Inquiries · Recommendations

Public Inquiry Recommendations

1,814 tracked recommendations 35 inquiries 682 match current filters Page 2 of 14

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

682 of 1,814 · page 2 of 14

Code	Recommendation	Inquiry	Response
MAI-46	Guidance on Major Incident plan review frequency His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing and the Home Office should issue guidance for …	Manchester Arena Inquiry (2022)	Accepted
MAI-47	Sufficient resources for operational planning His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing and the Home Office should work together to …	Manchester Arena Inquiry (2022)	Accepted
MAI-48	Statutory powers for witness attendance at inquiries It is recommended that consideration be given to the creation of statutory powers under section 36 that can be used to prevent …	Manchester Arena Inquiry (2022)	Accepted in Part
MAI-50	Address Arena failings identified in Volume 1 Improvements, to the extent that they have not already been made, should be made at the Arena to address the failings identified …	Manchester Arena Inquiry (2022)	Accepted
MAI-51	Address Showsec failings identified in Volume 1 Improvements, to the extent that they have not already been made, should be made by Showsec to address the failings identified in …	Manchester Arena Inquiry (2022)	Accepted
MAI-53	CPS protocol for section 35 prosecution takeover It is recommended that the Crown Prosecution Service establish a written protocol in relation to its approach to any application from an …	Manchester Arena Inquiry (2022)	Accepted
MAI-56	Address extradition difficulties for section 35 offences It is recommended that the Home Office give consideration to addressing the difficulties in extradition in relation to an offence under section …	Manchester Arena Inquiry (2022)	Accepted in Part
MAI-57	Amend section 21 for witness interview requirements It is recommended that the Ministry of Justice give consideration to amending section 21 of the 2005 Act to include the express …	Manchester Arena Inquiry (2022)	Accepted in Part
MAI-58	Amend section 36 for pre-emptive witness enforcement It is recommended that the Ministry of Justice, possibly in conjunction with the Law Commission, give consideration to amending section 36 of …	Manchester Arena Inquiry (2022)	Accepted in Part
MAI-59	Codify prisoner communication restrictions scheme I recommend that the scheme be codified, and clear policy and guidance be published so that it can be applied consistently across …	Manchester Arena Inquiry (2022)	Accepted
MAI-61	Independent inspection regime for LRFs Local resilience forums have a vital role in the preparation for the response to any Major Incident. The Cabinet Office and the …	Manchester Arena Inquiry (2022)	Accepted
MAI-62	LRF oversight of lessons from exercises and incidents Local resilience forums should establish procedures to ensure that they oversee the process of identifying the lessons to be learned from major …	Manchester Arena Inquiry (2022)	Accepted
MAI-63	Monitor LRF attendance and flag concerns Local resilience forums should monitor attendance and participation at their meetings, and flag promptly any concerns about attendance by members to the …	Manchester Arena Inquiry (2022)	Accepted
MAI-64	Create centralised NaCTSO training library NaCTSO should create a centralised library of training materials.	Manchester Arena Inquiry (2022)	Accepted
MAI-65	NaCTSO guidance on terrorism risk assessments NaCTSO should issue guidance in relation to the completion of risk assessments addressing the threat of terrorism.	Manchester Arena Inquiry (2022)	Accepted
MAI-66	Multi-agency site-specific plans for NWAS North West Ambulance Service should ensure that all its site-specific plans are multi-agency and that all Category 1 responders operating in the …	Manchester Arena Inquiry (2022)	Accepted
MAI-67	NWAS policy for relieving Operational Commanders North West Ambulance Service should ensure that it has a policy that sets out the circumstances in which an Operational Commander may …	Manchester Arena Inquiry (2022)	Accepted
MAI-68	Up-to-date site-specific plans for high-risk locations North West Ambulance Service should ensure that it has up-to-date site-specific plans for all large, complex or high-risk locations within its area.	Manchester Arena Inquiry (2022)	Accepted
MAI-69	Train NWAS commanders in operational discretion North West Ambulance Service should ensure that its commanders are adequately trained in the use of operational discretion.	Manchester Arena Inquiry (2022)	Accepted
MAI-70	Include non-specialist ambulance personnel in exercising North West Ambulance Service should ensure that non specialist ambulance personnel are involved in multi agency exercising	Manchester Arena Inquiry (2022)	Accepted
MAI-71	Improve NWAS Major Incident record-making North West Ambulance Service should reflect on its approach to record-making during and immediately following a Major Incident, with a view to …	Manchester Arena Inquiry (2022)	Accepted
MAI-72	Review NWAS Tactical Advisor rostering coverage North West Ambulance Service should review how it rosters Tactical Advisors and National Interagency Liaison Officers so as to ensure that there …	Manchester Arena Inquiry (2022)	Accepted
MAI-73	NWAS predetermined attendance for specialist teams North West Ambulance Service should review its Major Incident Response Plan to consider whether, in order to speed up mobilisation, it should …	Manchester Arena Inquiry (2022)	Accepted
MAI-74	NWAS predetermined attendance for Major Incidents North West Ambulance Service should review its Major Incident Response Plan to consider whether it should be updated to include a predetermined …	Manchester Arena Inquiry (2022)	Accepted
MAI-75	Operational Commander to gain situational awareness first North West Ambulance Service should review its Major Incident Response Plan to make clear that the first resource on scene should assume …	Manchester Arena Inquiry (2022)	Accepted
