Resolve paramedic-driver shortage in mass casualties
A significant issue in a mass casualty situation is that all of those paramedics who have arrived in ambulances may be required for the treatment of casualties, so that no paramedic is available to drive patients to hospital. The Department of Health and Social Care and the National Ambulance Resilience Unit should consider how to resolve that problem. Consideration should be given to the training of other emergency service personnel in driving ambulances.
- The Clinical Response to Major Incidents (CRMI) group met to agree revision to timelines in view of resource constraints, with the focus initially on Casualty Management and Clinical Support to Command sub-groups (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026).
- The revised timeline extends to 2027 (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026).
How was this evidence gathered?
Response
Accepted
Response
AcceptedThe Home Secretary made a written statement to Parliament on 3 November 2022 following publication of Volume 2, acknowledging the findings on emergency response failures and stating the government would work with emergency services to implement improvements. The response committed to reviewing interoperability arrangements between emergency services and strengthening joint training and exercising protocols for major incidents.
Progress Timeline
CRMI group met to agree revision to timelines in view of resource constraints. The focus initially will be on 'Casualty Management' and 'Clinical Support to Command' sub-groups of the programme. Revised timeline to 2027.
CRMI group met to agree revision to timelines in view of resource constraints. The focus initially will be on 'Casualty Management' and 'Clinical Support to Command' sub-groups of the programme. Revised timeline to 2027.
Published Evidence
Published assessments of progress from inspectorates, select committees, official progress reports, and other sources. Source type badge indicates whether each assessment is independent or government self-reported.
Government published formal Manchester Arena Inquiry recommendations dashboard on GOV.UK (14 November 2025) tracking all 149 recommendations with implementation progress updates.
Terrorism (Protection of Premises) Act 2025 received Royal Assent 3 April 2025. Creates two tiers: Standard Duty (200-799 capacity) and Enhanced Duty (800+). SIA will be regulator. Not yet in force -- at least 24 months before enforcement (expected April 2027).
NPCC, Counter Terrorism Policing and College of Policing provided comprehensive updates to Sir John Saunders demonstrating "continued drive to improve collective response to terrorist incidents."
View detailed findings
Representatives working with UK Intelligence Community to address closed Volume Three recommendations. Cross-government monitoring ongoing.