Inquiries · Recommendations

Public Inquiry Recommendations

1,814 tracked recommendations 35 inquiries 687 match current filters Page 3 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

687 of 1,814 · page 3 of 14

Code	Recommendation	Inquiry	Response
MAI-102	Enhanced care training for HART personnel The Department of Health and Social Care and the National Ambulance Resilience Unit should consider ensuring that there is further training of …	Manchester Arena Inquiry (2022)	Accepted
MAI-103	Guidance on Ambulance Liaison Officer role The Department of Health and Social Care and the National Ambulance Resilience Unit should consider the scope of the role of an …	Manchester Arena Inquiry (2022)	Accepted
MAI-104	Review Advanced Medical Priority Dispatch System The Department of Health and Social Care and the National Ambulance Resilience Unit should consider whether the Advanced Medical Priority Dispatch System …	Manchester Arena Inquiry (2022)	Accepted
MAI-105	Consider SMART Triage Tags in paramedic bags The Department of Health and Social Care and the National Ambulance Resilience Unit should consider whether the Basic Life Support and Advanced …	Manchester Arena Inquiry (2022)	Accepted
MAI-106	Notify duty command of significant events The Department of Health and Social Care and the National Ambulance Resilience Unit should develop a system for ensuring that the duty …	Manchester Arena Inquiry (2022)	Accepted
MAI-107	Ensure immediate HART resource deployment The Department of Health and Social Care and the National Ambulance Resilience Unit should develop procedures to ensure that, so far as …	Manchester Arena Inquiry (2022)	Accepted
MAI-108	Regular Major Incident training for ambulance commanders The Department of Health and Social Care and the National Ambulance Resilience Unit should ensure that all ambulance commanders receive regular Major …	Manchester Arena Inquiry (2022)	Accepted
MAI-109	Review stretchers on Mass Casualty Equipment Vehicles The Department of Health and Social Care and the National Ambulance Resilience Unit should review whether stretchers should be carried on National …	Manchester Arena Inquiry (2022)	Accepted
MAI-110	Guidance on event first aid equipment The Department of Health and Social Care should consider issuing guidance on the first aid equipment that event providers should have available …	Manchester Arena Inquiry (2022)	Accepted
MAI-111	Establish standard for event healthcare services The Department of Health and Social Care should establish the standard for the level of healthcare services required at events. Consideration should …	Manchester Arena Inquiry (2022)	Accepted
MAI-112	Give consideration to NHS commissioner recommendations The Department of Health and Social Care should give urgent and close consideration to any recommendations made by the trusts and the …	Manchester Arena Inquiry (2022)	Accepted
MAI-113	Public Access Trauma kits equipment requirements The Department of Health and Social Care should take steps to ensure that Public Access Trauma kits contain the equipment that is …	Manchester Arena Inquiry (2022)	Accepted
MAI-114	Review optimal stretcher types for mass casualties The Department of Health and Social Care should undertake a review, with input from other bodies as the Department considers appropriate, in …	Manchester Arena Inquiry (2022)	Accepted
MAI-115	Guidance on equipment for warm zone interventions The Department of Health and Social Care, the Faculty of Pre-Hospital Care, the College of Paramedics and the National Ambulance Resilience Unit …	Manchester Arena Inquiry (2022)	Accepted
MAI-116	Consider freeze-dried plasma for HART operatives The Department of Health and Social Care, the Faculty of Pre-Hospital Care, the College of Paramedics and the National Ambulance Resilience Unit …	Manchester Arena Inquiry (2022)	Accepted
MAI-117	Review UK evacuation to hospital model The Department of Health and Social Care, the Faculty of Pre-Hospital Care, the College of Paramedics and the National Ambulance Resilience Unit …	Manchester Arena Inquiry (2022)	Accepted
MAI-118	Review intramuscular TXA on frontline ambulances The Department of Health and Social Care, the Faculty of Pre-Hospital Care, the College of Paramedics and the National Ambulance Resilience Unit …	Manchester Arena Inquiry (2022)	Accepted
MAI-119	Integrate air ambulances into Major Incident response The Department of Health and Social Care, the NHS, the National Ambulance Resilience Unit, ambulance service trusts, Air Ambulances UK, Counter Terrorism …	Manchester Arena Inquiry (2022)	Accepted
MAI-120	Consider air ambulance integration into response The Department of Health and Social Care, the NHS, the National Ambulance Resilience Unit, ambulance service trusts, Air Ambulances UK, Counter Terrorism …	Manchester Arena Inquiry (2022)	Accepted
MAI-121	Consequences for breaching event healthcare standards The Department of Health and Social Care together with the Care Quality Commission should consider what the consequences of breaching the appropriate …	Manchester Arena Inquiry (2022)	Accepted in Part
MAI-122	Maintain radio communications during Major Incidents The emergency services should prepare, train and exercise for how they will maintain effective radio communications between emergency responders on the ground, …	Manchester Arena Inquiry (2022)	Accepted
MAI-123	GM Resilience Forum tri-service plan reviews The Greater Manchester Resilience Forum should oversee, at least every six months, a regular tri-service review of the Major Incident plans used …	Manchester Arena Inquiry (2022)	Accepted
MAI-124	First responder training for all police officers The Home Office and College of Policing should ensure that all newly recruited and existing police officers and all frontline police staff, …	Manchester Arena Inquiry (2022)	Accepted
