Public Inquiry Recommendations

The UK government must ensure that there is a body (equivalent to the UK Infection Prevention and Control Cell) in place ready …

The UK government, Scottish Government, Welsh Government and Northern Ireland Executive should publish guidance for the implementation of visiting restrictions in hospitals …

The UK government, Scottish Government, Welsh Government and Northern Ireland Executive should work with employers, including health boards and trusts, to review …

The UK government, Scottish Government, Welsh Government and Northern Ireland Executive must ensure that health data and digital systems have the capability …

The UK government, Scottish Government, Welsh Government and Northern Ireland Executive, in conjunction with organisations responsible for delivering services, should plan for …

The UK government, Scottish Government, Welsh Government and Northern Ireland Executive should work with trusts and health boards to ensure that pandemic …

The UK government and devolved administrations should publish a UK-wide framework setting out ethical and operational principles to guide the allocation of …

The UK government, Scottish Government, Welsh Government and Northern Ireland Executive should work with their respective public health agencies and healthcare employers …

The UK government, Scottish Government, Welsh Government and Northern Ireland Executive, working with trusts and health boards, should establish and promote one …

The UK government, Scottish Government, Welsh Government and Northern Ireland Executive, working with healthcare employers and professional bodies, should put in place …

The UK government should establish a standing pharmaceutical expert advisory panel, in consultation with the Department of Health and Social Care and …

The UK government, Scottish Government, Welsh Government and Northern Ireland Executive should maintain networks with local communities to produce targeted vaccination strategies …

Each of the four UK public health or health security agencies should work together to: maintain accurate, UK-wide insight into the state …

The UK government and devolved administrations should work together, with their respective health delivery services, to facilitate and coordinate regulatory bodies' access …

The UK government must reform the Vaccine Damage Payment Scheme as soon as possible. The reform should include as a minimum: increasing …

Phase 2 should consider what single agency or structure should be appointed or established to record, monitor and co-ordinate interventions for children …

Phase 2 should consider the development of a shared multi‑agency risk‑assessment tool that is clear, accessible and suitable for use across public …

Phase 2 should consider whether there should be a further ability to restrict or monitor access to the internet on the part …

The Department for Transport should require local authorities to ensure that all licensed taxi drivers have a clear duty promptly to report …

The Department for Transport should ensure that local authorities establish effective arrangements between licensed taxi companies and schools. These should enable school …

All police forces should ensure that their policies, guidance and training address taking on a calculated degree of risk in recognition of …

All police forces that have not implemented a model providing immediate and direct support to Force Incident Managers, ideally through a second …

NHS England should review funding, and consider providing additional resources, to enable all emergency response ambulance staff to participate in appropriate training …

North West Ambulance Service should review its procedures for declaring a Major Incident or Major Incident (Standby) to ensure clarity in how …

Merseyside Police and North West Ambulance Service should review the terminology used in their systems and procedures to ensure shared understanding and …

The Department for Education should update the out‑of‑school settings guidance by reviewing the health and safety section to ensure terminology is clear …

Phase 2 should consider systems to detect and report concerning online behaviour and suspicious combinations of purchases. This should include consideration of: …

The Home Office’s ongoing review of the sale of castor beans should consider regulation of the number of castor beans that can …

Phase 2 should consider whether conventional archery bows should be subject to age‑verification prior to sale, delivery restrictions including ID checks, mandatory …

Phase 2 should consider, in parallel with the government’s consultation where possible, a prohibition on the sale of crossbows, a licensing scheme …

The Home Office should provide clear guidance to all UK retailers of archery bows and crossbows on identifying and reporting suspicious behaviour, …

The Commissioner of Police of the Metropolis should consider an investigation, with input from the Crown Prosecution Service if appropriate, as to …

The Home Office should take immediate action to ensure that online knife retailers are complying with the Knives Act 1997, particularly regarding …

Amazon should: 1. Improve its measures to prevent children from making purchases, including making the conditions of use and sale more prominent. …

Phase 2 should consider further measures relating to knives/bladed items sales, including: 1. Restrictions on sharp‑tipped knives. 2. Prohibiting some online sales …

The Department for Education should review and strengthen its guidance to schools on monitoring and filtering systems, including ensuring that the systems …

Lancashire County Council should undertake a comprehensive review of how its children’s services and Early Help teams (i.e. Children and Family Wellbeing …

The Department for Science, Innovation and Technology should consider extending the powers under the Online Safety Act 2023 to enable Senior Coroners …

Phase 2 should consider age verification for the use of Virtual Private Network (VPN) software and other options to avoid VPNs being …

Lancashire Constabulary should consider extending Operation Encompass to share automatically relevant information with schools in bordering areas. The Department for Education should …

Lancashire Constabulary, and the College of Policing nationally, should ensure that forms and training emphasise the importance of recording, as precisely as …

Lancashire Constabulary and Merseyside Police should review the effectiveness of their information‑sharing systems and consider whether a more robust process is required. …

Lancashire Constabulary should ensure its training and systems address the risks associated with failing to record case information on police systems so …

Lancashire Constabulary should ensure its procedures and training sufficiently addresses the risks children and young people may pose to others and the …

1. Lancashire Constabulary should strengthen its autism spectrum disorder‑related training for new officers and through continuous development. 2. National policing bodies, with …

1. Lancashire Constabulary should ensure response officers have access to effective technology providing clear, essential case information. 2. The National Police Chiefs’ …

While training for Counter Terrorism Policing, staff involved in Prevent currently cover the importance of understanding a referred individual’s online activity and …

Counter Terrorism Policing’s capability to access and analyse data relating to a referred person’s online activity should be reviewed in the context …

Counter Terrorism Policing Headquarters should review its neurodiversity training for Prevent practitioners (including, where appropriate, drawing in wider healthcare advice) to ensure …

Counter Terrorism Policing Headquarters should review and where necessary strengthen the training that Counter Terrorism officers involved in Prevent already receive to …