Inquiries · Recommendations

Public Inquiry Recommendations

1,814 tracked recommendations 35 inquiries 914 match current filters Page 4 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	95
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	19
Morecambe Bay Investigation	44	44
Brook House Inquiry	33	28
Bichard Inquiry	31	31
Angiolini Inquiry	30	16
Post Office Horizon Inquiry	27	25
Jermaine Baker Inquiry	26	22
Edinburgh Tram Inquiry	24	21
Daniel Morgan Panel	23	23
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

914 of 1,814 · page 4 of 19

Code	Recommendation	Inquiry	Response
MAI-158	Guidance on commander location during incidents The Home Office, the National Ambulance Resilience Unit, the College of Policing and the Fire Service College should develop guidance as to …	Manchester Arena Inquiry (2022)	Accepted
MAI-159	Consider funding arrangements for police services The Inquiry heard evidence that the impact of public funding cuts fell disproportionately hard on metropolitan police services, such as Greater Manchester …	Manchester Arena Inquiry (2022)	Accepted
MAI-160	Train all firefighters in first responder interventions The National Fire Chiefs Council and the Fire Service College should establish a scheme for ensuring that all firefighters are trained in …	Manchester Arena Inquiry (2022)	Accepted
MAI-162	Define BTP Senior Duty Officer role in Major Incidents The role of the Senior Duty Officer in a Major Incident should be clearly defined and explained in the British Transport Police …	Manchester Arena Inquiry (2022)	Accepted
MAI-165	Ten Second Triage training for frontline staff The team led by Philip Cowburn has devised a tool that is designed for use by a wide range of emergency responders …	Manchester Arena Inquiry (2022)	Accepted
MAI-166	Introduce Major Incident Triage Tool The team led by Philip Cowburn has devised a tool that is designed to replace the existing systems of primary and secondary …	Manchester Arena Inquiry (2022)	Accepted
MAI-167	Clarify Casualty Collection Point terminology The terms Casualty Collection Point and Casualty Clearing Station are capable of being confused, one for the other, particularly in circumstances of …	Manchester Arena Inquiry (2022)	Accepted
MAI-168	Review Major Incident plans for joint working Those organisations should consider what changes need to be made to Major Incident plans in order to achieve those aims.	Manchester Arena Inquiry (2022)	Accepted
MAI-169	Review Operation Plato guidance Those organisations should consider what changes need to be made to the Counter Terrorism Policing Headquarters Operation Plato guidance in order to …	Manchester Arena Inquiry (2022)	Accepted
MAI-1	School-to-college records on radicalisation vulnerability A clean start should be possible when a student moves from school to college or higher education, such that it would not …	Manchester Arena Inquiry (2023)	Accepted
MAI-52	Consider Commission for Countering Extremism report In 2021, the Commission for Countering Extremism published a report entitled Operating with Impunity. Hateful Extremism: The Need for a Legal Framework. …	Manchester Arena Inquiry (2023)	Accepted
MAI-54	School records on radicalisation vulnerability It is recommended that the Department for Education consider whether schools should include notes of any significant behavioural problems on the Common …	Manchester Arena Inquiry (2023)	Accepted
MAI-55	Risk-based visitor restrictions for radicalising prisoners It is recommended that the Home Office consider introducing a system based on a robust assessment of the risk a prisoner poses …	Manchester Arena Inquiry (2023)	Accepted
MAI-60	Record images of students with weapons It is recommended to all educational establishments and the Department for Education that images of school pupils or college students handling firearms, …	Manchester Arena Inquiry (2023)	Accepted
P1-1	Require external wall information for fire services The owner and manager of every high-rise residential building be required by law to provide their local fire and rescue service with …	Grenfell Tower Inquiry (2019)	Accepted
P1-2	Train fire personnel on external wall fire risks All fire and rescue services ensure that their personnel at all levels understand the risk of fire taking hold in the external …	Grenfell Tower Inquiry (2019)	Accepted
P1-3	LFB to review PN633 Appendix 1 The LFB review, and revise as appropriate, Appendix 1 to PN633 to ensure that it fully reflects the principles in GRA 3.2.	Grenfell Tower Inquiry (2019)	Accepted
P1-4	Train LFB officers on high-rise inspections The LFB ensure that all officers of the rank of Crew Manager and above are trained in carrying out the requirements of …	Grenfell Tower Inquiry (2019)	Accepted
P1-5	Require building floor plans for fire services The owner and manager of every high-rise residential building be required by law to provide their local fire and rescue services with …	Grenfell Tower Inquiry (2019)	Accepted
P1-6	Require premises information boxes The owner and manager of every high-rise residential building be required by law to ensure that the building contains a premises information …	Grenfell Tower Inquiry (2019)	Accepted
P1-7	Equip fire services to receive electronic plans All fire and rescue services be equipped to receive and store electronic plans and to make them available to incident commanders and …	Grenfell Tower Inquiry (2019)	Accepted
P1-8	Require monthly firefighter lift inspections The owner and manager of every high-rise residential building be required by law to carry out regular inspections of any lifts that …	Grenfell Tower Inquiry (2019)	Accepted
P1-9	Require monthly lift control mechanism tests The owner and manager of every high-rise residential building be required by law to carry out regular tests of the mechanism which …	Grenfell Tower Inquiry (2019)	Accepted
P1-10	LFB review control room communications policy The London Fire Brigade review its policies on communications between the control room and the incident commander.	Grenfell Tower Inquiry (2019)	Accepted
