firearms officers are trained to understand that, while their …	College of Policing Counter Terrorism Policing	Accepted	View →
MAI-91	Review analgesia deployment for firearms officers The College of Policing and Counter Terrorism Policing Headquarters should review whether firearms officers should be deployed with analgesia and trained in …	College of Policing Security Industry Authority +1 more	Accepted	View →
MAI-92	Emergency service hotline to Force Duty Officer The College of Policing and Counter Terrorism Policing Headquarters should take steps to ensure that each police service establishes a hotline that …	College of Policing Counter Terrorism Policing	Accepted	View →
MAI-93	24-hour qualified command structure rostering The College of Policing and His Majesty's Inspectorate of Constabulary and Fire and Rescue Services should ensure that each police service has …	College of Policing HM Inspectorate of Constabulary and F… +1 more	Accepted	View →
MAI-94	Review firearms officer Post Incident Procedures delays The College of Policing should assess whether delays in the provision of written accounts by some firearms officers involved in the response …	College of Policing	Accepted	View →
MAI-95	Improve police training record systems The College of Policing should consider whether the current process for maintaining and storing training records for all police officers can be …	College of Policing Police Services	Accepted	View →
MAI-96	Force Duty Officer not to handle media enquiries The College of Policing should issue guidance to all police services to ensure the following, in the event of a Major Incident: …	College of Policing Police Services	Accepted	View →
MAI-97	Control room trauma care guidance for 999 callers The College of Policing, the Fire Service College and National Fire Chiefs Council should consider devising training packages for operators within control …	College of Policing Fire Service College	Accepted	View →
MAI-98	Extend first aid education in National Curriculum The Department for Education should consider extending the National Curriculum to ensure that pupils, once of an appropriate age, receive education in …	Department for Education	Accepted	View →
MAI-99	Review licensing guidance on event healthcare The Ministry of Housing Commuities and Local Government should review the guidance given to all licensing authorities on the decisions they make …		Accepted	View →
MAI-100	Event healthcare staff trained in first responder interventions The Department of Health and Social Care and the Care Quality Commission should consider introducing guidelines to ensure that all event healthcare …	Department of Health and Social Care	Accepted	View →
MAI-101	Review analgesia regulatory regime for paramedics The Department of Health and Social Care and the Medicines and Healthcare products Regulatory Agency (MHRA) should consider urgently whether the regulatory …	Department of Health and Social Care	Accepted	View →
MAI-102	Enhanced care training for HART personnel The Department of Health and Social Care and the National Ambulance Resilience Unit should consider ensuring that there is further training of …	National Ambulance Resilience Unit Department of Health and Social Care	Accepted	View →
MAI-103	Guidance on Ambulance Liaison Officer role The Department of Health and Social Care and the National Ambulance Resilience Unit should consider the scope of the role of an …	National Ambulance Resilience Unit Department of Health and Social Care	Accepted	View →
MAI-104	Review Advanced Medical Priority Dispatch System The Department of Health and Social Care and the National Ambulance Resilience Unit should consider whether the Advanced Medical Priority Dispatch System …	National Ambulance Resilience Unit Department of Health and Social Care	Accepted	View →
MAI-105	Consider SMART Triage Tags in paramedic bags The Department of Health and Social Care and the National Ambulance Resilience Unit should consider whether the Basic Life Support and Advanced …	National Ambulance Resilience Unit Department of Health and Social Care	Accepted	View →
MAI-106	Notify duty command of significant events The Department of Health and Social Care and the National Ambulance Resilience Unit should develop a system for ensuring that the duty …	National Ambulance Resilience Unit Department of Health and Social Care	Accepted	View →
MAI-107	Ensure immediate HART resource deployment The Department of Health and Social Care and the National Ambulance Resilience Unit should develop procedures to ensure that, so far as …	National Ambulance Resilience Unit Department of Health and Social Care	Accepted	View →
MAI-108	Regular Major Incident training for ambulance commanders The Department of Health and Social Care and the National Ambulance Resilience Unit should ensure that all ambulance commanders receive regular Major …	National Ambulance Resilience Unit Department of Health and Social Care	Accepted	View →
MAI-109	Review stretchers on Mass Casualty Equipment Vehicles The Department of Health and Social Care and the National Ambulance Resilience Unit should review whether stretchers should be carried on National …	National Ambulance Resilience Unit Department of Health and Social Care	Accepted	View →
