Outdated Operational Guidance
Lack of real-time access for operational staff to up-to-date and succinct guidance, leading to potential inconsistencies or errors in enforcement.
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
Committee recommendation
87match
#32 - Department provides outdated guidance for local authorities on road network maintenance.
The Department is responsible for providing guidance to local authorities in England to help them run and maintain their road networks, but has not updated its guidance for several years.70 Such guidance has included good practice proactive maintenance to reduce the number of potholes, a Code of Practice on managing highway infrastructure, and road repair guides. For example,...
Matched on
terms: guidance, outdated
Committee recommendation
78match
#6 - Airport expansion plans based on outdated ANPS, inconsistent with current government objectives.
We are concerned that airport expansion plans will have been produced prior to the publication of a new ANPS which ought to be in place to provide the airports with strategic guidance. We are also deeply concerned that, given a number of airport expansions will have been approved prior to the update (such as Gatwick), the Government is...
Matched on
terms: guidance, outdated
IOPC learning recommendation
73match
Recommendation - Derbyshire Constabulary, April 2026
The IOPC recommends that Derbyshire Constabulary should review and update its operational guidance and officer training on responding to suicide-related incidents to ensure officers clearly understand the legal powers available to them to remove items that pose an immediate risk to life. This should include clarification of the common law duty to protect life and how it applies...
Matched on
terms: guidance, operational
IOPC learning recommendation
71match
Police response to an abandoned emergency call – Cleveland Police, March 2020
The IOPC recommends that Cleveland Police policy and guidance documents are relevant and up to date, ensuring standard roles and responsibility policy documents for all supervision and staff working within the control room are in place, fit for purpose and reviewed on a regular basis. If policies/processes change then Cleveland Police should ensure that guidance is updated as...
Matched on
terms: guidance
Inquiry recommendation
70match
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 where commanders should locate during a spontaneous Major Incident. Steps should be taken to ensure that a consistent approach is taken so that equivalent commanders locate in the same place. During the response to a terrorist...
Matched on
terms: guidance
Inquiry recommendation
70match
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 on the relevant premises, as well as where that equipment should be stored to ensure that it is readily accessible when required and how often it should be checked to ensure that it is up to...
Matched on
terms: guidance
Committee recommendation
70match
#6 - Update and regularly revise local road guidance to reflect best practices and new challenges.
The Department has not provided enough support and guidance to local authorities to deal with current and future challenges in maintaining local roads. The Department is responsible for providing local authorities with guidance on the management and maintenance of local roads. However, it has not updated its guidance for several years, including on best practice, that could have...
Matched on
terms: guidance
Committee recommendation
70match
#11 - Decent Homes Standard previously outdated and in urgent need of reform
We welcome the Government’s changes to the Decent Homes Standard. The current standard has been out-of-date for some time and is in urgent need of reform, given that it was last updated in 2006. (Conclusion, Paragraph 48)
Matched on
terms: outdated
PFD report
69match
Michael Pollard
An outdated on-call rota used by the hospital switchboard caused delays in contacting the correct consultant for an emergency endoscopy. The coroner identifies a need for an up-to-date, centrally managed rota accessible to all relevant staff.
Matched on
terms: outdated
HSSIB recommendation
69match
Interim report: Retained swabs following invasive procedures
Organisations can improve patient safety by using consistent terminology in national and local guidance when describing the responsibility for the reconciliation of items used in surgery and invasive areas, including swabs. How is information about swabs communicated? Challenges in communication between operating theatre team members were frequently highlighted in the serious incident reports. For example, there were incidents...
Matched on
terms: guidance
IOPC learning recommendation
69match
Recommendations - National Police Chiefs' Council, December 2024
The IOPC recommends that the National Police Chiefs’ Council (NPCC) should review the processes through which the Flexible Lift and Carry System (FLACS) and other operational equipment are introduced and reviewed and ensure these are aligned with the most recent medical and professional guidance. This follows an IOPC investigation where a man, who had been arrested by Thames...
Matched on
terms: guidance, operational
Inquiry recommendation
66match
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 achieve those aims.
