Outdated Emergency Preparedness Guidance
Outdated, fragmented, and overly long emergency preparedness guidance, lacking emphasis on recovery and identification of vulnerable people.
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Inquiry recommendation
100match
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on preparing for emergencies is contained in several documents, all of which are unduly long and in some respects out of date. We recommend that the guidance be revised, reduced in length and consolidated in one document which lays greater emphasis on the need for those leading the response to consider the requirements for recovery,...
Matched on
terms: emergency, guidance, preparednes
Committee recommendation
83match
#118 - Consider physical cash value in emergency preparedness and severe payment system outages
In discharging its responsibility for national security and resilience, HM Treasury must consider the value of physical cash in emergency preparedness. This may include recommending that cash is held by individuals in case of emergency, and considering what role cash distribution might play in a severe payment systems outage. (Recommendation)
Matched on
terms: emergency, preparednes
PFD report
69match
Matthew Lewis
The coroner noted confusion among emergency responders regarding call handler instructions, which appeared inconsistent with the primary duty to preserve life. Clearer guidance and training for call handlers are needed to ensure effective responses in hanging incidents.
Matched on
terms: emergency, guidance
Inquiry recommendation
65match
COVID-M5.5 - Emergency Healthcare Equipment Plan
UK regulators, including the Health and Safety Executive, the Health and Safety Executive for Northern Ireland, the Office for Product Safety and Standards and the Medicines and Healthcare products Regulatory Agency, should establish an emergency healthcare equipment cross-regulator plan for future pandemics. The plan must include arrangements for: coordination of written guidance from regulators to ensure that it...
Matched on
terms: emergency, guidance
Committee recommendation
65match
#5 - Forty-Sixth Report Government preparedness for the COVID-19 pandemic: lessons for government on risk
Government would have been better prepared for COVID-19 if it had applied learning from previous incidents and exercises. Government was unprepared for a pandemic with widespread asymptomatic transmission, but this was not unprecedented. The early spread of HIV, too, was partly caused by the fact that it was an asymptomatic condition that could take months before being diagnosed....
Matched on
terms: emergency, preparednes
Inquiry recommendation
62match
MAI-99 - Review licensing guidance on event healthcare
The Department for Levelling Up, Housing and Communities should review the guidance given to all licensing authorities on the decisions they make in relation to venues that hold events, and on what level of event healthcare services may be required at the events likely to be held at those venues. The guidance should indicate appropriate licence conditions to...
Matched on
terms: guidance
Inquiry recommendation
62match
MAI-46 - Guidance on Major Incident plan review frequency
His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing and the Home Office should issue guidance for all police services on how often operational plans for responding to a Major Incident, including a terrorist incident, should be reviewed, how that review should be conducted, and what rank and experience the officers involved should...
Matched on
terms: guidance
Committee recommendation
62match
#19 - UK preparedness for acute AMR risks is strong initially, but scaling up remains challenging.
We also asked DHSC about the UK’s preparedness for addressing the chronic risk of AMR and the possibility of it becoming an acute risk. DHSC told us that the UK has a strong base which would make the initial response positive, however it may be more challenging to scale up response efforts. UKHSA told us that AMR is...
Matched on
terms: preparednes
Committee recommendation
60match
#2 - First Report - The UK response to covid-19: use of scientific advice
The Cabinet Office and Government Office for Science should update SAGE guidance to set out the role that SAGE will play in advising the Government’s long-term management of emergency scenarios. (Paragraph 34) Activation and operation of SAGE
Matched on
terms: emergency, guidance
IOPC learning recommendation
60match
National recommendations and recommendations made to the Metropolitan Police Service and West Yorkshire Police, July 2020
The IOPC recommends that: Joint Emergency Service Interoperability Principles (JESIP) issues a ‘Joint Organisational Learning’ (JOL) action note to all emergency services, requiring them to: - include the NPAS guidance in their training for call handlers; and - ensure that systems are in place to remind call handlers during specific incidents of NPAS rescue capability and to explicitly...
