Review procedures for patient dispatch to hospitals
North West Ambulance Service should review its procedures with local NHS trusts to ensure that it has effective policies in place for quickly dispatching patients injured in a Major Incident to an appropriate hospital.
How was this assessed?
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
North West Ambulance Service (NWAS) in partnership with NHS England North West have reviewed the Mass Casualty Distribution Plan and updated as required to produce version 1.4.This went live 14 July 2023. NHS England North West are the owners of the North West Mass Casualty Distribution Plan.
North West Ambulance Service (NWAS) in partnership with NHS England North West have reviewed the Mass Casualty Distribution Plan and updated as required to produce version 1.4.This went live 14 July 2023. NHS England North West are the owners of the North West Mass Casualty Distribution Plan.
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.
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).
JESIP Joint Doctrine updated to v3.1 (April 2024) following inquiry findings on interoperability failures. Operation Plato reformed to cover all terrorist attack types, not just firearms. Emphasis extended beyond command-level to frontline responders.
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.