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Public Inquiry Recommendations

1,814 tracked recommendations 35 inquiries 682 match current filters Page 6 of 14

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

682 of 1,814 · page 6 of 14
Code Recommendation Inquiry Response
AC-1c Legal Support Signposting
IBCA include a prominent reference to the availability of legal support paid by IBCA on all registration and application forms and in …
Infected Blood Inquiry (2025) Accepted
AC-1d Three-Cohort Prioritisation
When IBCA opens up the service beyond people infected and registered with the support schemes, IBCA: (i) update the sequencing to three …
Infected Blood Inquiry (2025) Accepted
AC-1e Oral Representations at Review
IBCA consider making provision, either generally or in specific cases, for oral representations to be made where a decision is reviewed internally, …
Infected Blood Inquiry (2025) Accepted
AC-1f Written Reasons for Decisions
Written reasons for the original decision must be provided so that the review process can operate fairly.
Infected Blood Inquiry (2025) Accepted
AC-2a Publish Guidance and Board Minutes
IBCA should publish: guidance, advice or instructions to claim managers; work undertaken by IBCA with the Cabinet Office's policy team to ensure …
Infected Blood Inquiry (2025) Accepted
AC-2b Share Clinical Assessor Advice
In respect of any case in which the advice of a clinical assessor has been given, in relation to the person concerned …
Infected Blood Inquiry (2025) Accepted
AC-2c Community Advisory Body
A formal role be given within IBCA for an advisory body consisting of people infected and affected, covering a range of experience …
Infected Blood Inquiry (2025) Accepted
AC-2d Structured Response to Community Input
To build confidence that IBCA is actively listening to people infected and affected, IBCA adopt more of a structured response to contributions …
Infected Blood Inquiry (2025) Accepted
IBI-A-2e Transparency of Scheme Design
The Government and IBCA establish a mechanism by which individuals or organisations may raise concerns which arise about any aspect of the …
Infected Blood Inquiry (2025) Accepted
IBI-A-3a HIV Eligibility Start Date
An amendment to the Regulations be made as soon as possible to remove the reference to 1 January 1982 from Regulation 3.
Infected Blood Inquiry (2025) Accepted
IBI-A-4a Interferon Treatment Impacts
People infected with Hepatitis B or C who have received a course of treatment with or based on interferon should be recognised …
Infected Blood Inquiry (2025) Accepted in Part
IBI-A-4b Special Category Mechanism
The Government reconsider whether to maintain its rejection in February 2025 of the recommendations of Sir Robert Francis KC and advice from …
Infected Blood Inquiry (2025) Accepted in Part
IBI-A-4c Effective Treatment - Earnings Floor
For the calculation of Financial Loss awards for Hepatitis B, people born after 1953 should be treated like those born in or …
Infected Blood Inquiry (2025) Accepted
IBI-A-4d Deeming of Severity Bands
Where the level of severity of a person's infection at Level 3 or more has been established to IBCA's satisfaction in relation …
Infected Blood Inquiry (2025) Accepted
IBI-A-4e Evidence of Diagnosis Date
Regulation 14(2)(c) be amended to remove the requirement for evidence of the date of diagnosis of Hepatitis B or C. An appropriate …
Infected Blood Inquiry (2025) Accepted
IBI-A-5a Severe Psychological Harm
The approach of the Infected Blood Psychology Service is adopted so that both a diagnosis made by a psychiatric professional and a …
Infected Blood Inquiry (2025) Accepted in Part
IBI-A-6a Financial Loss and Care
"x" be removed from the equation set out in Regulation 7.
Infected Blood Inquiry (2025) Accepted in Part
IBI-A-6b Exceptional Loss Evidence
The Cabinet Office consult on whether the evidential requirements for exceptional reduced earnings are likely to prove a barrier to people who …
Infected Blood Inquiry (2025) Accepted in Part
IBI-A-7a Unethical Research Award
Where there is evidence that an individual was the victim of unethical research practices IBCA should be authorised to make an unethical …
Infected Blood Inquiry (2025) Accepted in Part
IBI-A-7b Wider Definition of Unethical Research
When considering the evidence IBCA applies the wider definition of research explained in the Infected Blood Inquiry Additional Report chapter on Unethical …
Infected Blood Inquiry (2025) Accepted in Part
IBI-A-7c Unethical Research Award Amount Review
The Minister consider whether the £10,000 (£15,000 for Treloar's pupils) should in justice be increased and further decides what sum he considers …
Infected Blood Inquiry (2025) Under Consideration
IBI-A-8a Supplementary Route for Affected Persons
The Minister give consideration to there being a supplementary route for people affected. This could include opening the supplemental award for severe …
Infected Blood Inquiry (2025) Accepted in Part
IBI-A-8b Affected Estates
The Regulations be amended such that where someone who would be an eligible affected person dies between 21 May 2024 and 31 …
Infected Blood Inquiry (2025) Accepted
IBI-A-9a Bereaved Partner Support Scheme
The IBSS cut-off date of 31 March 2025 be reviewed, that the scheme should as soon as possible reinstate support payments to …
Infected Blood Inquiry (2025) Accepted
IBI-1 Compensation Scheme
My principal recommendation remains that a compensation scheme should be set up now
Infected Blood Inquiry (2024) Accepted
IBI-2a UK and Devolved Memorials
