Inquiries · Recommendations

Public Inquiry Recommendations

1,814 tracked recommendations 35 inquiries 928 match current filters Page 5 of 19

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

928 of 1,814 · page 5 of 19
Code Recommendation Inquiry Response
P1-43 Use METHANE messages for Major Incidents
A 'METHANE' (Major incident declared, Exact location, Type of incident, Hazards, Access, Number and type of casualties, Emergency services present and required) …
Grenfell Tower Inquiry (2019) Accepted
P1-44 Investigate LFB-MPS-LAS system compatibility
Steps be taken to investigate the compatibility of the LFB systems with those of the MPS and the LAS with a view …
Grenfell Tower Inquiry (2019) Accepted
P1-46 Improve survivor information collection and sharing
The LFB, the MPS, the LAS and the London local authorities all investigate ways of improving the collection of information about survivors …
Grenfell Tower Inquiry (2019) Accepted
P2-2 Review Building Safety Act higher-risk building definition
That the definition of a higher-risk building for the purposes of the Building Safety Act be reviewed urgently. (113.7)
Grenfell Tower Inquiry (2024) Accepted
P2-3 Consolidate fire safety functions under single department
That the government bring responsibility for the functions relating to fire safety currently exercised by MHCLG, the Home Office and the Department …
Grenfell Tower Inquiry (2024) Accepted
P2-4 Appoint Chief Construction Adviser
That the Secretary of State appoint a Chief Construction Adviser with a sufficient budget and staff to provide advice on all matters …
Grenfell Tower Inquiry (2024) Accepted
P2-5 Review statutory guidance and Approved Document B
That the statutory guidance generally, and Approved Document B in particular, be reviewed accordingly and a revised version published as soon as …
Grenfell Tower Inquiry (2024) Accepted
P2-6 Add legal requirements warning to statutory guidance
That a revised version of the guidance contain a clear warning in each section that the legal requirements are contained in the …
Grenfell Tower Inquiry (2024) Accepted
P2-7 Reconsider compartmentation in Approved Document B
New materials and methods of construction and the practice of overcladding existing buildings make the existence of effective compartmentation a questionable assumption …
Grenfell Tower Inquiry (2024) Accepted
P2-8 Require fire engineer calculations for fire spread and evacuation
Calculating the likely rate of fire spread and the time required for evacuation, including the evacuation of those with physical or mental …
Grenfell Tower Inquiry (2024) Accepted
P2-9 Include academics on statutory guidance advisory bodies
That, as far as possible, membership of bodies advising on changes to the statutory guidance should include representatives of the academic community …
Grenfell Tower Inquiry (2024) Accepted
P2-10 Require fire safety strategy from registered fire engineer at Gateway 2
That it be made a statutory requirement that a fire safety strategy produced by a registered fire engineer to be submitted with …
Grenfell Tower Inquiry (2024) Accepted
P2-11 Develop new test methods for evacuation strategy assessments
Assessing whether an external wall system can support a particular evacuation strategy is difficult because the necessary information is not always available. …
Grenfell Tower Inquiry (2024) Accepted
P2-12 Clarify BS 9414 limitations requiring fire engineer assessment
BS 9414 should be approached with caution and we recommend that the government make it clear that it should not be used …
Grenfell Tower Inquiry (2024) Accepted
P2-15 Establish legal recognition and regulation of fire engineer profession
That the profession of fire engineer be recognised and protected by law and that an independent body be established to regulate the …
Grenfell Tower Inquiry (2024) Accepted
P2-16 Increase Masters-level fire engineering course places
That the government take urgent steps to increase the number of places on high-quality masters level courses in fire engineering accredited by …
Grenfell Tower Inquiry (2024) Accepted
P2-17 Define competent fire engineer knowledge and skills
That the government convene a group of practitioner and academic fire engineers and such other professionals as it thinks fit to produce …
Grenfell Tower Inquiry (2024) Accepted
P2-18 Develop fire engineering courses for construction professionals
That the government, working in collaboration with industry and professional bodies, encourage the development of courses in the principles of fire engineering …
Grenfell Tower Inquiry (2024) Accepted
P2-19 Review architect education and training for fire safety
We recognise that both the Architects Registration Board (ARB) and the Royal Institute of British Architects (RIBA) have taken steps since the …
Grenfell Tower Inquiry (2024) Accepted
P2-20 Require principal designer compliance statement at Gateway 2
That it be made a statutory requirement that an application for building control approval in relation to the construction or refurbishment of …
Grenfell Tower Inquiry (2024) Accepted
P2-21 Introduce licensing scheme for principal contractors
That a licensing scheme operated by the construction regulator be introduced for principal contractors wishing to undertake the construction or refurbishment of …
Grenfell Tower Inquiry (2024) Accepted
P2-22 Independent panel review of building control commercial interests
That the government appoint an independent panel to consider whether it is in the public interest for building control functions to be …
Grenfell Tower Inquiry (2024) Accepted
P2-23 Consider national building control authority
We recommend that the same panel consider whether all building control functions should be performed by a national authority. (113.38)
Grenfell Tower Inquiry (2024) Accepted
P2-24 Create cladding materials library for designers
We have referred to the Cladding Materials Library set up by the University of Queensland, which could form the basis of a …
Grenfell Tower Inquiry (2024) Accepted
P2-26 Establish mandatory fire risk assessor accreditation
That the government establish a system of mandatory accreditation to certify the competence of fire risk assessors by setting standards for qualification …
