Introduce Major Incident Triage Tool
Manchester Arena Inquiry · Manchester Arena Inquiry: Volume 2: Emergency Response · Issued 3 November 2022 · Addressed to: National Ambulance Resilience Unit, NHS England
Government responseUK Government: Accepted (Nov 2025)
DeliveryCabinet Office says completed (Feb 2026)
Recommendation, verbatim from the inquiry
●Inquiry recommendation
The team led by Philip Cowburn has devised a tool that is designed to replace the existing systems of primary and secondary triage. It is known as the Major Incident Triage Tool. It already has the support of NHS England. The National Ambulance Resilience Unit and all ambulance services should consider introducing the Major Incident Triage Tool as a matter of urgency.
Manchester Arena Inquiry, Manchester Arena Inquiry: Volume 2: Emergency Response · 3 Nov 2022 Source PDF →
Published evidence summary
AI-generated evidence summary
The Inquiry urged ambulance services to urgently consider introducing the Major Incident Triage Tool. In an update published on its recommendations dashboard in February 2026, the Cabinet Office reported that the Major Incident Triage Tool was launched in April 2023 and had been rolled out across the National Health Service (NHS), marking the recommendation as complete (Cabinet Office, Feb 2026). The UK Government had earlier confirmed in November 2025 that the recommendation was accepted in full (Cabinet Office response, Nov 2025).
AI-generated summary of the record on this page, checked by a second model and automatic checks, 5 Oct 2026.
About this summary
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 completed · 27 Feb 2026
The Major Incident Triage Tool was launched in April 2023 and has been rolled out across the NHS. - now marked COMPLETE
Earlier statements on delivery (0)
●Cabinet Office · 14 Nov 2025
The Major Incident Triage Tool was launched in April 2023 and has been rolled out across the NHS. - now marked COMPLETE
From: Manchester Arena Inquiry Recommendations Dashboard, original version (data file)
Published evidence
●JESIP · 1 Apr 2024
JESIP Joint Doctrine updated to v3.1 (April 2024) following inquiry findings on interoperability failures. Operation Plato reformed to cover all terrorist attack types, not just firearms. Emphasis extended beyond command-level to frontline responders.
JESIP Joint Doctrine Version 3.1, April 2024View source →
How this page is built
The recommendation and the government responses are verbatim from primary documents. Delivery statements and other bodies' findings are shown in their own words, each with its source. The summary is written by this site and labelled as such. The Index does not paraphrase sources or characterise intent; it records what has been published.