Inquiries · Recommendations

Public Inquiry Recommendations

1,814 tracked recommendations 35 inquiries 1,417 match current filters Page 20 of 29

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

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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

1,417 of 1,814 · page 20 of 29
Code Recommendation Inquiry Response
F280 Appropriate and sensitive contact with bereaved families
Both the bereaved family and the certifying doctor should be asked whether they have any concerns about the death or the circumstances …
Mid Staffs Inquiry (2013) Accepted
F281 Appropriate and sensitive contact with bereaved families
It is important that independent medical examiners and any others having to approach families for this purpose have careful training in how …
Mid Staffs Inquiry (2013) Accepted
F282 Information for and from inquests
Coroners should send copies of relevant Rule 43 reports to the Care Quality Commission.
Mid Staffs Inquiry (2013) Accepted
F283 Information for and from inquests
Guidance should be developed for coroners' offices about whom to approach in gathering information about whether to hold an inquest into the …
Mid Staffs Inquiry (2013) Accepted
F284 Appointment of assistant deputy coroners
The Lord Chancellor should issue guidance as to the criteria to be adopted in the appointment of assistant deputy coroners.
Mid Staffs Inquiry (2013) Accepted
F285 Appointment of assistant deputy coroners
The Chief Coroner should issue guidance on how to avoid the appearance of bias when assistant deputy coroners are associated with a …
Mid Staffs Inquiry (2013) Accepted
F286 Impact assessments before structural change
Impact and risk assessments should be made public, and debated publicly, before a proposal for any major structural change to the healthcare …
Mid Staffs Inquiry (2013) Accepted
F287 Impact assessments before structural change
The Department of Health should together with healthcare systems regulators take the lead in developing through obtaining consensus between the public and …
Mid Staffs Inquiry (2013) Accepted
F288 Clinical input
The Department of Health should ensure that there is senior clinical involvement in all policy decisions which may impact on patient safety …
Mid Staffs Inquiry (2013) Accepted
F289 Experience on the front line
Department of Health officials need to connect more to the NHS by visits, and most importantly by personal contact with those who …
Mid Staffs Inquiry (2013) Accepted
F290 Experience on the front line
The Department of Health should promote a shared positive culture by setting an example in its statements by being open about deficiencies, …
Mid Staffs Inquiry (2013) Accepted
1 Chief Coroner guidance on coroners' records
We recommend that the Lord Chancellor and Secretary of State for Justice invite the Chief Coroner to prepare guidance for all coroners …
Hillsborough Panel (2012) Accepted
2 Police records under Public Records Act 1958
We recommend that the preservation of police records be reviewed to ensure that all such documents are treated as public records, held …
Hillsborough Panel (2012) No Response
3 Central government documents to National Archives
We recommend that relevant central government documents - particularly those of the Cabinet Office and No 10 - be transferred to the …
Hillsborough Panel (2012) Accepted
4 Distributed Permanent Archive at Sheffield/Liverpool/Kew
We recommend that a Distributed Permanent Archive be established across the Central Library in Sheffield, the Liverpool Record Office and the National …
Hillsborough Panel (2012) Accepted
5 Private owners encouraged to deposit records
We recommend that, once a copy of all material has been placed on a Digital Archive, private owners - including the FA …
Hillsborough Panel (2012) No Response
6 Editor-in-Chief for digital archive
We recommend the appointment of an Editor-in-Chief to oversee the presentation on the Digital Archive of documents relating to the disaster, and …
Hillsborough Panel (2012) No Response
7 Protocol for adding/removing archive material
We recommend the development of a protocol which identifies the criteria according to which material not disclosed by the Panel may be …
Hillsborough Panel (2012) No Response
8 Digital archive accessible with professional support
We recommend that the Digital Archive be permanently accessible at the Liverpool Record Office, the Central Library, Sheffield and other appropriate local …
Hillsborough Panel (2012) Accepted
9 Digital archive permanently archived at National Archives
We recommend that the Digital Archive be permanently archived at the National Archives at Kew (or its successor). Regardless of any developments …
Hillsborough Panel (2012) Accepted
LIT-1 Closed Recommendation
One recommendation contained within the closed section of the report (classified).
Litvinenko Inquiry (2016) Accepted
LIT-2 Asset Freezes on Suspects
Asset freezes should be implemented against the suspects Andrey Lugovoy and Dmitri Kovtun.
Litvinenko Inquiry (2016) Accepted
LIT-3 Maintain Arrest Warrants
Interpol notices and European Arrest Warrants should remain in place for the suspects.
Litvinenko Inquiry (2016) Accepted
LIT-4 Diplomatic Representations to Russia
Senior diplomatic representations should be made to Russia regarding its failure to cooperate with justice.
Litvinenko Inquiry (2016) Accepted