P1-11	Train incident commanders on control room communications All officers who may be expected to act as incident commanders (i.e. all those above the rank of Crew Manager) receive training …	Grenfell Tower Inquiry (2019)	Accepted
P1-12	Train control room operators on incident commander communications All control room operators of Assistant Operations Manager rank and above receive training directed to the specific requirements of communication with the …	Grenfell Tower Inquiry (2019)	Accepted
P1-13	Dedicated control room to incident commander link A dedicated communication link be provided between the senior officer in the control room and the incident commander.	Grenfell Tower Inquiry (2019)	Accepted
P1-14	Distinguish between advice and rescue callers The LFB's policies be amended to draw a clearer distinction between callers seeking advice and callers who believe they are trapped and …	Grenfell Tower Inquiry (2019)	Accepted
P1-15	Regular refresher training for control room operators The LFB provide regular and more effective refresher training to control room operators at all levels, including supervisors.	Grenfell Tower Inquiry (2019)	Accepted
P1-16	Develop policies for handling multiple FSG calls All fire and rescue services develop policies for handling a large number of Fire Survival Guidance (FSG) calls simultaneously.	Grenfell Tower Inquiry (2019)	Accepted
P1-17	Electronic FSG recording and display systems Electronic systems be developed to record FSG information in the control room and display it simultaneously at the bridgehead and in any …	Grenfell Tower Inquiry (2019)	Accepted
P1-18	Develop stay put to evacuation transition policies Policies be developed for managing a transition from 'stay put' to 'get out'.	Grenfell Tower Inquiry (2019)	Accepted
P1-19	Train control room staff on evacuation advice changes Control room staff receive training directed specifically to handling such a change of advice and conveying it effectively to callers.	Grenfell Tower Inquiry (2019)	Accepted
P1-20	Investigate inter-control room information sharing Steps be taken to investigate methods by which assisting control rooms can obtain access to the information available to the host control …	Grenfell Tower Inquiry (2019)	Accepted
P1-21	LAS and MPS review FSG call protocols The London Ambulance Service and Metropolitan Police Service review their protocols and policies to ensure that their operators can identify FSG calls …	Grenfell Tower Inquiry (2019)	Accepted
P1-22	LFB improve deployment control policies The LFB develop policies and training to ensure better control of deployments and the use of resources.	Grenfell Tower Inquiry (2019)	Accepted
P1-23	Improve crew debrief information systems The LFB develop policies and training to ensure that better information is obtained from crews returning from deployments and that the information …	Grenfell Tower Inquiry (2019)	Accepted
P1-24	Direct control room to incident commander communications The LFB develop a communication system to enable direct communication between the control room and the incident commander and improve the means …	Grenfell Tower Inquiry (2019)	Accepted
P1-25	Investigate modern control room to bridgehead communications The LFB investigate the use of modern communication techniques to provide a direct line of communication between the control room and the …	Grenfell Tower Inquiry (2019)	Accepted
P1-26	Equipment for BA communication in high-rise buildings The LFB urgently take steps to obtain equipment that enables firefighters wearing helmets and breathing apparatus to communicate with the bridgehead effectively, …	Grenfell Tower Inquiry (2019)	Accepted
P1-27	Command support system operational on all units Urgent steps be taken to ensure that the command support system is fully operative on all command units and that crews are …	Grenfell Tower Inquiry (2019)	Accepted
P1-28	National guidelines for high-rise evacuations The government develop national guidelines for carrying out partial or total evacuations of high-rise residential buildings, such guidelines to include the means …	Grenfell Tower Inquiry (2019)	Accepted
P1-29	Fire services develop evacuation policies and training Fire and rescue services develop policies for partial and total evacuation of high-rise residential buildings and training to support them.	Grenfell Tower Inquiry (2019)	Accepted
P1-34	Equip fire services with smoke hoods All fire and rescue services be equipped with smoke hoods to assist in the evacuation of occupants through smoke-filled exit routes.	Grenfell Tower Inquiry (2019)	Accepted
P1-35	Require clear floor number markings in high-rise buildings In all high-rise buildings floor numbers be clearly marked on each landing within the stairways and in a prominent place in all …	Grenfell Tower Inquiry (2019)	Accepted
P1-36	Require understandable fire safety instructions The owner and manager of every residential building containing separate dwellings (whether or not it is a high-rise building) be required by …	Grenfell Tower Inquiry (2019)	Accepted
P1-37	Urgent fire door inspections required The owner and manager of every residential building containing separate dwellings (whether or not they are high-rise buildings) carry out an urgent …	Grenfell Tower Inquiry (2019)	Accepted
P1-40	Communicate Major Incident declarations to all responders Each emergency service must communicate the declaration of a Major Incident to all other Category 1 Responders as soon as possible.	Grenfell Tower Inquiry (2019)	Accepted
P1-41	Establish inter-service control room communications On the declaration of a Major Incident clear lines of communication must be established as soon as possible between the control rooms …	Grenfell Tower Inquiry (2019)	Accepted
P1-42	Designate single point of contact in control rooms A single point of contact should be designated within each control room to facilitate such communication.	Grenfell Tower Inquiry (2019)	Accepted

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