Consider air ambulance integration into response
The Department of Health and Social Care, the NHS, the National Ambulance Resilience Unit, ambulance service trusts, Air Ambulances UK, Counter Terrorism Policing Headquarters and JESIP should consider whether air ambulances should be integrated into the emergency response to Major Incidents, including terrorist attacks, and, if so, how that is to be achieved.
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
Clinical Response to Major Incidents (CRMI) group met to agree revision to timelines in view of resource constraints. The focus initially will be on 'Casualty Management' and 'Clinical Support to Command' sub-groups of the programme. Revised timeline to 2027.
Clinical Response to Major Incidents (CRMI) group met to agree revision to timelines in view of resource constraints. The focus initially will be on 'Casualty Management' and 'Clinical Support to Command' sub-groups of the programme. Revised timeline to 2027.
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.