Matched on
terms: emergency, guidance
PFD report
57match
Martin Daffydd Barker
The coroner identified a lack of national guidance for independent medical service providers on how to alert NHS hospitals about incoming urgent patients. This absence causes confusion and poses a risk to critically ill individuals arriving at hospitals without prior notification or preparation.
Matched on
terms: guidance
PFD report
57match
George Hines
Insufficient maintenance of emergency pull-cords and smoke detectors in sheltered accommodation, including a disconnected pull-cord, was noted. The smoke detector system also did not alert the Emergency Control Room, and fire instructions were unclear, risking delayed emergency response.
Matched on
terms: emergency
PFD report
57match
James Robertson
The coroner noted that carers were not required to log check times accurately, and the system for indicating DNACPR status (stickers/central notes) led to delays in resuscitation. Additionally, a lack of national standards meant the emergency resuscitation pack was missing key equipment.
Matched on
terms: emergency
PFD report
57match
Zane Gbangbola
The coroner notes that safety guidance documents for internal combustion engine equipment, particularly for use in confined areas, are inadequate and potentially misleading. The use of the HSE logo on these documents risks implying official endorsement, which could exacerbate harm.
Matched on
terms: guidance
PFD report
57match
Joshua Smith
The coroner identified deficiencies in the emergency response, including a delay in immediately alerting police, difficulties in identifying the caller's location, and a lack of clear command, control, and coordination, noting that JESIP was not followed.
Matched on
terms: emergency
PFD report
57match
Mavis Reeves
The coroner identified limitations with the analogue Careline system that can impede emergency services access and prevent other residents from making calls when the line is in use. Concerns were also raised about insufficient labelling of keys in the safe, leading to delays for emergency services.
Matched on
terms: emergency
PFD report
57match
Flora Shen
The coroner noted the multi-step process for passengers to alert staff and for staff to activate the emergency brake. There is a reliance on members of the public to identify hazards on the track and activate alarms, as the central CCTV system cannot monitor all stations simultaneously.
Matched on
terms: emergency
PFD report
57match
Nicholas Winterton
The coroner notes that Public Health England's nationally recognised risk for Mycobacterium Chimaera infection is inaccurate, based on outdated 2017 data and underreporting, impacting informed consent and timely diagnosis. An immediate review and update of this statistical data is required.
Matched on
terms: outdated
PFD report
57match
Vinnie Dodds
The coroner noted the absence of national guidance for managing large babies without maternal diabetes. Concerns were raised regarding insufficient information provided to mothers about the risk of death from shoulder dystocia, and its omission from the RCOG patient information leaflet.
Matched on
terms: guidance
PFD report
57match
Rita Britten
The coroner identified a lack of clear national emergency guidelines for managing choking incidents in overweight or obese individuals where conventional abdominal thrusts are ineffective. The report suggests reviewing alternative techniques, such as inversion, and specialist equipment for these circumstances.
Matched on
terms: emergency
PFD report
57match
Levi Alleyne
The coroner identified insufficient national standard operating procedures for ambulance services to contact Distribution Network Operators (DNOs) regarding electrical hazards. This can delay life-saving treatment and pose safety risks for responders due to multiple DNOs and the absence of a single national emergency number.
Matched on
terms: emergency
PFD report
57match
Christine McDonald
The report identifies concerns regarding the non-use of emergency response codes, which left first responders unprepared for the situation they attended. It also notes the difficulty in training staff for unexpected emergencies and the potential for improved control room measures.
Matched on
terms: emergency
Inquiry recommendation
57match
COVID-M5.2 - Pandemic Exercises to Include Emergency Procurement
The UK government and devolved administrations should evaluate the readiness of the structures, systems and processes for the emergency procurement and distribution of healthcare equipment as part of UK-wide pandemic response exercises.
