Inquiries · Recommendations

Public Inquiry Recommendations

1,814 tracked recommendations 35 inquiries 423 match current filters Page 4 of 9

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 95
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 19
Morecambe Bay Investigation 44 44
Brook House Inquiry 33 28
Bichard Inquiry 31 31
Angiolini Inquiry 30 16
Post Office Horizon Inquiry 27 25
Jermaine Baker Inquiry 26 22
Edinburgh Tram Inquiry 24 21
Daniel Morgan Panel 23 23
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

423 of 1,814 · page 4 of 9
Code Recommendation Inquiry Response
MAI-158 Guidance on commander location during incidents
The Home Office, the National Ambulance Resilience Unit, the College of Policing and the Fire Service College should develop guidance as to …
Manchester Arena Inquiry (2022) Accepted
MAI-159 Consider funding arrangements for police services
The Inquiry heard evidence that the impact of public funding cuts fell disproportionately hard on metropolitan police services, such as Greater Manchester …
Manchester Arena Inquiry (2022) Accepted
MAI-160 Train all firefighters in first responder interventions
The National Fire Chiefs Council and the Fire Service College should establish a scheme for ensuring that all firefighters are trained in …
Manchester Arena Inquiry (2022) Accepted
MAI-162 Define BTP Senior Duty Officer role in Major Incidents
The role of the Senior Duty Officer in a Major Incident should be clearly defined and explained in the British Transport Police …
Manchester Arena Inquiry (2022) Accepted
MAI-165 Ten Second Triage training for frontline staff
The team led by Philip Cowburn has devised a tool that is designed for use by a wide range of emergency responders …
Manchester Arena Inquiry (2022) Accepted
MAI-166 Introduce Major Incident Triage Tool
The team led by Philip Cowburn has devised a tool that is designed to replace the existing systems of primary and secondary …
Manchester Arena Inquiry (2022) Accepted
MAI-167 Clarify Casualty Collection Point terminology
The terms Casualty Collection Point and Casualty Clearing Station are capable of being confused, one for the other, particularly in circumstances of …
Manchester Arena Inquiry (2022) Accepted
MAI-168 Review Major Incident plans for joint working
Those organisations should consider what changes need to be made to Major Incident plans in order to achieve those aims.
Manchester Arena Inquiry (2022) Accepted
MAI-169 Review Operation Plato guidance
Those organisations should consider what changes need to be made to the Counter Terrorism Policing Headquarters Operation Plato guidance in order to …
Manchester Arena Inquiry (2022) Accepted
MAI-1 School-to-college records on radicalisation vulnerability
A clean start should be possible when a student moves from school to college or higher education, such that it would not …
Manchester Arena Inquiry (2023) Accepted
MAI-52 Consider Commission for Countering Extremism report
In 2021, the Commission for Countering Extremism published a report entitled Operating with Impunity. Hateful Extremism: The Need for a Legal Framework. …
Manchester Arena Inquiry (2023) Accepted
MAI-54 School records on radicalisation vulnerability
It is recommended that the Department for Education consider whether schools should include notes of any significant behavioural problems on the Common …
Manchester Arena Inquiry (2023) Accepted
MAI-55 Risk-based visitor restrictions for radicalising prisoners
It is recommended that the Home Office consider introducing a system based on a robust assessment of the risk a prisoner poses …
Manchester Arena Inquiry (2023) Accepted
MAI-60 Record images of students with weapons
It is recommended to all educational establishments and the Department for Education that images of school pupils or college students handling firearms, …
Manchester Arena Inquiry (2023) Accepted
P1-40 Communicate Major Incident declarations to all responders
Each emergency service must communicate the declaration of a Major Incident to all other Category 1 Responders as soon as possible.
Grenfell Tower Inquiry (2019) Accepted
P1-41 Establish inter-service control room communications
On the declaration of a Major Incident clear lines of communication must be established as soon as possible between the control rooms …
Grenfell Tower Inquiry (2019) Accepted
P1-42 Designate single point of contact in control rooms
A single point of contact should be designated within each control room to facilitate such communication.
Grenfell Tower Inquiry (2019) Accepted
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
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
P2-42 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
POH-1 Respond to recommendations by 10 October 2025
HM Government and/or the Department and where appropriate the Post Office and Fujitsu shall provide written responses to my recommendations by 10 …
Post Office Horizon Inquiry (2025) Accepted
POH-2 Define and publish meaning of full and fair financial redress
The Minister and/or the Department in conjunction with the Post Office shall make a public announcement explaining what is meant by the …
Post Office Horizon Inquiry (2025) Accepted
POH-3 Apply full and fair meaning consistently across all schemes
The Post Office, the Department and the Minister shall ensure that all decision makers in HSS, GLOS and OCS/HCRS apply the meaning …
Post Office Horizon Inquiry (2025) Accepted
POH-5 Allow 3-month window to accept Fixed Sum Offer after assessment
Any claimant who opts to have a claim assessed when the claim is submitted to the Post Office or the Department may …
Post Office Horizon Inquiry (2025) Accepted
POH-6 Appoint senior lawyer to ensure HSS offers are full and fair