Matched on
terms: guidance
Committee recommendation
66match
#6 - Update the outdated Marine Policy Statement at the earliest opportunity
The current Marine Policy Statement is outdated, not fit for purpose and no longer reflects Government policy or pressures on the marine environment. It therefore must be updated at the earliest opportunity. (Conclusion, Paragraph 33)
Matched on
terms: outdated
Committee recommendation
66match
#13 - Mandate Secretary of State to publish statutory guidance for GBR on weighing competing duties.
As GBR is accountable to the Secretary of State for fulfilment of its duties, we recommend the Secretary of State issues and publishes statutory guidance on how GBR, at least, should weigh up competing elements of the duties. This will allow for consistency and transparency in decision-making. The guidance must make it clear that cost must be considered...
Matched on
terms: guidance
PFD report
65match
Adrian Cowan
The trust's policy for responding to a patient collapse lacked clear guidance and did not require requesting a duty doctor. Nursing staff also did not act calmly or apply basic life support training effectively during the emergency response.
Matched on
terms: guidance
PFD report
65match
Paige Bell
The coroner identified fragmented patient case notes and queried plans for immediate electronic access, alongside the need for a national policy for engagement and observation. Concerns were also raised regarding updated guidance for the treatment and management of Borderline Personality Disorder.
Matched on
terms: guidance
PFD report
65match
Thomas Beaty
The coroner identified that instrumental delivery guidance from the Royal College of Obstetricians and NICE was ambiguous, misleading, and lacked clear definitions for key terms like 'imminent' and 'gentle' traction. This ambiguity complicated decision-making during procedures and hindered the development of clear local Trust guidance.
Matched on
terms: guidance
PFD report
65match
Stefen Boswell
The coroner notes inconsistencies between West Mercia Police's policy and national guidance on wrong-way dual carriageway pursuits, impacting officer training. A lack of explicit communication protocols between pursuing officers and supervisors during high-risk tactics was also identified.
Matched on
terms: guidance
HSSIB recommendation
65match
Advanced airway management in patients with a known complex disease
HSSIB recommends that the Royal College of Anaesthetists makes changes to its Guidelines for the Provision of Anaesthetic Services (GPAS) requirements for all anaesthetists, to include guidance on: requirements for anaesthetists to have access to videolaryngoscopes in all locations where anaesthesia is delivered and airway management takes place requirements for all anaesthetists to be competent and skilled in...
Matched on
terms: guidance
ICIBI recommendation
64match
An inspection of Border Force practice and procedures in relation to firearms (September – October 2023)
Ensure that all national Border Force firearms policy and guidance documents have a clearly defined owner, are subject to regular time-bound reviews and are readily available to operational frontline staff.
Matched on
terms: guidance, operational
IOPC learning recommendation
64match
Recommendations - Kent Police, November 2020
The IOPC recommends that Kent Police provides their operational employees with clarity on the different definitions of the term ‘vulnerable.’ There are two strands to this recommendation: - Kent Police to ensure officers and staff sufficiently understand how to assess whether someone is vulnerable and the impact this should have on working practices, for example, risk assessments. -...
Matched on
terms: guidance, operational
Inquiry recommendation
62match
11 - Avoid using several documents for one operational issue
The use of more than one document (whether Rules, Group Standards or otherwise) to cover a single operational issue should be avoided, save where proper reasons exist for use of multiple sources (para 15.9).
Matched on
terms: operational
Inquiry recommendation
62match
52 - Guidance for duty governors on risk assessment
The instructions for completing the form should give duty governors guidance on how to exercise the options available to them when dealing with prisoners who are both at risk of self-harm and a risk to their cellmate.
Matched on
terms: guidance
Inquiry recommendation
62match
28 - Revise Prison Service safeguarding guidance
The Chair and Panel note that Prison Service Instruction (PSI) 08/2012, which sets out the mandatory actions for YOIs and STCs for 'maintaining a safe and secure environment', has expired. The Chair and Panel recommend that the Ministry of Justice revises and publishes this PSI to provide clear guidance on how custodial institutions must respond to allegations of...
