Inquiries · Recommendations

Public Inquiry Recommendations

1,814 tracked recommendations 35 inquiries 928 match current filters Page 15 of 19

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

928 of 1,814 · page 15 of 19

Code	Recommendation	Inquiry	Response
BAHA-37	Occurrence Book Requirement A suitable occurrence book must be maintained at all times whenever CPErS are being held at a unit or sub-unit holding facility.	Baha Mousa Inquiry (2011)	Accepted
BAHA-38	Single Comprehensive CPErS Order The MoD should continue its recent practice of ensuring that theatre level instructions and procedures for CPErS are contained within a single …	Baha Mousa Inquiry (2011)	Accepted
BAHA-39	Review Goggles Use in THF The Provost Marshal (Army) should formally review whether the current practice of using blacked out goggles for all movement of CPErS within …	Baha Mousa Inquiry (2011)	Accepted
BAHA-40	Battlegroup Detention Officer Each Battlegroup should have a 'Detention Officer' being a commissioned officer within Battlegroup Headquarters. The role should encompass coordination and management of …	Baha Mousa Inquiry (2011)	Accepted
BAHA-41	Detention Sergeant Role On operations where CPErS may be taken there should be a Senior Non-Commissioned Officer (NCO) who acts as the 'Detention Sergeant' who …	Baha Mousa Inquiry (2011)	Accepted
BAHA-42	Written CPErS Responsibilities Before any deployed operation, the Commanding Officer must ensure that there is a clear written explanation of unit level responsibilities for CPErS. …	Baha Mousa Inquiry (2011)	Accepted
BAHA-43	PM(A) Inspection Authority The PM(A) and those who in his name carry out inspections of the main operational detention facilities should be expressly recognised as …	Baha Mousa Inquiry (2011)	Accepted
BAHA-44	Redacted Recommendation [REDACTED - This recommendation has been redacted from the public version of the report]	Baha Mousa Inquiry (2011)	Accepted
BAHA-45	Unannounced Inspections The PM(A) and the in theatre Force Provost Marshal should take account of the in theatre situation in assessing whether any unannounced …	Baha Mousa Inquiry (2011)	Accepted
BAHA-46	Lessons Learned Process The MoD should consider whether the lessons learned procedures need to be adjusted or supplemented so that the clearer and more urgent …	Baha Mousa Inquiry (2011)	Accepted
BAHA-47	CPErS Training Content CPErS training should include both theoretical and practical training in what Forces personnel can and should do when handling CPErS. It is …	Baha Mousa Inquiry (2011)	Accepted
BAHA-48	End-to-End CPErS Training CPErS training should be woven into the full range of military exercises and training. Such training should be 'end to end', not …	Baha Mousa Inquiry (2011)	Accepted
BAHA-49	Consistent Training Materials Training materials across the Services need to be reviewed to ensure that the messages about all aspects of CPErS handling are clear …	Baha Mousa Inquiry (2011)	Accepted
BAHA-50	MATT 7 Presentation Update The MATT 7 PowerPoint presentation on the five techniques should be amended to ensure that the definitions of the techniques are consistent …	Baha Mousa Inquiry (2011)	Accepted
BAHA-51	Prisoner Handling DVD Update The 2005 prisoner handling DVD should be amended to avoid misleading messages about sight deprivation in the context of interrogation, and the …	Baha Mousa Inquiry (2011)	Accepted
BAHA-52	Restraint Positions Guidance Greater clarity and guidance should be given in training in relation to the concept of 'restraint positions'. More must be done to …	Baha Mousa Inquiry (2011)	Accepted
BAHA-53	Positional Asphyxia Training MATT 7 and mission specific training for CPErS handling should incorporate suitably pitched training on the risks of positional asphyxia/death by struggle …	Baha Mousa Inquiry (2011)	Accepted
BAHA-54	MATT 7 Take-up Recording There needs to be better recording of the take-up of MATT 7 (and equivalent training) to avoid the need to rely upon …	Baha Mousa Inquiry (2011)	Accepted
BAHA-55	Operational Law Training Currency Those responsible for designing the mandatory operational law and values and standards training must keep the training relevant and up-to-date both in …	Baha Mousa Inquiry (2011)	Accepted
BAHA-56	Operational Law Training Quality Unit commanders should ensure that the annual operational law training is delivered to the highest standards, so as to avoid it becoming …	Baha Mousa Inquiry (2011)	Accepted
BAHA-57	Remove Shock of Capture Language Training soldiers to maintain or prolong the shock of capture is apt to be misunderstood and should not feature in general training. …	Baha Mousa Inquiry (2011)	Accepted
BAHA-58	Moral Courage Training MATT 6 training should include discussion and role play scenarios relevant to moral courage. Training materials should include reference to occasions when …	Baha Mousa Inquiry (2011)	Accepted
BAHA-59	TQ Training Audit Enhanced auditing of tactical questioning and interrogation training should be introduced to ensure that the interrogation branch at Chicksands adequately trains students …	Baha Mousa Inquiry (2011)	Accepted
BAHA-60	Annual Legal Review of TQ Training The annual legal review of training materials planned by Defence Intelligence and Security Centre (DISC) is a necessary step. It must include …	Baha Mousa Inquiry (2011)	Accepted
BAHA-61	Triennial Legal Review A more senior and more independent legal review of the kind now being conducted as a one off ad hoc review is …	Baha Mousa Inquiry (2011)	Accepted
