Inquiries · Recommendations

Public Inquiry Recommendations

1,814 tracked recommendations 35 inquiries 324 match current filters Page 7 of 7

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	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

324 of 1,814 · page 7 of 7

Code	Recommendation	Inquiry	Response
P2-39	Local authority security audits Routine and regular audits of security must be conducted, encompassing both access to and exit from the mortuary and movement within it, …	Fuller Inquiry (2025)	Accepted in Part
P2-40	Local authority strategic security review Immediate steps must be taken to commission a specialist strategic review of the systems in place to protect the deceased, which should …	Fuller Inquiry (2025)	Accepted in Part
P2-41	No reliance on keys/keypads alone There must be no reliance on keys and keypad codes alone to secure access to the mortuary.	Fuller Inquiry (2025)	Accepted in Part
P2-42	Lock fridges and freezers at all times Fridges and freezers containing deceased people must be locked at all times, with appropriate key security in place.	Fuller Inquiry (2025)	Accepted in Part
P2-43	Local authority CCTV installation CCTV must be installed inside the mortuary facing all doors and access points, the reception area and the doors of all fridges …	Fuller Inquiry (2025)	Accepted in Part
P2-44	Local authority incident response SOPs Arrangements for responding to incidents of unauthorised access must be reviewed and incorporated into Standard Operating Procedures.	Fuller Inquiry (2025)	Accepted in Part
P2-45	Local authority single security SOP All policies and procedures in relation to the security of the mortuary must be accurately and comprehensively reflected in a single security …	Fuller Inquiry (2025)	Accepted in Part
P2-46	Local authority funding for security expedited There must be a process to ensure that, where there is a requirement for funding to strengthen mortuary security, it is expedited …	Fuller Inquiry (2025)	Accepted in Part
P2-47	Local authority security breach investigation There must be an investigation into the root cause of each security breach. Each incident, the investigation and action plan must be …	Fuller Inquiry (2025)	Accepted in Part
P2-48	Local authority annual SOP and HTA audits There must be audits of the mortuary Standard Operating Procedures and compliance with Human Tissue Authority requirements, undertaken annually as a minimum, …	Fuller Inquiry (2025)	Accepted in Part
P2-49	Local authority DI management and oversight review There must be a review of the management and oversight arrangements for the mortuary service, taking into consideration who is appointed as …	Fuller Inquiry (2025)	Accepted in Part
P2-50	Local authority mortuary as regulated service The mortuary service must be treated in the same way as other regulatory services within local authority reporting structures: The mortuary must …	Fuller Inquiry (2025)	Accepted in Part
P2-51	Local authority biennial audits and peer review The mortuary service must be reviewed by professional auditors at least biennially, with the results of the audit reported to a formal …	Fuller Inquiry (2025)	Accepted in Part
P2-52	Share mortuary reports with coroner service All relevant reports and incidents concerning the mortuary must be made known to the lead local authority manager for the coroner service …	Fuller Inquiry (2025)	Accepted in Part
P2-53	Local authority report implementation to committee The implementation of these recommendations must be reported to the relevant statutory committee.	Fuller Inquiry (2025)	Accepted in Part
P2-54	Local authority contingent body storage plans Local authorities providing a coroner service must review plans for the provision and operation of contingent body storage, in collaboration with local …	Fuller Inquiry (2025)	Accepted in Part
P2-55	Unlicensed body stores prepared for HTA compliance Local authorities providing an unlicensed body store must be prepared to comply with the Human Tissue Authority's standards and guidance where applicable, …	Fuller Inquiry (2025)	Accepted in Part
P2-56	Unlicensed body stores follow same standards Where local authorities provide an unlicensed body store, they should do so in line with this Report's recommendations to local authority providers …	Fuller Inquiry (2025)	Accepted in Part
1	Single consultant data repository We recommend that there should be a single repository of the whole practice of consultants across England, setting out their practising privileges …	Paterson Inquiry (2020)	Accepted in Part
4	Reflection period for consent We recommend that there should be a short period introduced into the process of patients giving consent for surgical procedures, to allow …	Paterson Inquiry (2020)	Accepted in Part
6b	Mandatory independent complaint resolution We recommend that all private patients should have the right to mandatory independent resolution of their complaint.	Paterson Inquiry (2020)	Accepted in Part
10	Indemnity regulation reform We recommend that the Government should, as a matter of urgency, reform the current regulation of indemnity products for healthcare professionals in …	Paterson Inquiry (2020)	Accepted in Part
12b	Information sharing between providers We recommend that if the healthcare professional also works at another provider, any concerns about them should be communicated to that provider.	Paterson Inquiry (2020)	Accepted in Part
13	Independent sector provider responsibility We recommend that the government addresses, as a matter of urgency, this gap in responsibility and liability.	Paterson Inquiry (2020)	Accepted in Part

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