MAI-44 Response Accepted

Ambulance trusts submit resource recommendations

Recommendation

Having carried out that review, the trusts should make recommendations to their NHS commissioners about the additional and/or different resources they require in order to ensure that they are able to respond effectively to a mass casualty incident in the numbers required.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026).
- NHS England is establishing a cross-functional working group to work with ambulance trusts and lead commissioners to review and prioritise bid content (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026).
- The dashboard notes that emerging insights from the 2025-26 planning round suggest limited evidence of additional funding from commissioners (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026).
How was this evidence gathered?
Evidence searched by Claude (Anthropic) on 10 Apr 2026
Checked data held on this site (government responses, progress updates, independent evidence)
This recommendation applies across many organisations. The evidence above reflects central policy activity; adoption in individual organisations may vary.
Jurisdiction
UK-wide
Response
Accepted
Accepted UK Government
14 Nov 2025

Accepted in full

Read Full Response
Progress Timeline
Official Report
27 Feb 2026

Following the ambulance trust's reviews and submissions of their bids to their lead commissioners, NHS England and NHS Resilience Emergency Capabilities Unit is establishing a cross-functional working group to work directly with Ambulance Trusts and their lead commissioners. This group will review and prioritise bid content, ensuring alignment with service needs, identified capability gaps, and existing commitments. Where necessary, the group may intercept or restructure existing working arrangements to enable effective delivery. The outcome of this work will be presented to DHSC to give consideration to as required as part of another recommendation. Emerging insights from the 2025-26 planning and contracting round suggest limited evidence of additional funding from commissioners to date in response to these submissions. Ambulance response times have improved and there has been a similar improvement in the time lost to handover delays at emergency departments over the last two years as a consequence of the UEC Recovery plan therefore giving ambulance trusts greater capacity to respond to a major incident.

Official Report
14 Nov 2025

Following the ambulance trust's reviews and submissions of their bids to their lead commissioners, NHS England and NHS Resilience Emergency Capabilities Unit is establishing a cross-functional working group to work directly with Ambulance Trusts and their lead commissioners. This group will review and prioritise bid content, ensuring alignment with service needs, identified capability gaps, and existing commitments. Where necessary, the group may intercept or restructure existing working arrangements to enable effective delivery. The outcome of this work will be presented to DHSC to give consideration to as required as part of another recommendation. Emerging insights from the 2025-26 planning and contracting round suggest limited evidence of additional funding from commissioners to date in response to these submissions. Ambulance response times have improved and there has been a similar improvement in the time lost to handover delays at emergency departments over the last two years as a consequence of the UEC Recovery plan therefore giving ambulance trusts greater capacity to respond to a major incident.

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.

Reasonable Progress
14 Nov 2025
Cabinet Office Other

Government published formal Manchester Arena Inquiry recommendations dashboard on GOV.UK (14 November 2025) tracking all 149 recommendations with implementation progress updates.

Manchester Arena Inquiry recommendations dashboar… View Source
Reasonable Progress
03 Apr 2025
UK Parliament legislation

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).

Terrorism (Protection of Premises) Act 2025 View Source
Reasonable Progress
05 Jun 2023
National Police Chiefs Council Other

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.

NPCC Monitored Recommendation Hearings Update View Source
Source
Report Manchester Arena Inquiry: Volume 2: Emergency Response 03 Nov 2022
Recommendation age 3.9 yrs
Last formal update 27 Feb 2026