Matched on
terms: emergency
Committee recommendation
57match
#18 - AMR is a chronic risk with potential acute threats, hindering sustained government focus.
The government categorises AMR as one of 26 ‘chronic’ risks facing the UK, which means that it poses a long-term, continuous challenge to the UK, as opposed to an ‘acute’ risk which is an immediate threat which may require an emergency response.48 Chronic risks can manifest as acute risks themselves and can also make other acute risks more...
Matched on
terms: emergency
Inquiry recommendation
55match
COVID-M2.10 - Pandemic Decision-Making Framework
The UK government and devolved administrations should set out in future pandemic preparedness strategies (see the Inquiry’s Module 1 Report, Recommendation 4) how decision-making will work in a future pandemic. This should include provision for COBR to be used as the initial response structure and set out how the UK government and devolved administrations will transition from managing...
Matched on
terms: emergency, preparednes
Inquiry recommendation
53match
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 by Greater Manchester Police, Greater Manchester Fire and Rescue Service and North West Ambulance Service. The purpose of that review should be to ensure that there is a common understanding by each emergency service of the...
Matched on
terms: emergency
Committee recommendation
53match
#6 - Fourth Report - Parliamentary Scrutiny of the Government’s handling of Covid-19
The Government’s reticence to use the Civil Contingencies Act in response to a genuine national emergency calls into question how fit for purpose that legislation is.
Matched on
terms: emergency
Inquiry recommendation
53match
COVID-M5.7 - Trade and Industry in the Civil Emergency Strategy
The UK-wide whole-system civil emergency strategy, which the Inquiry has recommended should be developed by the UK government and devolved administrations (see the Inquiry’s Module 1 Report, Recommendation 4), should include specific objectives for international trade and domestic industry during a pandemic. These must include: the establishment of trading alliances in advance of the next pandemic, to diversify...
Matched on
terms: emergency
Inquiry recommendation
53match
COVID-M5.4 - Emergency Healthcare Equipment Regulations
The UK government and devolved administrations should publish simplified regulations for emergency healthcare equipment that are aligned with and cover the range and severity of pandemic risks identified in the National Security Risk Assessment. The simplified regulations should: establish the minimum technical specifications of healthcare equipment specifically for use in a pandemic, including international standards that are recognised...
Matched on
terms: emergency
Committee recommendation
51match
#28 - National resilience standards for LRFs are voluntary, with many outdated community risk registers
Local organisations have a critical role in responding to emergencies and building resilience.50 Emergency responders in a local area convene in local resilience forums (LRFs) and the Cabinet Office published a set of national resilience standards for LRFs in 2020. These standards provide a consistent way for LRFs and their constituent local responder organisations to self-assess their capabilities...
Matched on
terms: emergency, outdated
Inquiry recommendation
48match
COVID-M5.1 - Pandemic Stockpile Composition and Inspection
The UK government and devolved administrations should ensure, within 12 months of the publication of this Report, that the pandemic stockpiles: retain stock that is better aligned with the range and severity of pandemic risks identified in the National Security Risk Assessment; maintain a minimum three-month supply of PPE for the entire health and social care system in...
Matched on
terms: preparednes
Inquiry recommendation
48match
HIDD-79 - Department of Health to review Circular 71, clarifying Major Incident declaration terms
The Department of Health shall review DHSS Circular 71 in consultation with emergency and medical services to reflect all lessons learned but in particular in relation to procedures for declaring a Major Incident. The Department of Health shall specifically require that the terms used to warn hospitals of a possible Major Incident, and subsequently to declare an actual...
Matched on
terms: emergency
Committee recommendation
48match
#15 - 4th Report – The National Security Strategy
The Government should ensure that the UK Resilience Academy is reviewing preparedness plans specifically in relation to the estimated impacts of Reasonable Worst Case Scenarios as set out in the National Risk Register, including the possibility of direct threat to the homeland. (Recommendation, Paragraph 67) 63
Matched on
terms: preparednes
PFD report
45match
Jessica Ashton-Pyatt
The response to the patient's admission was uncoordinated and lacked consultant leadership. Additionally, the resuscitation room defibrillator was not charged, and no defibrillation pads were available.
