Inquiries · Recommendations

Public Inquiry Recommendations

1,814 tracked recommendations 35 inquiries 638 match current filters Page 1 of 13

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

638 of 1,814 · page 1 of 13
Code Recommendation Inquiry Response
MAI-9 Enact Protect Duty into law
A Protect Duty, as set out above, should be enacted into law by primary legislation.
Manchester Arena Inquiry (2021) Accepted
MAI-49 Review analgesia rollout to HART operatives
If the decision is that the regulatory regime should be altered in this way, the National Ambulance Resilience Unit should consider urgently …
Manchester Arena Inquiry (2021) Accepted
MAI-91 Review analgesia deployment for firearms officers
The College of Policing and Counter Terrorism Policing Headquarters should review whether firearms officers should be deployed with analgesia and trained in …
Manchester Arena Inquiry (2021) Accepted
MAI-149 Healthcare provision under Protect Duty
The Home Office should consider whether the requirement for adequate healthcare provision at events is a topic that should also be addressed …
Manchester Arena Inquiry (2021) Accepted
MAI-161 Review CCTV monitoring SIA licence requirements
The requirement that only those monitoring CCTV under a contract for services need to hold an SIA licence should be reviewed.
Manchester Arena Inquiry (2021) Accepted
MAI-163 SIA encourage trauma care training for non-licensed staff
The Security Industry Authority should take steps to encourage the security industry generally to ensure that even those members of staff who …
Manchester Arena Inquiry (2021) Accepted
MAI-164 SIA first responder training for all licensees
The Security Industry Authority should take urgent steps to devise a training scheme in first responder interventions that educates all of those …
Manchester Arena Inquiry (2021) Accepted
MAI-2 Appoint control room intelligence collators (Ambulance)
All ambulance service trusts should consider appointing a person within their control rooms who, in the event of a Major Incident, has …
Manchester Arena Inquiry (2022) Accepted
MAI-3 Cross-border ambulance training and exercising
All ambulance service trusts should undertake training and exercising with neighbouring ambulance service trusts to ensure that cross-border support is efficient and …
Manchester Arena Inquiry (2022) Accepted
MAI-4 Appoint control room intelligence collators (Fire)
All fire and rescue services should consider appointing a person within their control rooms who, in the event of a Major Incident, …
Manchester Arena Inquiry (2022) Accepted
MAI-5 Major Incident training for North West Fire Control staff
All North West Fire Control staff should be trained on the best practices for responding to a Major Incident, as identified through …
Manchester Arena Inquiry (2022) Accepted
MAI-6 Ensure Airwave Tactical Advisors availability
All police services should ensure that they have made adequate provision for Airwave Tactical Advisors, in particular that an identified Airwave Tactical …
Manchester Arena Inquiry (2022) Accepted
MAI-7 Robust version control for operational plans
All police services should ensure that they have robust version control arrangements in place for all plans.
Manchester Arena Inquiry (2022) Accepted
MAI-8 Review mass casualty response capacity
Ambulance service trusts should review their capacity to respond to a mass casualty incident. That should include an assessment of whether they …
Manchester Arena Inquiry (2022) Accepted
MAI-10 Resolve paramedic-driver shortage in mass casualties
A significant issue in a mass casualty situation is that all of those paramedics who have arrived in ambulances may be required …
Manchester Arena Inquiry (2022) Accepted
MAI-11 Continue first aid and CPR in National Curriculum
As of September 2020, all primary and secondary school pupils were required to be taught health education, including first aid, as part …
Manchester Arena Inquiry (2022) Accepted
MAI-12 Train BTP Inspectors as Bronze Commanders
British Transport Police should ensure that all its Inspectors are trained to undertake the Bronze Commander role in the event of a …
Manchester Arena Inquiry (2022) Accepted
MAI-13 Train BTP Sergeants in Bronze Commander role
British Transport Police should ensure that all its Sergeants are trained in what is required of a Bronze Commander in the event …
Manchester Arena Inquiry (2022) Accepted
MAI-14 Improve BTP Major Incident record-making
British Transport Police should reflect on its approach to record-making during and immediately following a Major Incident, with a view to improving …
Manchester Arena Inquiry (2022) Accepted
MAI-15 Ensure prompt BTP Bronze Commander appointment
British Transport Police should review its procedures to ensure the prompt appointment of a Bronze Commander during a Major Incident.
Manchester Arena Inquiry (2022) Accepted
MAI-16 BTP coordination with Home Office police services
British Transport Police should work with the Home Office police services with which it shares policing responsibilities at or for a particular …
Manchester Arena Inquiry (2022) Accepted
MAI-17 Review BTP jurisdiction overlaps
BTP and all Home Office Police Services should conduct a review of the areas in which their jurisdictions overlap. In the case …
Manchester Arena Inquiry (2022) Accepted
MAI-18 Address BTP systemic failings from Volume 1
BTP should address the systemic failings identified in Volume 1, so as to ensure that they are not repeated.
Manchester Arena Inquiry (2022) Accepted
MAI-19 Provide recording equipment to control room personnel
Consideration should also be given by those organisations to the provision of such equipment to key personnel within control rooms.
Manchester Arena Inquiry (2022) Accepted
MAI-20 Review licensing for security contractors
Consideration should be given to whether contractors who carried out security services should be required to be licenced.
Manchester Arena Inquiry (2022) Accepted
MAI-21 Firearms officer training on Operation Plato
