MAI-49 Accepted

Review analgesia rollout to HART operatives

Manchester Arena Inquiry · Manchester Arena Inquiry: Volume 1: Security for the Arena · Issued 17 June 2021 · Addressed to: National Ambulance Resilience Unit, Security Industry Authority

Source — verbatim from the inquiry

Inquiry recommendation

If the decision is that the regulatory regime should be altered in this way, the National Ambulance Resilience Unit should consider urgently whether the use of such analgesia should be rolled out to all Hazardous Area Response Team and other specialist operatives, as part of their basic equipment, and to paramedics more generally.

Manchester Arena Inquiry, Manchester Arena Inquiry: Volume 1: Security for the Arena · 17 Jun 2021 Source PDF →

Published evidence summary

Publicly available evidence relating to this recommendation:

- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026).
- The dashboard states that once regulatory requirements are confirmed, the proposal is to roll out analgesia in a phased approach as more evidence on use in different patient groups is reviewed (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026).

Response — verbatim from government

UK Government

The Security Industry Authority (SIA) published a formal statement on 17 June 2021 in response to Volume 1 of the Manchester Arena Inquiry. The SIA committed to collaborating with the private security industry, law enforcement, and other stakeholders to implement the report's recommendations. The Home Office noted it would review the report and take action on recommendations requiring legislative change, including extending SIA licensing requirements for CCTV monitoring and security contractors.

UK Government · 17 Jun 2021 Written response →

Evidence trail — what's actually happened since

  • 27 Feb 2026 Once regulatory requirements are confirmed, the proposal is to roll out in a phased approach as more evidence in relation to use in different patient groups reviewed. Source →
  • 14 Nov 2025 Once regulatory requirements are confirmed, the proposal is to roll out in a phased approach as more evidence in relation to use in different patient groups reviewed. Source →
  • 14 Nov 2025 · Cabinet Office Government published formal Manchester Arena Inquiry recommendations dashboard on GOV.UK (14 November 2025) tracking all 149 recommendations with implementation progress updates. View source → Reasonable Progress
  • 3 Apr 2025 · UK Parliament Terrorism (Protection of Premises) Act 2025 received Royal Assent 3 April 2025. Creates two tiers: Standard Duty (200-799 capacity) and Enhanced Duty (800+). SIA will be regulator. Not yet in force -- at least 24 months before enforcement (expected April 2027). View source → Reasonable Progress
  • 5 Jun 2023 · National Police Chiefs Council NPCC, Counter Terrorism Policing and College of Policing provided comprehensive updates to Sir John Saunders demonstrating "continued drive to improve collective response to terrorist incidents." View source → Reasonable Progress

Each entry above links to a primary source — gov.uk written statement, consultation response document, or inspection report. The Index does not characterise government intent; it tracks what has been published.

How this page is built

Source and Response are verbatim from primary documents. The Evidence trail records published activity since — written statements, consultation outcomes, inspection findings, parliamentary references. The Index does not paraphrase or characterise intent; it tracks what has been published. Where the evidence is the absence of action (a missed deadline, a slipped timetable), that absence is documented from primary sources rather than inferred.

This recommendation's data is verified periodically against primary sources. The Index is monitored for staleness weekly.