Enhanced care training for HART personnel
The Department of Health and Social Care and the National Ambulance Resilience Unit should consider ensuring that there is further training of HART personnel so that at least one member on every HART deployment has the ability to deliver the most enhanced care interventions.
- This recommendation is being considered as part of the NHS England-led Clinical Response to Major Incidents Task and Finish Group, with a revised timeline extending 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
This recommendation will be considered as part of the NHS England led Clinical Response to Major Incidents Task and Finish Group. CRMI group met to agree revision to timelines in view of resource constraints. Revised timeline to 2027. The work relating to this recommendation is reviewing the patient pathway from point of injury to definitive care and will determine the skill sets and competencies required to deliver care at any point along this pathway. This will also identify recommendations for who may deliver the appropriate care. This includes consideration on the training of HART personnel.
This recommendation will be considered as part of the NHS England led Clinical Response to Major Incidents Task and Finish Group. CRMI group met to agree revision to timelines in view of resource constraints. Revised timeline to 2027. The work relating to this recommendation is reviewing the patient pathway from point of injury to definitive care and will determine the skill sets and competencies required to deliver care at any point along this pathway. This will also identify recommendations for who may deliver the appropriate care. This includes consideration on the training of HART personnel.
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.