LIT-5 Review Further Legal Actions
The Director of Public Prosecutions should consider whether further action can be taken on extradition and asset freezing.
Litvinenko Inquiry (2016) Accepted
AS-1 Document Retention and Storage Policy
Consideration should be given to the establishment of a policy by the Ministry of Defence to ensure that all documents or other …
Al-Sweady Inquiry (2014) Accepted
AS-2 Recording of Interrogation and Tactical Questioning
Digital video and audio recordings should be made of both interrogation and tactical questioning sessions. Such recordings should be retrieved from theatre, …
Al-Sweady Inquiry (2014) Accepted
AS-3 Training Material Dating and Archiving
All training material should be dated, appropriately retained and archived in such a way that it can easily be established when the …
Al-Sweady Inquiry (2014) Accepted
AS-4 Shooting Incident Policy
A Shooting Incident Policy should be drafted which is achievable in practice in Theatre, which is compliant with Article 2 of the …
Al-Sweady Inquiry (2014) Accepted
AS-5 Detainee Capture and Condition Records
Appropriate procedures should be introduced to ensure that there is an accurate and detailed contemporaneous record of the circumstances relating to the …
Al-Sweady Inquiry (2014) Accepted
AS-6 Informing Detainees of Rights
All detainees should be clearly informed of their rights and obligations as soon as is practicable upon arrival at any detention facility. …
Al-Sweady Inquiry (2014) Accepted
AS-7 Strip-Search Safeguards
Appropriate measures should be taken to ensure that minimum safeguards are in place where a detainee is to be strip-searched. These include …
Al-Sweady Inquiry (2014) Accepted
AS-8 Interpreter Availability
There should be an appropriate review of all current, relevant policy and procedures to ensure that a sufficient number of suitably trained …
Al-Sweady Inquiry (2014) Accepted
AS-9 Medical Fitness for Detention Forms
Appropriate forms should be made available to allow a medical examiner to declare a detainee unfit for detention and questioning. The decision …
Al-Sweady Inquiry (2014) Accepted
AR-1 Full Review of Operation Tayport
I recommend that, as soon as is reasonably practicable, the MPS undertake a full, thorough review of all aspects of Operation Tayport. …
Azelle Rodney Inquiry (2013) Accepted
AR-2 Protocol for Post-Incident Debriefing
At an early date there should be liaison between the IPCC, the MPS and ACPO (and, more significantly, lawyers acting for each) …
Azelle Rodney Inquiry (2013) Accepted
AR-3 Commissioner to Appoint Debrief Officer
In the event of a shooting by an MPS officer that results in death or serious injury, the Commissioner should thereupon appoint …
Azelle Rodney Inquiry (2013) Accepted
BAHA-1 Prohibition on Hooding
The MoD should retain its current absolute prohibition on the use of hoods on Captured Personnel (CPErS).
Baha Mousa Inquiry (2011) Accepted
BAHA-2 Standard Orders Prohibiting Five Techniques
Joint Doctrine Publication (JDP) 1-10 should include the requirement for standard orders to be issued for each operation prohibiting the use of …
Baha Mousa Inquiry (2011) Accepted
BAHA-3 Broaden Stress Position Definition
The definition of stress positions in JDP 1-10 and elsewhere should be broadened so that it is not dependent upon the intention …
Baha Mousa Inquiry (2011) Accepted
BAHA-4 Hooding Guidance
The essence of guidance on hooding should be that it is prohibited at any time for whatever purpose to place a sandbag …
Baha Mousa Inquiry (2011) Accepted
BAHA-5 Noise Prohibition Definition
The definition of the prohibition on subjecting CPErS to noise should be broadened. It should prohibit subjecting CPErS to any unnecessary excessive …
Baha Mousa Inquiry (2011) Accepted
BAHA-6 Redacted Recommendation
[REDACTED - This recommendation has been redacted from the public version of the report]
Baha Mousa Inquiry (2011) Accepted
BAHA-7 Five Techniques Communication
The MoD should give careful consideration as to whether referring to the five techniques as being prohibited 'as an aid to interrogation' …
Baha Mousa Inquiry (2011) Accepted
BAHA-8 Five Techniques Placement in Doctrine
The prohibition on the five techniques should not appear only within the Tactical Questioning and interrogation section of JDP 1-10 since it …
Baha Mousa Inquiry (2011) Accepted
BAHA-9 Five Techniques in JTTP
The prohibition on the five techniques should appear in the Joint Tactics, Techniques and Procedures guidance as well as in the main …
Baha Mousa Inquiry (2011) Accepted
BAHA-10 Sight Deprivation Principles
Five principles on permitted sight deprivation should be consistently emphasised in JDP 1-10 and subordinate doctrine and instructions: (1) where practicable the …
Baha Mousa Inquiry (2011) Accepted
BAHA-11 Sleep Deprivation Prohibition
JDP 1-10 should make clear that it is prohibited deliberately to keep prisoners awake, even for short periods, merely because they may …
Baha Mousa Inquiry (2011) Accepted
BAHA-12 CPErS Meals Guidance
JDP 1-10 should give some guidance in relation to the number of daily meals for CPErS and the timing of them. Such …
Baha Mousa Inquiry (2011) Accepted
BAHA-13 Redacted Recommendation
[REDACTED - This recommendation has been redacted from the public version of the report]
Baha Mousa Inquiry (2011) Accepted
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