Parliamentary activity

Answering body: Department of Health and Social Care

Following the Manchester Arena Inquiry, the new rules bring treatment of disease, disorder, or injury (TDDI) at sporting and cultural events, sports grounds, and gymnasiums under the regulation of the Care Quality Commission (CQC), and are intended to ensure that higher-risk event healthcare is appropriately regulated to support safe, high-quality care.

This only applies where the care in such circumstances is being provided by, or under the supervision of, listed healthcare professionals, or by a team including such a professional. Existing exceptions, including the provision of medical cover that would typically be considered “first aid”, or employer-arranged healthcare for employees, are unaffected.

The Department and the CQC recognise sector concerns, including about the potential impact on volunteers and individual clinicians. Both organisations will continue to engage with stakeholders during the implementation phase, and the Department will consider whether further action is needed to address any unintended consequences.

Answering body: Department of Health and Social Care

Following the Manchester Arena Inquiry, the new rules bring treatment of disease, disorder, or injury (TDDI) at sporting and cultural events, sports grounds, and gymnasiums under the regulation of the Care Quality Commission (CQC), and are intended to ensure that higher-risk event healthcare is appropriately regulated to support safe, high-quality care.

This only applies where the care in such circumstances is being provided by, or under the supervision of, listed healthcare professionals, or by a team including such a professional. Existing exceptions, including the provision of medical cover that would typically be considered “first aid”, or employer-arranged healthcare for employees, are unaffected.

The Department and the CQC recognise sector concerns, including about the potential impact on volunteers and individual clinicians. Both organisations will continue to engage with stakeholders during the implementation phase, and the Department will consider whether further action is needed to address any unintended consequences.

Answering body: Department of Health and Social Care

The Manchester Arena Inquiry recommended that the Government make changes to the law to enable the Care Quality Commission (CQC) to regulate event healthcare at sporting venues and gymnasiums and under temporary arrangements at sporting and cultural events to ensure public safety.

The Government has considered the impacts of this change, and a public consultation allowed stakeholders to provide information on the potential effects. A de minimis impact assessment was developed.

A link to the explanatory memorandum for the proposed changes in regulation and the de minimis assessment is available at the following link:

https://www.legislation.gov.uk/ukdsi/2026/9780348279955/resources

Due to the unregulated nature of the treatment of disease, disorder, and injury at these types of events, monitoring and reporting of those with medical needs and conditions at such events is currently challenging to access. The CQC will be consulting in May which will provide opportunities for further consideration around the appropriate implementation of the regulation to sectors such as individual clinicians and volunteers.

Answering body: Department for Culture, Media and Sport

DCMS officials engage with the sector on the impacts of regulation. DCMS will continue to engage with DHSC on the removal of exemptions for temporary sporting and cultural events to ensure impacts to event delivery are mitigated as far as possible in line with the policy recommendations from the Manchester Arena Inquiry.

Answering body: Department of Health and Social Care

The Manchester Arena Inquiry recommended that the Government make changes to the law to enable the Care Quality Commission to regulate event healthcare at sporting venues and gymnasiums, and under temporary arrangements, at sporting and cultural events to ensure public safety.

The Government has considered the impacts of this change, and a public consultation allowed stakeholders to provide information on the potential effects. A de minimis impact assessment was developed. This considered the impacts the changes in regulation would have, including costs.

A link to the explanatory memorandum for the proposed changes in regulation and de minimis assessment is available at the following link:

https://www.legislation.gov.uk/ukdsi/2026/9780348279955/resources

Answering body: Department for Culture, Media and Sport

The Manchester Arena Inquiry Volume Two report recommended the government make changes to the law to enable the Care Quality Commission (CQC) to regulate event healthcare at sporting venues and gymnasiums and under temporary arrangements at sporting and cultural events to ensure public safety.

The government and CQC has engaged a range of stakeholders within the health, sports and events sector. The government has also held a public consultation which fed into the development of these regulatory changes. The government and CQC continues this engagement, where the CQC will also develop further guidance for Treatment of Disease, Disorder, or Injury providers to support registering with the CQC.

DCMS officials regularly engage with the sector on the impacts of regulation, and will continue to do so with DHSC on the removal of exemptions for temporary sporting and cultural events, to ensure impacts to event delivery are mitigated as far as possible in line with the policy recommendations from the Manchester Arena Inquiry.

Answering body: Home Office

The private security industry plays a crucial role in keeping the public safe and it is critical that there is a high standard of regulatory oversight of the industry. The Security Industry Authority (SIA) provides such oversight by operating the regulatory regime set up by the Private Security Industry Act 2001 (PSIA).

This oversight includes setting minimum standards for mandatory training for roles within scope of the regime, and ensuring individuals seeking to work in designated roles have completed the training required, as well as running criminal record and other checks to ensure that SIA licence holders are ‘fit and proper’ individuals who have the relevant skills and knowledge needed to perform their role.