MAI-110	Guidance on event first aid equipment The Department of Health and Social Care should consider issuing guidance on the first aid equipment that event providers should have available …	Department of Health and Social Care	Accepted	View →
MAI-111	Establish standard for event healthcare services The Department of Health and Social Care should establish the standard for the level of healthcare services required at events. Consideration should …	Department of Health and Social Care	Accepted	View →
MAI-112	Give consideration to NHS commissioner recommendations The Department of Health and Social Care should give urgent and close consideration to any recommendations made by the trusts and the …	Department of Health and Social Care	Accepted	View →
MAI-113	Public Access Trauma kits equipment requirements The Department of Health and Social Care should take steps to ensure that Public Access Trauma kits contain the equipment that is …	Department of Health and Social Care	Accepted	View →
MAI-114	Review optimal stretcher types for mass casualties The Department of Health and Social Care should undertake a review, with input from other bodies as the Department considers appropriate, in …	Department of Health and Social Care	Accepted	View →
MAI-115	Guidance on equipment for warm zone interventions The Department of Health and Social Care, the Faculty of Pre-Hospital Care, the College of Paramedics and the National Ambulance Resilience Unit …	National Ambulance Resilience Unit Department of Health and Social Care	Accepted	View →
MAI-116	Consider freeze-dried plasma for HART operatives The Department of Health and Social Care, the Faculty of Pre-Hospital Care, the College of Paramedics and the National Ambulance Resilience Unit …	National Ambulance Resilience Unit Department of Health and Social Care	Accepted	View →
MAI-117	Review UK evacuation to hospital model The Department of Health and Social Care, the Faculty of Pre-Hospital Care, the College of Paramedics and the National Ambulance Resilience Unit …	National Ambulance Resilience Unit Department of Health and Social Care	Accepted	View →
MAI-118	Review intramuscular TXA on frontline ambulances The Department of Health and Social Care, the Faculty of Pre-Hospital Care, the College of Paramedics and the National Ambulance Resilience Unit …	National Ambulance Resilience Unit Department of Health and Social Care	Accepted	View →
MAI-119	Integrate air ambulances into Major Incident response The Department of Health and Social Care, the NHS, the National Ambulance Resilience Unit, ambulance service trusts, Air Ambulances UK, Counter Terrorism …	National Ambulance Resilience Unit Department of Health and Social Care +2 more	Accepted	View →
MAI-120	Consider air ambulance integration into response The Department of Health and Social Care, the NHS, the National Ambulance Resilience Unit, ambulance service trusts, Air Ambulances UK, Counter Terrorism …	National Ambulance Resilience Unit Department of Health and Social Care +2 more	Accepted	View →
MAI-121	Consequences for breaching event healthcare standards The Department of Health and Social Care together with the Care Quality Commission should consider what the consequences of breaching the appropriate …	Department of Health and Social Care	Accepted in Part	View →
MAI-122	Maintain radio communications during Major Incidents The emergency services should prepare, train and exercise for how they will maintain effective radio communications between emergency responders on the ground, …		Accepted	View →
MAI-123	GM Resilience Forum tri-service plan reviews The Greater Manchester Resilience Forum should oversee, at least every six months, a regular tri-service review of the Major Incident plans used …	Greater Manchester Police Greater Manchester Fire and Rescue Se… +1 more	Accepted	View →
MAI-124	First responder training for all police officers The Home Office and College of Policing should ensure that all newly recruited and existing police officers and all frontline police staff, …	College of Policing Home Office	Accepted	View →
MAI-125	Silver Commander training for designated officers The Home Office and College of Policing should ensure that any police officer whose position carries with it the expectation that they …	College of Policing Home Office +1 more	Accepted	View →
MAI-126	Assess quality of first responder training The Home Office and the College of Policing should regularly assess and appraise the training on first responder interventions provided by each …	College of Policing Home Office	Accepted	View →
MAI-127	Robust debrief systems for multi-agency exercises The Home Office and the Department for Levelling Up, Housing and Communities should ensure that there exist robust national and local systems …	Home Office	Accepted	View →
MAI-128	National systems to record lessons from exercises The Ministry of Housing, Communities and Local Government should ensure that there exist robust national and local systems to identify and record …		Accepted	View →
MAI-129	Threshold for Ambulance Liaison Officer at events The Home Office and the Department of Health and Social Care should consider how the threshold for a requirement that an Ambulance …	Home Office Department of Health and Social Care	Accepted	View →