A permanent memorial be established in the UK and consideration be given to memorials in each of Northern Ireland, Wales and Scotland. …
Infected Blood Inquiry (2024) Accepted
IBI-2b Treloar's School Memorial
A memorial be established at public expense, dedicated specifically to the children infected at Treloar’s school. The memorial should be such as …
Infected Blood Inquiry (2024) Accepted
IBI-2c Community Support Events
There should be at least three events, approximately six months apart, drawing together those infected and affected, the nature and timing of …
Infected Blood Inquiry (2024) Accepted
IBI-3a Medical Education - Curriculum
The General Medical Council, and NHS Education for Scotland, Health Education and Improvement Wales, Northern Ireland Medical and Dental Training Agency and …
Infected Blood Inquiry (2024) Accepted
IBI-3b Medical Education - Training Materials
They should look favourably upon putting together a package of training materials, with excerpts from oral and written testimony, to underpin what …
Infected Blood Inquiry (2024) Accepted
IBI-3c Inquiry Website Preservation
The Inquiry website is maintained online
Infected Blood Inquiry (2024) Accepted
IBI-4a(i) Duty of Candour - Northern Ireland
Duty of candour: A statutory duty of candour in healthcare should be introduced in Northern Ireland.
Infected Blood Inquiry (2024) Accepted
IBI-4a(ii) Duty of Candour - Scotland and Wales Review
Duty of candour: The operation of the duties of candour in healthcare in Scotland and in Wales should be reviewed, as it …
Infected Blood Inquiry (2024) Accepted
IBI-4a(iii) Duty of Candour - England Review
Duty of candour: The review of the duty of candour currently under way in England should be completed as soon as practicable.
Infected Blood Inquiry (2024) Accepted
IBI-4a(iv) Individual Duty of Candour for Leaders
Statutory duty of candour: The statutory duties of candour in England, Scotland, Wales (and Northern Ireland, when introduced) should be extended to …
Infected Blood Inquiry (2024) Accepted in Part
IBI-4a(v) Leadership Accountability for Safety
Statutory duty of candour: Individuals in leadership positions should be required by the terms of their appointment and by secondary legislation to …
Infected Blood Inquiry (2024) Accepted in Part
IBI-4b Organisational Culture Change
Cultural Change: That a culture of defensiveness, lack of openness, failure to be forthcoming, and being dismissive of concerns about patient safety …
Infected Blood Inquiry (2024) Accepted in Part
IBI-4c(i) Simplify External Regulation
Regulation: That external regulation of safety in healthcare be simplified. As a first step towards this, there should be a UK wide …
Infected Blood Inquiry (2024) Accepted
IBI-4c(ii) Safety Management Systems Coordination
Regulation: That the national healthcare administrations in England, Northern Ireland, Scotland and Wales explore, and if appropriate, support the development and implementation …
Infected Blood Inquiry (2024) Accepted
IBI-4d Patient Records Audit
Patient Records: Before the end of 2027 there should be a formal audit, publicly reported, of the extent of success of digitisation …
Infected Blood Inquiry (2024) Accepted
IBI-4e Cross-Administration Patient Safety Coordination
Coordination of patient records with devolved governments: Consideration should be given by the national healthcare administrations in England, Scotland, Wales and Northern …
Infected Blood Inquiry (2024) Accepted
IBI-5a Civil Service Statutory Duty of Candour
The Government should reconsider whether, in the light of the facts revealed by this Inquiry, it is sufficient to continue to rely …
Infected Blood Inquiry (2024) Accepted in Part
IBI-5b Monitoring Non-Statutory Duties
If, on review, the Government considers that it is sufficient to rely on the current non-statutory duties in the Civil Service Code, …
Infected Blood Inquiry (2024) Accepted in Part
IBI-5c Ministerial Duty of Candour
The Government should consider the extent to which Ministers should be subject to a duty beyond their current duty to Parliament under …
Infected Blood Inquiry (2024) Accepted in Part
IBI-6a(i) Hepatologist Oversight and Fibroscan Access
All patients who have contracted hepatitis via a blood transfusion or blood products should receive the following care: Those who have been …
Infected Blood Inquiry (2024) Accepted
IBI-6a(ii) Specialist Hepatology Centre Access
All patients who have contracted hepatitis via a blood transfusion or blood products should receive the following care: Those who have fibrosis …
Infected Blood Inquiry (2024) Accepted in Part
IBI-6a(iii) Uncertainty About Fibrosis
All patients who have contracted hepatitis via a blood transfusion or blood products should receive the following care: Where there is any …
Infected Blood Inquiry (2024) Accepted
IBI-6a(iv) Fibroscan for Liver Imaging
All patients who have contracted hepatitis via a blood transfusion or blood products should receive the following care: Fibroscan technology should be …
Infected Blood Inquiry (2024) Accepted
IBI-6a(v) Consultant Hepatologist Access
All patients who have contracted hepatitis via a blood transfusion or blood products should receive the following care: Those who have had …
Infected Blood Inquiry (2024) Accepted in Part
IBI-6a(vi) Commissioning Hepatology Services
All patients who have contracted hepatitis via a blood transfusion or blood products should receive the following care: Those bodies responsible for …
Infected Blood Inquiry (2024) Accepted
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