MAI-125	Silver Commander training for designated officers The Home Office and College of Policing should ensure that any police officer whose position carries with it the expectation that they …	Manchester Arena Inquiry (2022)	Accepted
MAI-126	Assess quality of first responder training The Home Office and the College of Policing should regularly assess and appraise the training on first responder interventions provided by each …	Manchester Arena Inquiry (2022)	Accepted
MAI-127	Robust debrief systems for multi-agency exercises The Home Office and the Department for Levelling Up, Housing and Communities should ensure that there exist robust national and local systems …	Manchester Arena Inquiry (2022)	Accepted
MAI-128	National systems to record lessons from exercises The Ministry of Housing, Communities and Local Government should ensure that there exist robust national and local systems to identify and record …	Manchester Arena Inquiry (2022)	Accepted
MAI-129	Threshold for Ambulance Liaison Officer at events The Home Office and the Department of Health and Social Care should consider how the threshold for a requirement that an Ambulance …	Manchester Arena Inquiry (2022)	Accepted
MAI-130	Public Access Trauma kit availability The Home Office and the Department of Health and Social Care should consider how to ensure Public Access Trauma kits are available …	Manchester Arena Inquiry (2022)	Accepted
MAI-131	Force Duty Officer comprehensive training course The Home Office, College of Policing and Counter Terrorism Policing Headquarters should ensure that all police officers to be appointed to the …	Manchester Arena Inquiry (2022)	Accepted
MAI-132	Body-worn video for firearms officers The Home Office, Counter Terrorism Policing Headquarters and the College of Policing should consider whether firearms officers should be equipped routinely with …	Manchester Arena Inquiry (2022)	Accepted
MAI-133	High fidelity training for emergency responders The Home Office, Counter Terrorism Policing Headquarters, the College of Policing, the Fire Service College and the National Ambulance Resilience Unit should …	Manchester Arena Inquiry (2022)	Accepted
MAI-134	Fire service notice of significant pre-planned events The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, and the Fire Service College should develop a system …	Manchester Arena Inquiry (2022)	Accepted
MAI-135	Action cards for emergency services in Major Incidents The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College and …	Manchester Arena Inquiry (2022)	Accepted
MAI-136	Awareness of specialist capabilities across services The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the …	Manchester Arena Inquiry (2022)	Accepted
MAI-137	Common terminology for Operation Plato zones The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the …	Manchester Arena Inquiry (2022)	Accepted
MAI-138	Common terminology for non-Plato hazardous zones The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the …	Manchester Arena Inquiry (2022)	Accepted
MAI-139	Review and update JESIP Joint Doctrine The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the …	Manchester Arena Inquiry (2022)	Accepted
MAI-140	Review Major Incident plans for interoperability The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the …	Manchester Arena Inquiry (2022)	Accepted
MAI-141	Nationally agreed format for all emergency plans The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the …	Manchester Arena Inquiry (2022)	Accepted
MAI-142	Compel LRF attendance from Category 1 and 2 responders The Home Office should consider empowering the leadership of local resilience forums to compel the attendance of a senior representative of its …	Manchester Arena Inquiry (2022)	Accepted
MAI-143	Consistent and sufficient LRF funding The Home Office should consider how local resilience forums are to be funded consistently and sufficiently to enable them to do their …	Manchester Arena Inquiry (2022)	Accepted
MAI-144	Mandatory Ambulance Liaison Officer at events The Home Office should consider how the presence of an Ambulance Liaison Officer in appropriate circumstances may be made mandatory. This may …	Manchester Arena Inquiry (2022)	Accepted
MAI-145	Strategic Co-ordinating Group within two hours The Home Office should consider the introduction of a national standard requiring a meeting of the Strategic Co-ordinating Group to take place …	Manchester Arena Inquiry (2022)	Accepted
MAI-146	Public education on first responder interventions The Home Office should consider the introduction of a public education programme to educate the public in first responder interventions.	Manchester Arena Inquiry (2022)	Accepted
MAI-147	Employer requirement to train in first aid The Home Office should consider the introduction of a requirement into law, for example through regulations issued under the Health and Safety …	Manchester Arena Inquiry (2022)	Accepted
MAI-148	LRF staffing and resources The Home Office should consider, together with local resilience forums, how they are to have sufficient staff and resources to enable them …	Manchester Arena Inquiry (2022)	Accepted
MAI-150	Police notice of significant pre-planned events The Home Office, the College of Policing and His Majesty's Inspectorate of Constabulary and Fire and Rescue Services should develop a system …	Manchester Arena Inquiry (2022)	Accepted
MAI-151	App for commander contact details The Home Office, the College of Policing, the Fire Service College and the National Ambulance Resilience Unit should consider together whether an …	Manchester Arena Inquiry (2022)	Accepted
MAI-152	Recording equipment for incident commanders The Home Office, the College of Policing, the National Ambulance Resilience Unit and the Fire Service College should ensure that all those …	Manchester Arena Inquiry (2022)	Accepted

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