MAI-76	Review HART mobilisation policies North West Ambulance Service should review its policies for mobilising the Hazardous Area Response Team resource, to ensure that this team is …	Manchester Arena Inquiry (2022)	Accepted
MAI-77	Review procedures for patient dispatch to hospitals North West Ambulance Service should review its procedures with local NHS trusts to ensure that it has effective policies in place for …	Manchester Arena Inquiry (2022)	Accepted
MAI-78	Review NWAS Tactical Advisor numbers North West Ambulance Service should review the number of Tactical Advisors and National Interagency Liaison Officers it has, and whether the number …	Manchester Arena Inquiry (2022)	Accepted
MAI-79	Train NWAS commanders on command relief procedures North West Ambulance Service should train its Operational Commanders on the appropriate practice for relieving another of command and being relieved of …	Manchester Arena Inquiry (2022)	Accepted
MAI-80	North West Fire Control regular multi-agency exercising North West Fire Control should ensure that it regularly tests how it operates, by ensuring that its staff participate in regular exercises …	Manchester Arena Inquiry (2022)	Accepted
MAI-81	Improve NWFC Major Incident record-making North West Fire Control should reflect on its approach to record-making during and immediately following a Major Incident, with a view to …	Manchester Arena Inquiry (2022)	Accepted
MAI-82	Allocate best-trained operators to Major Incident roles North West Fire Control should review how it allocates the best-trained and most suitable Control Room Operators to roles during a Major …	Manchester Arena Inquiry (2022)	Accepted
MAI-83	Review NWFC information policies during incidents North West Fire Control should review its guidance and policies on how it receives and passes on information during a Major Incident. …	Manchester Arena Inquiry (2022)	Accepted
MAI-84	Review NWFC incident log information storage North West Fire Control should review the way it captures and records key information on its incident logs in order to ensure …	Manchester Arena Inquiry (2022)	Accepted
MAI-85	NWFC involvement in multi-agency exercises North West Fire Control should take steps to ensure that it is involved in multi-agency exercises, particularly those that test mobilisation and …	Manchester Arena Inquiry (2022)	Accepted
MAI-86	Arena healthcare provider staffing requirements SMG should ensure that the healthcare service provider at the Arena has adequate staffing and skill levels for every event at that …	Manchester Arena Inquiry (2022)	Accepted
MAI-87	Healthcare provider relationship with NWAS SMG should ensure that the healthcare service provider at the Arena has a strong working relationship with North West Ambulance Service.	Manchester Arena Inquiry (2022)	Accepted
MAI-88	Review Arena healthcare equipment provision SMG should review its approach to the provision of healthcare service equipment at the Arena to ensure that adequate equipment is always …	Manchester Arena Inquiry (2022)	Accepted
MAI-89	CQC regulation of event healthcare standards That standard needs to be regulated and enforced. The Care Quality Commission is the appropriate body to provide regulation and enforcement. The …	Manchester Arena Inquiry (2022)	Accepted
MAI-90	Firearms officers trained in Care Under Fire The College of Policing and Counter Terrorism Policing Headquarters should ensure that all firearms officers are trained to understand that, while their …	Manchester Arena Inquiry (2022)	Accepted
MAI-92	Emergency service hotline to Force Duty Officer The College of Policing and Counter Terrorism Policing Headquarters should take steps to ensure that each police service establishes a hotline that …	Manchester Arena Inquiry (2022)	Accepted
MAI-93	24-hour qualified command structure rostering The College of Policing and His Majesty's Inspectorate of Constabulary and Fire and Rescue Services should ensure that each police service has …	Manchester Arena Inquiry (2022)	Accepted
MAI-94	Review firearms officer Post Incident Procedures delays The College of Policing should assess whether delays in the provision of written accounts by some firearms officers involved in the response …	Manchester Arena Inquiry (2022)	Accepted
MAI-95	Improve police training record systems The College of Policing should consider whether the current process for maintaining and storing training records for all police officers can be …	Manchester Arena Inquiry (2022)	Accepted
MAI-96	Force Duty Officer not to handle media enquiries The College of Policing should issue guidance to all police services to ensure the following, in the event of a Major Incident: …	Manchester Arena Inquiry (2022)	Accepted
MAI-97	Control room trauma care guidance for 999 callers The College of Policing, the Fire Service College and National Fire Chiefs Council should consider devising training packages for operators within control …	Manchester Arena Inquiry (2022)	Accepted
MAI-98	Extend first aid education in National Curriculum The Department for Education should consider extending the National Curriculum to ensure that pupils, once of an appropriate age, receive education in …	Manchester Arena Inquiry (2022)	Accepted
MAI-99	Review licensing guidance on event healthcare The Ministry of Housing Commuities and Local Government should review the guidance given to all licensing authorities on the decisions they make …	Manchester Arena Inquiry (2022)	Accepted
MAI-100	Event healthcare staff trained in first responder interventions The Department of Health and Social Care and the Care Quality Commission should consider introducing guidelines to ensure that all event healthcare …	Manchester Arena Inquiry (2022)	Accepted
MAI-101	Review analgesia regulatory regime for paramedics The Department of Health and Social Care and the Medicines and Healthcare products Regulatory Agency (MHRA) should consider urgently whether the regulatory …	Manchester Arena Inquiry (2022)	Accepted

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