Businesses seeking to supply private security operatives under a contract for services must ensure all their partners, directors, managers and supervisors are licensed by the SIA, as well as any frontline staff who perform certain security roles specified in the PSIA Act 2001 (for example door supervisors and security guards).

The SIA is currently conducting a 5-year review of training standards to ensure skills keep pace with emerging threats and will be working closely with experts and the industry on this. The SIA maintains regular engagement with the Home Office throughout this review.

Furthermore, the Government remains committed to delivering the intended outcomes of the Manchester Arena Inquiry, including Monitored Recommendations 7 and 8 which relate to licensing of in-house operatives and security businesses. The Home Office launched a 12-week public consultation on 18 December 2025 to help better understand the impact of the proposals for change.

The consultation aims to inform proposals that will ensure high quality oversight of the private security industry, while ensuring any new costs and regulatory burdens are proportionate and consider impact on business.

Answering body: Department of Health and Social Care

The Government has engaged with a range of stakeholders on the effectiveness of a number of trauma and bleed kits in regards to serious violence or for use in other settings. In response to the Manchester Arena Inquiry, the Department for Health and Social Care has worked alongside partners such as the National Counter Terrorism Security Office (NaCTSO), health stakeholders and civil society to standardise the contents of Public Access Trauma Kits (PAcT kits). These kits can be found at venues and public spaces of private and public sector organisations and are suitable to support the treatment of many life-threatening injuries.

To ensure PAcT kits can be used by any person regardless of training, instructions on their use have been made clearer and universal signage has also been developed so PAcT kit locations can be better identified.

Answering body: Department of Health and Social Care

Following the Manchester Arena Inquiry Volume Two report recommendations the government committed to develop an Event Healthcare Standard. This guidance will support the Care Quality Commission’s regulation of the provision of treatment of disease, disorder, or injury rather than first aid.

The Event Healthcare Standard will be written by an authorship group, made up of clinicians and experts from within the healthcare sector, sports and events industries. The authorship group is also overseen by a review panel of experts and stakeholders also made-up healthcare providers, sports and events industries. We aim to publish the standard in the middle of 2026.

The Government will continue to engage with stakeholders within the health, sports and events sector as work on the standard progresses.

Answering body: Home Office

The Government is committed to reviewing the recommendations of the Manchester Arena Inquiry, including Monitored Recommendation 8, with a view to delivering better uniformity of standards in the private security industry, enhanced provision of security services, and effective counter-terrorism measures.

Answering body: Home Office

The Government is committed to reviewing the recommendations of the Manchester Arena Inquiry with a view to delivering better uniformity of standards in the private security industry, enhanced provision of security services, and effective counter-terrorism measures. Home Office officials are working with the SIA to ensure criminality continues to be driven out of the industry, and this includes a review of the SIA’s investigation and enforcement remit, powers and tools.

Answering body: Department of Health and Social Care

The Manchester Arena Inquiry Volume Two report recommended that the Government make changes to the law to enable the Care Quality Commission (CQC) to regulate event healthcare at sporting venues and gymnasiums and at temporary sporting and cultural events, to ensure public safety.

The Government has considered the impacts of this change, and a public consultation allowed stakeholders to provide information on the potential effects. A de minimis impact assessment was developed, which looked at a range of options and considered the impact on the event sector and event healthcare providers. The assessment includes costs, benefits, and risks.

An updated de minimis assessment will be published before the Statutory Instrument is laid before Parliament. This will outline the direct cost to business. The Government and the CQC continue to engage with stakeholders within the health, sports, and events sector regarding the changes in the regulations and their impact.

Answering body: Department of Health and Social Care

Following the Manchester Arena Inquiry Volume Two report, the Government sought to make the necessary changes in the law to enable the Care Quality Commission (CQC) to regulate event healthcare at sporting venues and gymnasiums, and at temporary sporting and cultural events. The CQC will not be responsible for regulating sports and cultural events as a whole.

The CQC has taken steps to ensure that any changes are implemented in a way that gives healthcare providers appropriate time to register with the CQC. This provides further reassurance to both event organisers and the public on the level of healthcare expected.

In addition to the recent public consultation, the CQC will consult further on their approach to regulating these activities. The Government and the CQC continues to engage with stakeholders within the health, sports, and events sector regarding the changes in the regulations.

Answering body: Department of Health and Social Care

Following the Manchester Arena Inquiry Volume Two report, the Government sought to make the necessary changes in the law to enable the Care Quality Commission (CQC) to regulate event healthcare at sporting venues and gymnasiums, and at temporary sporting and cultural events. The CQC will not be responsible for regulating sports and cultural events as a whole.

The CQC has taken steps to ensure that any changes are implemented in a way that gives healthcare providers appropriate time to register with the CQC. This provides further reassurance to both event organisers and the public on the level of healthcare expected.

In addition to the recent public consultation, the CQC will consult further on their approach to regulating these activities. The Government and the CQC continues to engage with stakeholders within the health, sports, and events sector regarding the changes in the regulations.