Matched on
terms: guidance
Inquiry recommendation
62match
POH-15 - Set deadline for HSS claims with guidance on late applications
No claims for financial redress under HSS shall be entertained after midnight 27 November 2025.
Matched on
terms: guidance
Inquiry recommendation
62match
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 should consider issuing guidance on how to ensure that specialist paramedics take with them, into a warm zone, equipment that enables them to carry out bridging interventions.
Matched on
terms: guidance
Inquiry recommendation
62match
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 Ambulance Liaison Officer and issue guidance to ambulance services in that regard.
Matched on
terms: guidance
Inquiry recommendation
62match
MAI-75 - Operational Commander to gain situational awareness first
North West Ambulance Service should review its Major Incident Response Plan to make clear that the first resource on scene should assume the role of Operational Commander only once they have achieved situational awareness.
Matched on
terms: operational
Inquiry recommendation
62match
MAI-67 - NWAS policy for relieving Operational Commanders
North West Ambulance Service should ensure that it has a policy that sets out the circumstances in which an Operational Commander may be relieved and how that should occur and be communicated to the outgoing Operational Commander and beyond.
Matched on
terms: operational
Committee recommendation
62match
#5 - Specify in statutory guidance that boys must be taught female reproductive health conditions
The statutory guidance should specify that boys should be taught about female reproductive health conditions.
Matched on
terms: guidance
Committee recommendation
62match
#36 - Provide clear guidance for commissioning research coherent with hunger-fighting aspirations and food systems.
The Government needs to ensure that research is coherent with its aspirations to fighting hunger and considers the inter-related factors facing nutrition and food systems. As part of the Zero Hunger delivery framework there should be clear guidance on this to those commissioning research. (Recommendation, Paragraph 89)
Matched on
terms: guidance
Committee recommendation
62match
#13 - Review and amend EN-1 guidance endorsing CSNP for clarity and consistent language.
The Government should review and, if necessary, amend the proposed guidance endorsing the CSNP in paragraphs 3.3.78 to 3.3.80 of EN-1, to make the language more consistent, unambiguous, and more in keeping with current understandings of the intended purpose of the CSNP. This may involve: • reviewing the reference to the CSNP displaying “indicative routes” in paragraph 3.3.80;...
Matched on
terms: guidance
Committee recommendation
62match
#12 - Guidance on Centralised Strategic Network Plan endorsement in EN-1 remains unclear.
We welcome the decision to endorse the Centralised Strategic Network Plan (CSNP) in the National Policy Statements. However, we are concerned that the proposed guidance in paragraphs 3.3.78 to 3.3.80 of EN-1 is not clear enough about what, precisely, it is from the CSNP that is being endorsed. This must be unambiguous, to avoid unnecessary argument about the...
Matched on
terms: guidance
Committee recommendation
62match
#11 - Strengthen NPS guidance on grid connection weight and clarify future connection prospects assessment.
The National Policy Statements should give significant weight to the availability of a grid connection, as a paramount consideration in determining where electricity generation projects can be located. However, by the same token, where a project has not yet secured a grid connection, the prospects of doing so should also be a material consideration weighing for or against...
Matched on
terms: guidance
Committee recommendation
62match
#9 - Clarify specific family group decision-making model within statutory guidance for consistent practice.
The Department should clarify the specific model of FGDM in statutory guidance to ensure that best practice is followed in all local authorities. (Recommendation, Paragraph 22)
Matched on
terms: guidance
Committee recommendation
62match
#12 - Ensure statutory guidance includes details on how ORR should balance GBR duties.
There are benefits to unified duties but the Bill is insufficiently clear on how they will operate in decision-making, in particular the weighting to be assigned to each factor. The Office of Rail and Road will enforce GBR’s business plan but is not bound by it. If the Government intends ORR to have regard to detail on how...
Matched on
terms: guidance
PFD report
61match
Wilhelmina Isobel Newton
The coroner noted the absence of a clear written plan or guidance for staff regarding responses to head injuries in elderly residents, particularly those on anti-clotting medication, a gap that may affect other council-operated homes.
