Review intramuscular TXA on frontline ambulances
The Department of Health and Social Care, the Faculty of Pre-Hospital Care, the College of Paramedics and the National Ambulance Resilience Unit should undertake a review into whether frontline ambulances should carry intramuscular tranexamic acid or TXA.
- The dashboard states that reinforcement of availability of intramuscular administration within guidelines is underway, with ongoing development of auto-injector presentations and legislative requirements being reviewed for wider use by responders (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
Reinforcement of availability of IM administration within guidelines Ongoing development of auto injector presentations, once available trials will be undertaken Legislative requirements being reviewed for wider use by responders
Reinforcement of availability of IM administration within guidelines Ongoing development of auto injector presentations, once available trials will be undertaken Legislative requirements being reviewed for wider use by responders
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.