Counter Terrorism Policing Headquarters and the College of Policing should ensure that all firearms officers, including firearms commanders, receive adequate training in …
Manchester Arena Inquiry (2022) Accepted
MAI-22 Unarmed officer training on Operation Plato
Counter Terrorism Policing Headquarters and the College of Policing should ensure that all unarmed frontline police officers receive training in what Operation …
Manchester Arena Inquiry (2022) Accepted
MAI-23 Guidance on Silver command deployment to scene
Counter Terrorism Policing Headquarters and the College of Policing should issue guidance on the circumstances in which a police officer or officers …
Manchester Arena Inquiry (2022) Accepted
MAI-24 Review combined vs separate Gold/Silver Control Rooms
Counter Terrorism Policing Headquarters and the College of Policing should review the advantages and disadvantages of a combined Silver and Gold Control …
Manchester Arena Inquiry (2022) Accepted
MAI-25 Review embedding doctors with firearms teams
Counter Terrorism Policing Headquarters should review the evidence heard during the Inquiry, including that heard in restricted sessions, to consider the advantages …
Manchester Arena Inquiry (2022) Accepted
MAI-26 Review international practice on medics with firearms officers
Counter Terrorism Policing Headquarters should review the experience of other jurisdictions that embed medics with police firearms officers, such as Recherche, Assistance, …
Manchester Arena Inquiry (2022) Accepted
MAI-27 Review terrorist attack notification procedures
Counter Terrorism Policing Headquarters should review the procedures by which it is notified of a terrorist attack to ensure that all police …
Manchester Arena Inquiry (2022) Accepted
MAI-28 Senior emergency service representation at LRFs
Each emergency service should ensure that it is represented at a senior level at every meeting of a local resilience forum.
Manchester Arena Inquiry (2022) Accepted
MAI-29 Adequate first responder training time for police
Each police service must ensure that adequate time is allocated to the training of all police officers and frontline police staff in …
Manchester Arena Inquiry (2022) Accepted
MAI-30 Nationally accredited Force Duty Officer training
Given the broad command responsibilities that the Force Duty Officer or Force Incident Manager will have in the early stages of the …
Manchester Arena Inquiry (2022) Accepted
MAI-31 Joint GMFRS/NWFC incident log review procedures
Greater Manchester Fire and Rescue Service and North West Fire Control should conduct a joint review of the circumstances in which it …
Manchester Arena Inquiry (2022) Accepted
MAI-32 Train GMFRS commanders in operational discretion
Greater Manchester Fire and Rescue Service should ensure that its commanders are adequately trained in the use of operational discretion.
Manchester Arena Inquiry (2022) Accepted
MAI-33 Improve GMFRS Major Incident record-making
Greater Manchester Fire and Rescue Service should reflect on its approach to record-making during and immediately following a Major Incident, with a …
Manchester Arena Inquiry (2022) Accepted
MAI-34 Review GMFRS information sharing during incidents
Greater Manchester Fire and Rescue Service should review its guidance and policies on how it receives and passes on information during a …
Manchester Arena Inquiry (2022) Accepted
MAI-35 Review GMFRS Incident Commander policy
Greater Manchester Fire and Rescue Service should review the policy by which the Incident Commander takes up the role, in light of …
Manchester Arena Inquiry (2022) Accepted
MAI-36 Regular expert review of GMP Major Incident plans
Greater Manchester Police should ensure that its plans for responding to a Major Incident, including a terrorist incident, are reviewed regularly by …
Manchester Arena Inquiry (2022) Accepted
MAI-37 Ensure GMP role cards are accessible
Greater Manchester Police should ensure that its role cards are always immediately accessible to the officers who are to perform those roles
Manchester Arena Inquiry (2022) Accepted
MAI-38 Improve GMP Major Incident record-making
Greater Manchester Police should reflect on its approach to record-making during and immediately following a Major Incident, with a view to improving …
Manchester Arena Inquiry (2022) Accepted
MAI-39 Single consolidated GMP Operation Plato plan
Greater Manchester Police should review its Operation Plato plans to ensure that there is only a single plan to which all can …
Manchester Arena Inquiry (2022) Accepted
MAI-40 Include GMFRS capabilities in GMP Major Incident Plan
Greater Manchester Police's Major Incident Plan should be reviewed to ensure that it includes clear guidance on the capabilities of Greater Manchester …
Manchester Arena Inquiry (2022) Accepted
MAI-41 Include NWAS capabilities in GMP Major Incident Plan
Greater Manchester Police's Major Incident Plan should be reviewed to ensure that it includes clear guidance on the capabilities of North West …
Manchester Arena Inquiry (2022) Accepted
MAI-42 SMG sharing of emergency response plans
SMG should review its processes to ensure that it shares with Greater Manchester Police, Greater Manchester Fire and Rescue Service, British Transport …
Manchester Arena Inquiry (2022) Accepted
MAI-43 Guidance on covering deceased at mass casualty scenes
Guidance should be provided to event healthcare providers, to emergency service responders other than paramedics and to the public generally about the …
Manchester Arena Inquiry (2022) Accepted
MAI-44 Ambulance trusts submit resource recommendations
Having carried out that review, the trusts should make recommendations to their NHS commissioners about the additional and/or different resources they require …
Manchester Arena Inquiry (2022) Accepted
MAI-45 Ensure effective explosive detection dog deployment
His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, Counter Terrorism Policing Headquarters and the College of Policing should take steps …
Manchester Arena Inquiry (2022) Accepted
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