Matched on
terms: guidance
PFD report
61match
Yousef Shokri-Gharab
The coroner noted Mersey Care's informal patient leave policy is outdated, unreviewed since 2007, and inconsistent with current practice. It requires immediate updating to include multidisciplinary consensus, patient vulnerability considerations, and clear documentation.
Matched on
terms: outdated
PFD report
61match
Thomas Smith
The coroner identified gaps in complete and accurate handover information between primary and secondary care, raising concerns about the prioritisation of children's cases in out-of-hours services. The report also noted a need to revisit national guidance on pre-hospital antibiotics for suspected meningitis and highlighted a fragmented approach to patient care in hospitals where nursing staff concerns were not...
Matched on
terms: guidance
PFD report
61match
Dean Joseph
The coroner noted inconsistent understanding among officers regarding armed containment, a lack of guidance from trained hostage negotiators for untrained officers, and post-incident management procedures that eroded public confidence and hampered learning.
Matched on
terms: guidance
PFD report
61match
Douglas Kay
The coroner identified significant confusion and uncertainty regarding policies for transferring patients with gastrointestinal bleeding within the Trust. Senior staff at Bassetlaw Hospital were also unaware of the new Doncaster Hospital service's operational details, particularly out of hours.
Matched on
terms: operational
PFD report
61match
Mark Seward
The coroner identified a lack of clarity regarding pressure testing activities and raised questions about compliance with work equipment regulations and HSE guidance across the industry.
Matched on
terms: guidance
PFD report
61match
Helen Patton
Concerns were raised regarding the mortality risk associated with Mini Tracheostomy Procedures performed outside theatre or without ultrasound guidance, and the lack of national guidance for these procedures.
Matched on
terms: guidance
PFD report
61match
Samantha Hopkins
The coroner noted that PARAMEDIC 2 Trial exclusion criteria, including for pregnant women, were overlooked due to insufficient prominence on drug packets. There was also a lack of guidance from Warwick Medical School on how to highlight these exclusions to participants.
Matched on
terms: guidance
PFD report
61match
Frederick Squires
The coroner noted a lack of guidance for clinicians on when to recommence Warfarin for patients who have suffered a head injury, which risks patients developing bleeds or strokes.
Matched on
terms: guidance
Committee recommendation
61match
#63 - 2nd Report - The impact of environmental regulations on development
We were disappointed to learn of the Government’s decision to not consult on nutrient and water neutrality guidance despite time being available. This choice was unnecessary and led to serious ramifications. It is indicative of a wider issue: communication on new or evolving environmental regulations is often not provided in a timely way, lacks detail and practical solutions,...
Matched on
terms: guidance
Committee recommendation
61match
#22 - Government's digital commercial playbook requires significant enhancement and broader consultation for effectiveness.
The GCF accepted that the playbook needed to be enhanced and improved, and said that in doing so it would involve GDS. It explained that its aim was to ensure that the playbook was “really fit for purpose”, in terms of where government wanted to move forward in the digital landscape.36 GDS agreed that there were some areas...
Matched on
terms: guidance
Committee recommendation
61match
#21 - Digital, Data and Technology Playbook lacks detail on assessing large project technical feasibility
The government has published a ‘Digital, data and technology playbook’, which sets out key policies and guidance for how digital projects are assessed, procured and delivered.33 We asked whether this would be the primary tool for driving some of the change that was needed. DSIT described the purpose of the playbook as “how do we buy well and...
Matched on
terms: guidance
GIRFT recommendation
61match
Paediatric Critical Care
Ensure that there is up to date guidance to support a consistent approach to commissioning of PCC services. a Review, and update accordingly, the existing PCC relevant service specifications. Ensure that recent guidance and recommendations from the PCC national review and updated PCCS Standards are appropriately captured, in particular the key roles of the PCC ODNs. b Adopt...
Matched on
terms: guidance
CQC action
61match
University Hospital of Hartlepool
The trust should ensure that policies and procedures are correctly managed and reviewed in a timely way so that the latest and most appropriate guidance is always available to its staff.
Matched on
terms: guidance