Grenfell Tower Inquiry (2024) Accepted
P2-27 Standardise fire control switches and keys
We are not in a position to determine whether greater standardisation of the fire control switches and keys is required. We therefore …
Grenfell Tower Inquiry (2024) Accepted
P2-31 Inspect London Fire Brigade control room operations
That His Majesty's Inspectorate of Constabulary and Fire and Rescue Services (the Inspectorate) inspect the London Fire Brigade as soon as reasonably …
Grenfell Tower Inquiry (2024) Accepted
P2-32 Inspect London Fire Brigade incident commander training
That as soon as reasonably possible the Inspectorate inspect the London Fire Brigade to examine and report on the arrangements it has …
Grenfell Tower Inquiry (2024) Accepted
P2-33 Inspect London Fire Brigade information management systems
That as soon as reasonably practicable the Inspectorate inspect the LFB to examine and report on its arrangements for collecting, storing and …
Grenfell Tower Inquiry (2024) Accepted
P2-34 London Fire Brigade to establish lessons learned process
That the London Fire Brigade establish effective standing arrangements for collecting, considering and effectively implementing lessons learned from previous incidents, inquests and …
Grenfell Tower Inquiry (2024) Accepted
P2-35 Consider higher power radios for breathing apparatus
That fire and rescue services that continue to use low power intrinsically safe radios as part of breathing apparatus consider reserving them …
Grenfell Tower Inquiry (2024) Accepted
P2-36 Provide firefighters with digital radios
That all fire and rescue services give consideration to providing all firefighters with digital radios. (113.60)
Grenfell Tower Inquiry (2024) Accepted
P2-37 Train firefighters on communications loss response
Since radio communications are inherently unreliable in certain environments, we recommend that firefighters be trained to respond appropriately to the loss of …
Grenfell Tower Inquiry (2024) Accepted
P2-38 Provide water supply system training to all firefighters
That basic training on the structure and operation of the water supply system, including the different types of hydrants in use and …
Grenfell Tower Inquiry (2024) Accepted
P2-39 Establish water undertaker communication protocols
That all fire and rescue services establish and periodically review an agreed protocol with the statutory water undertakers in their areas to …
Grenfell Tower Inquiry (2024) Accepted
P2-40 Amend BS 750 for flow coefficient measurement
That the British Standards Institution amend BS 750 to include a description of the circumstances under which the flow coefficient to which …
Grenfell Tower Inquiry (2024) Accepted
P2-41 Consider guidance on firefighter initiative deviations
That National Fire Chiefs Council consider whether, and if so in what circumstances, firefighters should be discouraged from departing from their instructions …
Grenfell Tower Inquiry (2024) Accepted
P2-42 Review Civil Contingencies Act intervention powers
That the [Civil Contingencies] Act [2004] be reviewed and consideration be given to granting a designated Secretary of State the power to …
Grenfell Tower Inquiry (2024) Accepted
P2-44 Consolidate and update emergency preparedness guidance
The current guidance on preparing for emergencies is contained in several documents, all of which are unduly long and in some respects …
Grenfell Tower Inquiry (2024) Accepted
P2-45 Add humanitarian considerations as ninth response principle
That regard for humanitarian considerations be expressly recognised by making it the ninth principle of effective response and recovery. (113.69)
Grenfell Tower Inquiry (2024) Accepted
P2-46 Revise London Gold arrangements guidance
Events demonstrated, however, that there is a need for a clearer understanding of the nature of the London Gold arrangements, in particular …
Grenfell Tower Inquiry (2024) Accepted
P2-47 Local resilience forums to adopt national standards
That local resilience forums adopt national standards to ensure effective training, preparation and planning for emergencies and adopt independent auditing schemes to …
Grenfell Tower Inquiry (2024) Accepted
P2-49 Train all local authority employees on resilience
That local authorities train all their employees, including chief executives, to regard resilience as an integral part of their responsibilities. (113.73)
Grenfell Tower Inquiry (2024) Accepted
P2-50 Devise displaced person information recording methods
RBKC had no effective means of collecting and recording information about those who had been displaced from the tower and surrounding buildings, …
Grenfell Tower Inquiry (2024) Accepted
P2-51 Arrange emergency temporary accommodation provision
That all local authorities make such arrangements as are reasonably practicable for enabling them to place people in temporary accommodation at short …
Grenfell Tower Inquiry (2024) Accepted
P2-52 Include financial assistance in contingency plans
That all local authorities include in their contingency plans arrangements for providing immediate financial assistance to people affected by an emergency. (113.76)
Grenfell Tower Inquiry (2024) Accepted
P2-53 Plan for key worker availability in emergencies
That as part of their planning for emergencies local authorities give detailed consideration to the availability of key workers and the role …
Grenfell Tower Inquiry (2024) Accepted
P2-54 Establish effective emergency communication methods
That as part of their emergency planning local authorities make effective arrangements for continuing communication with those who need assistance using the …
Grenfell Tower Inquiry (2024) Accepted
P2-55 Use modern communication for public emergency information
That all local authorities include in their plans for responding to emergencies arrangements for providing information to the public by whatever combination …
Grenfell Tower Inquiry (2024) Accepted
P2-56 Clarify casualty bureau purpose and limitations
That what in the past has been called by the police a 'casualty bureau' be described in a way that makes it …
Grenfell Tower Inquiry (2024) Accepted
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