BAHA-62	DISC Materials Management DISC should take immediate remedial action to ensure that: (1) old versions of interrogation branch teaching materials are retained but archived separately; …	Baha Mousa Inquiry (2011)	Accepted
BAHA-63	Complete TQ Training in Approaches The tactical questioning and interrogation courses must train students adequately in all approaches that they may be required to use operationally. The …	Baha Mousa Inquiry (2011)	Accepted
BAHA-64	Geneva Convention Compliance in Training The MoD should give further careful consideration to the examples used in training for bridging between questioning sessions to ensure that they …	Baha Mousa Inquiry (2011)	Accepted
BAHA-65	Remove Conditioning Terminology 'Conditioning' should cease to be used as an approved Chicksands or HUMINT term. The term is dangerously ambiguous since it can be …	Baha Mousa Inquiry (2011)	Accepted
BAHA-66	Remove Shock of Capture from DISC DISC should give consideration to avoiding the terminology 'maintain the shock of capture' and 'prolong the shock of capture' even in their …	Baha Mousa Inquiry (2011)	Accepted
BAHA-67	Resistance Training Warning All theoretical and practical resistance training must include a warning which explains in terms that the training is to show conduct that …	Baha Mousa Inquiry (2011)	Accepted
BAHA-68	SERE DVD Review When reviewing the current Survive, Evade, Resist and Extract (SERE) DVD, Defence Survival Training Organisation (DSTO) should take into account the latest …	Baha Mousa Inquiry (2011)	Accepted
BAHA-69	DSTO Sole Provider of Resistance Training The MoD must make all units aware that, not only is DSTO the only body trained to provide resistance training, but that …	Baha Mousa Inquiry (2011)	Accepted
BAHA-70	MCTC Control and Restraint Monitoring The Military Correction Training Centre (MCTC) should continue to monitor that breakaway, personal protection and control and restraint techniques taught on the …	Baha Mousa Inquiry (2011)	Accepted
BAHA-71	Redacted Recommendation [REDACTED - This recommendation has been redacted from the public version of the report]	Baha Mousa Inquiry (2011)	Accepted
BAHA-72	Detention Sergeant Training Unit Detention Sergeants (see recommendation 41) should be properly trained in CPErS handling practices.	Baha Mousa Inquiry (2011)	Accepted
BAHA-73	Redacted Recommendation [REDACTED - This recommendation has been redacted from the public version of the report]	Baha Mousa Inquiry (2011)	Accepted
1	Admit problems and apologise to affected families The University Hospitals of Morecambe Bay NHS Foundation Trust should formally admit the extent and nature of the problems that have previously …	Morecambe Bay Investigation (2015)	Accepted
2	Review clinical staff competencies The University Hospitals of Morecambe Bay NHS Foundation Trust should review the skills, knowledge, competencies and professional duties of care of all …	Morecambe Bay Investigation (2015)	Accepted
3	Deliver staff training and development plans The University Hospitals of Morecambe Bay NHS Foundation Trust should draw up plans to deliver the training and development of staff identified …	Morecambe Bay Investigation (2015)	Accepted
4	Establish continuing professional development requirements Following completion of additional training or experience where necessary, the University Hospitals of Morecambe Bay NHS Foundation Trust should identify requirements for …	Morecambe Bay Investigation (2015)	Accepted
5	Promote effective multidisciplinary team-working The University Hospitals of Morecambe Bay NHS Foundation Trust should identify and develop measures that will promote effective multidisciplinary team-working, in particular …	Morecambe Bay Investigation (2015)	Accepted
6	Draw up maternity risk assessment protocol The University Hospitals of Morecambe Bay NHS Foundation Trust should draw up a protocol for risk assessment in maternity services, setting out …	Morecambe Bay Investigation (2015)	Accepted
7	Audit maternity and paediatric services The University Hospitals of Morecambe Bay NHS Foundation Trust should audit the operation of maternity and paediatric services, to ensure that they …	Morecambe Bay Investigation (2015)	Accepted
8	Develop recruitment and retention strategy The University Hospitals of Morecambe Bay NHS Foundation Trust should identify a recruitment and retention strategy aimed at achieving a balanced and …	Morecambe Bay Investigation (2015)	Accepted
9	Improve joint working between hospital sites The University Hospitals of Morecambe Bay NHS Foundation Trust should identify an approach to developing better joint working between its main hospital …	Morecambe Bay Investigation (2015)	Accepted
10	Establish partner Trust buddying arrangement The University Hospitals of Morecambe Bay NHS Foundation Trust should seek to forge links with a partner Trust, so that both can …	Morecambe Bay Investigation (2015)	Accepted
11	Raise awareness of incident reporting and duty of candour The University Hospitals of Morecambe Bay NHS Foundation Trust should identify and implement a programme to raise awareness of incident reporting, including …	Morecambe Bay Investigation (2015)	Accepted
12	Review incident investigation structures The University Hospitals of Morecambe Bay NHS Foundation Trust should review the structures, processes and staff involved in investigating incidents, carrying out …	Morecambe Bay Investigation (2015)	Accepted
13	Improve complaints handling The University Hospitals of Morecambe Bay NHS Foundation Trust should review the structures, processes and staff involved in responding to complaints, and …	Morecambe Bay Investigation (2015)	Accepted

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