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classifier match
PFD report
45match
Janet Richardson
The coroner noted concerns regarding the circumstances in which the deceased fell into the sea during a medical evacuation rescue.
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classifier match
PFD report
45match
Lucy Moffatt
Concerns were raised about window restraints appearing secure but being easily defeated, and the lack of a system for CQC inspectors to be fully aware of Department of Health alerts regarding these devices.
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classifier match
PFD report
45match
Davina Tavener
The coroner noted that current aviation safety regulations do not mandate all aircraft to carry essential medical equipment, including defibrillators, airway adjuncts, and suction equipment, which medical experts deem critical for passenger survival during a cardiac arrest.
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classifier match
PFD report
45match
Nathan Charman
The winter maintenance policy and decision-making process did not account for extreme local or "microclimatic" road conditions. There has been no formal review or learning sharing following the incident.
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classifier match
PFD report
45match
John Wilson
The coroner identified gaps in Beko's product recall communication, noting that notices sent by standard mail lacked delivery confirmation and follow-up attempts were insufficient, resulting in the deceased being unaware of a hazardous recalled appliance.
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classifier match
PFD report
45match
Ellie Knowles
The coroner noted a license for holding dance music events at Hoults Yard remains active, despite assurances no further similar events would occur. A robust internal protocol is recommended, requiring consultation with police and council licensing officers for any future events.
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classifier match
PFD report
45match
Christopher McGuffie
The coroner noted the absence of immediate and effective alert systems at railway stations for persons on the line, as well as alternative detection methods to trigger appropriate responses.
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classifier match
PFD report
45match
Saeid Hedayat
West Sussex County Council's drain clearance risk assessments did not consider zone 1 blockages, lacked regular review, and were not updated despite increased storm severity or public reports. There were also no warning signs for regularly flooding areas.
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classifier match
PFD report
45match
Thomas Reilly
The lack of a formal, structured intervention system at suicide hotspots, relying on ad-hoc approaches, raises concerns about consistent prevention of self-harm.
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classifier match
PFD report
45match
Gillian Davey
The coroner noted the absence of professional lifeguard cover on Cornish beaches, including on Bank Holiday Monday when incidents occurred, and highlighted a lack of a public plan for reinstating these services.
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classifier match
PFD report
45match
Michael Pender
The coroner noted the absence of professional lifeguard cover on Cornish beaches, particularly on a Bank Holiday Monday, and the lack of a clear public plan for its reinstatement. This situation increases the risk of further loss of life.
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classifier match
PFD report
45match
Jan Klempar
The coroner notes reduced lifeguard cover on Cornish beaches compared to 2019 levels and identifies a lack of a clear, publicised plan detailing lifeguard provision and mitigation strategies for reduced service.
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classifier match
PFD report
45match
Anthony Williamson
The coroner raised concerns regarding the adequacy of coastguard and lifeguard cover around the Cornish coastline. This included enquiring about potential reductions due to the pandemic, how any shortfalls are mitigated, and if public plans are published.
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classifier match
PFD report
45match
Andrew Westlake
The report identifies insufficient training for airline and ground staff regarding the vulnerability of lone passengers disembarked overseas, and a lack of procedures for safeguarding such individuals.
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classifier match
PFD report
45match
Zainab Hashim and Tafaoul Abdulkarim
The coroner noted residents were unaware of the 'Stay Put' fire policy in council-owned flats, and Stoke-on-Trent City Council had not changed its communication methods for this policy. This lack of resident awareness was identified as a risk of future deaths.
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classifier match
PFD report
45match
Samsam Ateye
The coroner raised concerns regarding the policy for Covid-19 testing before cardiac surgery, specifically valve replacement procedures.
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classifier match