A suitably qualified senior lawyer shall be appointed to HSS as soon as is practicable with the aim that any such appointee …
Post Office Horizon Inquiry (2025) Accepted
POH-7 Grant appropriate powers to HSS senior lawyer
The appointed person shall be given appropriate powers to ensure that these tasks can be performed and carried into effect. If it …
Post Office Horizon Inquiry (2025) Accepted
POH-8 Require HSS first offers match Independent Advisory Panel recommendation
In HSS the Post Office shall be obliged to make, and the Department shall be obliged to approve (when necessary) a first …
Post Office Horizon Inquiry (2025) Accepted
POH-9 Allow HSS Fixed Sum acceptors to appeal with independent permission
The Department following consultation with the Advisory Board, claimants' representatives and any other persons or bodies it thinks appropriate, shall give urgent …
Post Office Horizon Inquiry (2025) Accepted
POH-10 Clarify best offer principle in HSSA guidance with examples
The Department shall issue a supplementary document/announcement clarifying the meaning and intent of the "best offer" principle in the Horizon Shortfall Scheme …
Post Office Horizon Inquiry (2025) Accepted
POH-11 Apply best offer principle equally in GLOS
The "best offer" principle which will apply in HSSA, as explained in response to Recommendation 10, shall be equally applicable in GLOS.
Post Office Horizon Inquiry (2025) Accepted
POH-12 Amend GLOS to allow claimants oral submissions at panel hearings
The scheme documents governing GLOS should be amended so that a right is conferred upon claimants (exercisable by the claimants themselves or …
Post Office Horizon Inquiry (2025) Accepted
POH-14 Post Office to engage in negotiations during HSSA appeal period
During the nine-month period afforded to claimants to submit an appeal to the Department in HSSA, the Post Office shall engage in …
Post Office Horizon Inquiry (2025) Accepted
POH-16 Clarify whether HCRS and OCS assessment processes differ
The Department shall make a public announcement in which (a) it clarifies whether there will be any differences in the process for …
Post Office Horizon Inquiry (2025) Accepted
POH-18 Devise redress process for affected family members
The Department shall devise a process for providing financial redress to close family members of those most adversely affected by Horizon. Such …
Post Office Horizon Inquiry (2025) Accepted
POH-19 Publish restorative justice programme by 31 October 2025
By 31 October 2025, the Department, Fujitsu and the Post Office shall publish, either separately or together, a report outlining any agreed …
Post Office Horizon Inquiry (2025) Accepted
POH-IR1-2 Publish Advisory Board meeting reports within 21 days
The Horizon Compensation Advisory Board shall produce written reports in respect of each of their meetings in relation to each of the …
Post Office Horizon Inquiry (2023) Accepted
POH-IR1-4 Increase Advisory Board membership if needed for capacity
If the Horizon Compensation Advisory Board considers it necessary, the number of persons appointed to the Board should be increased so as …
Post Office Horizon Inquiry (2023) Accepted
POH-IR1-5 Seek court directions for GLO compensation in bankruptcy cases
DBT shall take such steps as are necessary within 28 days of the publication of this report to seek appropriate directions under …
Post Office Horizon Inquiry (2023) Accepted
POH-IR1-6 Publish proposals for equal tax treatment of compensation payments
DBT shall publish within 28 days of the publication of this report its proposals for ensuring that applicants to all schemes are …
Post Office Horizon Inquiry (2023) Accepted
COVID-M1.1 Simplify Emergency Preparedness Structures
The governments of the UK, Scotland, Wales and Northern Ireland should each simplify and reduce the number of structures with responsibility for …
COVID-19 Inquiry (2024) Accepted
COVID-M1.3 Improved Risk Assessment Approach
The UK government and devolved administrations should work together on developing a new approach to risk assessment that moves away from a …
COVID-19 Inquiry (2024) Accepted
COVID-M1.5 Pandemic Data Systems and Research
The UK government, working with the devolved administrations, should establish mechanisms for the timely collection, analysis, secure sharing and use of reliable …
COVID-19 Inquiry (2024) Accepted
COVID-M1.6 Triennial Pandemic Exercises
The UK government and devolved administrations should together hold a UK-wide pandemic response exercise at least every three years. The exercise should: …
COVID-19 Inquiry (2024) Accepted
COVID-M1.7 Publish Exercise Reports and Lessons
For all civil emergency exercises, the governments of the UK, Scotland, Wales and Northern Ireland should each (unless there are reasons of …
COVID-19 Inquiry (2024) Accepted
COVID-M1.9 External Red Teams for Resilience
The governments of the UK, Scotland, Wales and Northern Ireland should each introduce the use of red teams in the Civil Service …
COVID-19 Inquiry (2024) Accepted
COVID-M2.3 UK-wide Expert Register
The Government Office for Science (GO-Science) should develop and maintain a register of experts across the four nations of the UK who …
COVID-19 Inquiry (2025) Accepted
COVID-M2.5 Advisory Group Terms of Appointment
The Government Office for Science (GO-Science), the Scottish Government, the Welsh Government and the Department of Health (Northern Ireland) should each develop …
COVID-19 Inquiry (2025) Accepted
COVID-M2.6 Enact Socio-economic Duty
The UK government should bring into force in England section 1 of the Equality Act 2010, implementing the socio-economic duty. The Northern …
COVID-19 Inquiry (2025) Accepted
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