MAI-130	Public Access Trauma kit availability The Home Office and the Department of Health and Social Care should consider how to ensure Public Access Trauma kits are available …	Home Office Department of Health and Social Care	Accepted	View →
MAI-131	Force Duty Officer comprehensive training course The Home Office, College of Policing and Counter Terrorism Policing Headquarters should ensure that all police officers to be appointed to the …	College of Policing Home Office +1 more	Accepted	View →
MAI-132	Body-worn video for firearms officers The Home Office, Counter Terrorism Policing Headquarters and the College of Policing should consider whether firearms officers should be equipped routinely with …	College of Policing Home Office +1 more	Accepted	View →
MAI-133	High fidelity training for emergency responders The Home Office, Counter Terrorism Policing Headquarters, the College of Policing, the Fire Service College and the National Ambulance Resilience Unit should …	College of Policing Fire Service College +3 more	Accepted	View →
MAI-134	Fire service notice of significant pre-planned events The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, and the Fire Service College should develop a system …	Fire Service College HM Inspectorate of Constabulary and F… +1 more	Accepted	View →
MAI-135	Action cards for emergency services in Major Incidents The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College and …	College of Policing Fire Service College +3 more	Accepted	View →
MAI-136	Awareness of specialist capabilities across services The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the …	College of Policing Fire Service College +4 more	Accepted	View →
MAI-137	Common terminology for Operation Plato zones The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the …	College of Policing Fire Service College +4 more	Accepted	View →
MAI-138	Common terminology for non-Plato hazardous zones The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the …	College of Policing Fire Service College +4 more	Accepted	View →
MAI-139	Review and update JESIP Joint Doctrine The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the …	College of Policing Fire Service College +4 more	Accepted	View →
MAI-140	Review Major Incident plans for interoperability The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the …	College of Policing Fire Service College +5 more	Accepted	View →
MAI-141	Nationally agreed format for all emergency plans The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the …	College of Policing Fire Service College +4 more	Accepted	View →
MAI-142	Compel LRF attendance from Category 1 and 2 responders The Home Office should consider empowering the leadership of local resilience forums to compel the attendance of a senior representative of its …	HM Inspectorate of Constabulary and F… Home Office +2 more	Accepted	View →
MAI-143	Consistent and sufficient LRF funding The Home Office should consider how local resilience forums are to be funded consistently and sufficiently to enable them to do their …	Home Office Local Resilience Forums	Accepted	View →
MAI-144	Mandatory Ambulance Liaison Officer at events The Home Office should consider how the presence of an Ambulance Liaison Officer in appropriate circumstances may be made mandatory. This may …	Home Office	Accepted	View →
MAI-145	Strategic Co-ordinating Group within two hours The Home Office should consider the introduction of a national standard requiring a meeting of the Strategic Co-ordinating Group to take place …	Home Office	Accepted	View →
MAI-146	Public education on first responder interventions The Home Office should consider the introduction of a public education programme to educate the public in first responder interventions.	Home Office	Accepted	View →
MAI-147	Employer requirement to train in first aid The Home Office should consider the introduction of a requirement into law, for example through regulations issued under the Health and Safety …	Home Office	Accepted	View →
MAI-148	LRF staffing and resources The Home Office should consider, together with local resilience forums, how they are to have sufficient staff and resources to enable them …	Home Office Local Resilience Forums	Accepted	View →
MAI-149	Healthcare provision under Protect Duty The Home Office should consider whether the requirement for adequate healthcare provision at events is a topic that should also be addressed …	Home Office	Accepted	View →
MAI-150	Police notice of significant pre-planned events The Home Office, the College of Policing and His Majesty's Inspectorate of Constabulary and Fire and Rescue Services should develop a system …	College of Policing HM Inspectorate of Constabulary and F… +2 more	Accepted	View →
MAI-151	App for commander contact details The Home Office, the College of Policing, the Fire Service College and the National Ambulance Resilience Unit should consider together whether an …	College of Policing Fire Service College +2 more	Accepted	View →
MAI-152	Recording equipment for incident commanders The Home Office, the College of Policing, the National Ambulance Resilience Unit and the Fire Service College should ensure that all those …	College of Policing Fire Service College +2 more	Accepted	View →