Answering body: Department of Health and Social Care

Discussions on the administration of tranexamic acid (TXA) formed part of the Manchester Arena Inquiry, established in 2019, to investigate the deaths of the victims of the attack on the Arena on 22 May 2017. One of the inquiry’s recommendations tasked the Department, the Faculty of Pre-Hospital Care, the College of Paramedics, and the National Ambulance Resilience Unit to undertake a review into whether frontline ambulances should carry intramuscular TXA.

Intramuscular TXA is available to paramedics as a route of administration, and is now advocated in national guidance. Additional work is being taken forward regarding the intramuscular route of administration. This work is currently considering alternative methods using newly developed concentrated forms of TXA to achieve more rapid administration, and whether this could be used safely by wider group of responders.

Answering body: Department of Health and Social Care

The Department has accepted this recommendation and is working with a broad range of stakeholders, including NHS England and the National Counter Terrorism Security Office, to finalise and implement an appropriate strategy to promote the use of Publicly Accessible Trauma Kits. A review of the equipment contained in the kits is also underway, in line with Recommendation 146 of the Manchester Arena Inquiry Volume 2: Emergency Response.

Answering body: Department of Health and Social Care

The Department will consider the availability and access to Public Access Trauma Kits as on-going work across the health sector on the implementation of the recommendations from the Manchester Arena Inquiry.

Answering body: Department of Health and Social Care

The Department will consider the availability and access to Public Access Trauma Kits as on-going work across the health sector on the implementation of the recommendations from the Manchester Arena Inquiry.

Answering body: Department of Health and Social Care

The Department will consider the availability and access to Public Access Trauma Kits as on-going work across the health sector on the implementation of the recommendations from the Manchester Arena Inquiry.

Answering body: Foreign, Commonwealth and Development Office

The Foreign, Commonwealth and Development Office does not comment on matters of national security.

The first volume of the Chair's findings of the Manchester Arena Inquiry was published in June 2021, with volumes 2 and 3 scheduled for publication later in 2022. Further information can be found on the Inquiry's website: manchesterarenainquiry.org.uk

Answering body: Home Office

The Manchester Arena Inquiry is a statutory independent Inquiry and decisions as to how to deliver its terms of reference are a matter for the Chair.

The Inquiry heard evidence on what steps had been taken to ensure Ismail Abedi appeared at the Inquiry on 21 October. The transcript for the hearing is published in full: https://files.manchesterarenainquiry.org.uk/live/uploads/2021/10/21201337/MAI-Day-165_Redacted.pdf

Greater Manchester Police provided evidence to the Inquiry on Ismail Abedi’s departure from the UK which is published on the Manchester Arena Inquiry website: https://files.manchesterarenainquiry.org.uk/live/uploads/2021/12/21144111/INQ042319.pdf

Answering body: Home Office

In line with long-standing Home Office policy, it would not be appropriate to comment on individual cases.

The first volume of the Chair’s findings of the Manchester Arena Inquiry was published in June 2021, with volumes 2 and 3 scheduled for publication later in 2022. Further information can be found on the Inquiry’s website: manchesterarenainquiry.org.uk

Answering body: Home Office

There are a wide range of reasons that police may stop individuals travelling through ports. Under Schedule 7 to the Terrorism Act 2000, Counter-Terrorism Police officers can stop and examine members of the public travelling through ports to determine their involvement in terrorist activity. The Home Office does not routinely comment on individual cases, and decisions on who to examine under Schedule 7 are made independently of government by the police.

I would refer the Honourable Member to the first volume of the Chair’s findings of the Manchester Arena Inquiry, which was published in June 2021. Volumes 2 and 3 of the findings are scheduled for publication later in 2022, and further information can be found on the Inquiry’s website: manchesterarenainquiry.org.uk

Answering body: Home Office

A summary of the relevant report was provided to the Manchester Arena Inquiry. This followed a thorough process overseen by the Inquiry Chair and his legal team as to what content could be disclosed without damaging national security.

Regrettably disclosing the report would cause damage to national security.

Answering body: Department of Health and Social Care

The Care Quality Commission (CQC) regulates the independent ambulance sector with exemptions, where some activities fall outside of its scope. This includes transport and treatment services provided solely within the confines of an event site. However, there are a small number of providers which are regulated where no such exemption exists, primarily those which also offer diagnostic and screening procedures. This activity is therefore regulated.

While it does not have regulatory oversight of such providers, the CQC has evidence of patient safety and quality issues and wrote to the sector in March 2017 and November 2018 and stated these concerns in its ‘State of care in independent ambulance services’ report in March 2019. The CQC’s then Chief Inspector of Hospitals also raised similar concerns to the Manchester Arena Inquiry in January 2022.

To bring medical services provided at events into the CQC’s scope of regulation requires an amendment in the Regulated Activity of the Treatment of Disease, Disorder and Injury. The Department is currently undertaking a post implementation review to ascertain whether the current Regulated Activities achieved the intended policy objective. Once the post implementation review report has been completed, the Department will work with the CQC on how the Regulated Activity can be updated as part of a review of the CQC’s regulations.