MAI-49 Response Accepted AI-assessed

Review analgesia rollout to HART operatives

Recommendation

If the decision is that the regulatory regime should be altered in this way, the National Ambulance Resilience Unit should consider urgently whether the use of such analgesia should be rolled out to all Hazardous Area Response Team and other specialist operatives, as part of their basic equipment, and to paramedics more generally.

Published Evidence Summary
The following publicly available evidence relates to this recommendation:
According to the Gov.uk dashboard (2026-02-27), the National Ambulance Resilience Unit is progressing with the review of analgesia rollout to Hazardous Area Response Team (HART) operatives and paramedics. A phased rollout is proposed once regulatory requirements are confirmed and further evidence regarding use in different patient groups is reviewed. This work is currently 'In Progress'.
How was this assessed?
Assessed by gemini-2.5-flash on 19 Mar 2026
Checked data held on this site (government responses, progress updates, independent evidence)
External sources searched: www.gov.uk, mainquiry.dac.grid.civilservice.gov.uk, www.legislation.gov.uk, hansard.parliament.uk
Jurisdiction
UK-wide
Response
Accepted
Accepted UK Government
17 Jun 2021

The Security Industry Authority (SIA) published a formal statement on 17 June 2021 in response to Volume 1 of the Manchester Arena Inquiry. The SIA committed to collaborating with the private security industry, law enforcement, and other stakeholders to implement the report's recommendations. The Home Office noted it would review the report and take action on recommendations requiring legislative change, including extending SIA licensing requirements for CCTV monitoring and security contractors.

Read Full Response
Progress Timeline
Official Report
27 Feb 2026

Government progress update: Once regulatory requirements are confirmed, the proposal is to roll out in a phased approach as more evidence in relation to use in different patient groups reviewed.

Published Evidence

Published assessments of implementation progress from inspectorates, select committees, official progress reports, and other sources. Check the source type badge to see 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 1: Security for the Arena 17 Jun 2021
Responsible Bodies
National Ambulance Resilience Unit Primary
Security Industry Authority
Recommendation age 4.8 yrs
Last formal update 27 Feb 2026