MAI-153	Use recording equipment during exercises The Home Office, the College of Policing, the National Ambulance Resilience Unit and the Fire Service College should ensure that, in the …	College of Policing Fire Service College +2 more	Accepted	View →
MAI-154	Training on use of recording equipment The Home Office, the College of Policing, the National Ambulance Resilience Unit and the Fire Service College should ensure that training is …	College of Policing Fire Service College +2 more	Accepted	View →
MAI-155	Obtain comprehensive accounts from commanders The Home Office, the College of Policing, the National Ambulance Resilience Unit and the Fire Service College should take steps to ensure …	College of Policing Fire Service College +2 more	Accepted	View →
MAI-156	Ambulance Liaison Officer resourcing The Home Office, the Department of Health and Social Care and the National Ambulance Resilience Unit should consider how to ensure that …	National Ambulance Resilience Unit Home Office +1 more	Accepted	View →
MAI-157	Review stretcher availability for mass casualties The Home Office, the Department of Health and Social Care, the Department for Transport and the Department for Levelling Up, Housing and …	Home Office Department of Health and Social Care	Accepted	View →
MAI-158	Guidance on commander location during incidents The Home Office, the National Ambulance Resilience Unit, the College of Policing and the Fire Service College should develop guidance as to …	College of Policing Fire Service College +2 more	Accepted	View →
MAI-159	Consider funding arrangements for police services The Inquiry heard evidence that the impact of public funding cuts fell disproportionately hard on metropolitan police services, such as Greater Manchester …	Home Office Greater Manchester Police	Accepted	View →
MAI-160	Train all firefighters in first responder interventions The National Fire Chiefs Council and the Fire Service College should establish a scheme for ensuring that all firefighters are trained in …	Fire Service College	Accepted	View →
MAI-161	Review CCTV monitoring SIA licence requirements The requirement that only those monitoring CCTV under a contract for services need to hold an SIA licence should be reviewed.	Security Industry Authority	Accepted	View →
MAI-162	Define BTP Senior Duty Officer role in Major Incidents The role of the Senior Duty Officer in a Major Incident should be clearly defined and explained in the British Transport Police …	British Transport Police	Accepted	View →
MAI-163	SIA encourage trauma care training for non-licensed staff The Security Industry Authority should take steps to encourage the security industry generally to ensure that even those members of staff who …	Security Industry Authority	Accepted	View →
MAI-164	SIA first responder training for all licensees The Security Industry Authority should take urgent steps to devise a training scheme in first responder interventions that educates all of those …	College of Policing Security Industry Authority	Accepted	View →
MAI-165	Ten Second Triage training for frontline staff The team led by Philip Cowburn has devised a tool that is designed for use by a wide range of emergency responders …	College of Policing Fire Service College +1 more	Accepted	View →
MAI-166	Introduce Major Incident Triage Tool The team led by Philip Cowburn has devised a tool that is designed to replace the existing systems of primary and secondary …	National Ambulance Resilience Unit NHS England	Accepted	View →
MAI-167	Clarify Casualty Collection Point terminology The terms Casualty Collection Point and Casualty Clearing Station are capable of being confused, one for the other, particularly in circumstances of …	National Ambulance Resilience Unit	Accepted	View →
MAI-168	Review Major Incident plans for joint working Those organisations should consider what changes need to be made to Major Incident plans in order to achieve those aims.		Accepted	View →
MAI-169	Review Operation Plato guidance Those organisations should consider what changes need to be made to the Counter Terrorism Policing Headquarters Operation Plato guidance in order to …	Counter Terrorism Policing	Accepted	View →

Parliamentary activity

50 mentions since Sep 2020

2 debates 28 questions 16 statements

02 Jun 2026 Written Question Care Quality Commission
Lord Kamall (Conservative)

16 Apr 2026 Early Day Motion Mountain rescue in Cumbria
Tim Farron (Liberal Democrat)

10 Apr 2026 Written Question Athletes: Health Services
Dame Caroline Dinenage (Conservative)

13 Mar 2026 Written Question Health Professions: Culture and Sports
Dame Caroline Dinenage (Conservative)

13 Mar 2026 Written Question Sports: Care Quality Commission
Dame Caroline Dinenage (Conservative)

View all 50 mentions →

Costs

Total: £36,323,455

Period	Total	Inquiry legal	CP legal	Source
Aug 2023	£433,226	£161,032	£50,193	link
Aug 2023 (cum.)	£36,323,455	£12,933,544	£12,025,040	link
Mar 2023	£2,900,968	£1,518,494	£169,977	link
Mar 2022	£13,359,502	£4,525,677	£4,421,346	link
Mar 2021	£15,871,460	£4,700,572	£6,326,137	link
Mar 2020	£3,758,299	£2,027,769	£1,057,387	link