Review intramuscular TXA on frontline ambulances
Manchester Arena Inquiry · Manchester Arena Inquiry: Volume 2: Emergency Response · Issued 3 November 2022 · Addressed to: National Ambulance Resilience Unit, Department of Health and Social Care
Government responseUK Government: Accepted (Nov 2025)
DeliveryCabinet Office says in progress (Feb 2026)
Recommendation, verbatim from the inquiry
●Inquiry recommendation
The Department of Health and Social Care, the Faculty of Pre-Hospital Care, the College of Paramedics and the National Ambulance Resilience Unit should undertake a review into whether frontline ambulances should carry intramuscular tranexamic acid or TXA.
Manchester Arena Inquiry, Manchester Arena Inquiry: Volume 2: Emergency Response · 3 Nov 2022 Source PDF →
Published evidence summary
AI-generated evidence summary
The Cabinet Office reported in February 2026 that delivery remained in progress, noting that the availability of intramuscular administration had been reinforced within guidelines (Cabinet Office, Feb 2026). It added in February 2026 that trials would be undertaken once the ongoing development of auto injector presentations is complete, and that legislative requirements were being reviewed for wider use by responders (Cabinet Office, Feb 2026). The UK Government had accepted the recommendation in full in November 2025 (Cabinet Office response, Nov 2025).
AI-generated summary of the record on this page, checked by a second model and automatic checks, 26 Sep 2026.
Government response
●UK Government · Accepted · 14 Nov 2025
Accepted in full
Response document: Manchester Arena Inquiry recommendations (GOV.UK page linking to the Manchester Arena Inquiry Recommendations Dashboard)
Delivery
●Cabinet Office says in progress · 27 Feb 2026
Reinforcement of availability of IM administration within guidelines Ongoing development of auto injector presentations, once available trials will be undertaken Legislative requirements being reviewed for wider use by responders
Earlier statements on delivery (0)
●Cabinet Office · 14 Nov 2025
Reinforcement of availability of IM administration within guidelines Ongoing development of auto injector presentations, once available trials will be undertaken Legislative requirements being reviewed for wider use by responders
From: Manchester Arena Inquiry Recommendations Dashboard, original version (data file)
How this page is built
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