Inquiries · Recommendations

Public Inquiry Recommendations

1,814 tracked recommendations 35 inquiries Page 1 of 37

Recommendations issued by UK statutory and non-statutory inquiries, with their tracked government response and supporting evidence.

Browse by inquiry

35 inquiries with tracked recs

Inquiry	Recs	Accepted
Mid Staffs Inquiry	290	281
Manchester Arena Inquiry	169	169
IICSA	107	96
Muckamore Abbey Inquiry	106	—
Grenfell Tower Inquiry	104	104
Infected Blood Inquiry	103	102
Hyponatraemia Inquiry	96	96
Fuller Inquiry	92	71
Leveson Inquiry	92	77
Vale of Leven Inquiry	75	75
Baha Mousa Inquiry	73	72
Southport Inquiry	67	—
RHI Inquiry	45	44
COVID-19 Inquiry	44	24
Morecambe Bay Investigation	44	44
Brook House Inquiry	33	28
Bichard Inquiry	31	31
Angiolini Inquiry	30	29
Post Office Horizon Inquiry	27	25
Jermaine Baker Inquiry	26	22
Edinburgh Tram Inquiry	24	21
Daniel Morgan Panel	23	21
Cranston Inquiry	18	—
Paterson Inquiry	17	15
HIA Inquiry	12	12
Scottish Hospitals Inquiry	11	11
Anthony Grainger Inquiry	9	9
Al-Sweady Inquiry	9	9
Hillsborough Panel	9	5
Fingerprint Inquiry	9	9
ICL Inquiry	7	6
Litvinenko Inquiry	5	5
Azelle Rodney Inquiry	3	3
Billy Wright Inquiry	3	3
Penrose Inquiry	1	1

Recommendations

1,814 tracked · page 1 of 37

Code	Recommendation	Inquiry	Response
MAI-9	Enact Protect Duty into law A Protect Duty, as set out above, should be enacted into law by primary legislation.	Manchester Arena Inquiry (2021)	Accepted
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 …	Manchester Arena Inquiry (2021)	Accepted
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 …	Manchester Arena Inquiry (2021)	Accepted
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 …	Manchester Arena Inquiry (2021)	Accepted
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.	Manchester Arena Inquiry (2021)	Accepted
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 …	Manchester Arena Inquiry (2021)	Accepted
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 …	Manchester Arena Inquiry (2021)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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, …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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.	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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.	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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.	Manchester Arena Inquiry (2022)	Accepted
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.	Manchester Arena Inquiry (2022)	Accepted
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.	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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, …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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.	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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.	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted
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 …	Manchester Arena Inquiry (2022)	Accepted

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