Public Inquiry Recommendations
1,601 tracked recommendations across 33 inquiries (search by inquiry name to find 1,044 historic recs) — page 2 of 33
What these recommendations are about
Most prevalent topics across all 33 inquiries:
Staff training and development (499) ·
Quality and safety oversight (381) ·
Weak Government Accountability & Scrutiny (276) ·
Patient safety governance (270) ·
Emergency contingency plans (233)
.
The same issues recur across multiple inquiries —
Staff training and development
(Workforce & Staffing)
is the single most common theme, with 499 tagged recommendations.
Explore →
MAI-46
Accepted
Manchester Arena Inquiry
(2022)
Guidance on Major Incident plan review frequency
His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing and the Home Office should issue guidance for all police services on how often operational plans …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-47
Accepted
Manchester Arena Inquiry
(2022)
Sufficient resources for operational planning
His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing and the Home Office should work together to put in place robust systems, policies and guidance …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-48
Accepted in Part
Manchester Arena Inquiry
(2022)
Statutory powers for witness attendance at inquiries
It is recommended that consideration be given to the creation of statutory powers under section 36 that can be used to prevent a material witness to an inquiry putting themselves …
- The Government's implementation dashboard records this recommendation as partially accepted with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-50
Accepted
Manchester Arena Inquiry
(2022)
Address Arena failings identified in Volume 1
Improvements, to the extent that they have not already been made, should be made at the Arena to address the failings identified in Volume 1. Specific consideration should be given …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-51
Accepted
Manchester Arena Inquiry
(2022)
Address Showsec failings identified in Volume 1
Improvements, to the extent that they have not already been made, should be made by Showsec to address the failings identified in Volume 1. Specific consideration should be given to …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-53
Accepted
Manchester Arena Inquiry
(2022)
CPS protocol for section 35 prosecution takeover
It is recommended that the Crown Prosecution Service establish a written protocol in relation to its approach to any application from an inquiry Chairman for a section 35 prosecution to …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-56
Accepted in Part
Manchester Arena Inquiry
(2022)
Address extradition difficulties for section 35 offences
It is recommended that the Home Office give consideration to addressing the difficulties in extradition in relation to an offence under section 35, given that the maximum sentence for such …
- The Government's implementation dashboard records this recommendation as partially accepted with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-57
Accepted in Part
Manchester Arena Inquiry
(2022)
Amend section 21 for witness interview requirements
It is recommended that the Ministry of Justice give consideration to amending section 21 of the 2005 Act to include the express provision for requiring a potential witness to participate …
- The Government's implementation dashboard records this recommendation as partially accepted with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-58
Accepted in Part
Manchester Arena Inquiry
(2022)
Amend section 36 for pre-emptive witness enforcement
It is recommended that the Ministry of Justice, possibly in conjunction with the Law Commission, give consideration to amending section 36 of the 2005 Act to make provision for issuing …
- The Government's implementation dashboard records this recommendation as partially accepted with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-59
Accepted
Manchester Arena Inquiry
(2022)
Codify prisoner communication restrictions scheme
I recommend that the scheme be codified, and clear policy and guidance be published so that it can be applied consistently across the prison estate.
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-61
Accepted
Manchester Arena Inquiry
(2022)
Independent inspection regime for LRFs
Local resilience forums have a vital role in the preparation for the response to any Major Incident. The Cabinet Office and the Home Office should consider implementing an independent inspection …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-62
Accepted
Manchester Arena Inquiry
(2022)
LRF oversight of lessons from exercises and incidents
Local resilience forums should establish procedures to ensure that they oversee the process of identifying the lessons to be learned from major exercises, or serious incidents, in their areas, and …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-63
Accepted
Manchester Arena Inquiry
(2022)
Monitor LRF attendance and flag concerns
Local resilience forums should monitor attendance and participation at their meetings, and flag promptly any concerns about attendance by members to the leadership of the organisation concerned. The Home Office …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-64
Accepted
Manchester Arena Inquiry
(2022)
Create centralised NaCTSO training library
NaCTSO should create a centralised library of training materials.
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-65
Accepted
Manchester Arena Inquiry
(2022)
NaCTSO guidance on terrorism risk assessments
NaCTSO should issue guidance in relation to the completion of risk assessments addressing the threat of terrorism.
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-66
Accepted
Manchester Arena Inquiry
(2022)
Multi-agency site-specific plans for NWAS
North West Ambulance Service should ensure that all its site-specific plans are multi-agency and that all Category 1 responders operating in the areas it serves have contributed to them.
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-67
Accepted
Manchester Arena Inquiry
(2022)
NWAS policy for relieving Operational Commanders
North West Ambulance Service should ensure that it has a policy that sets out the circumstances in which an Operational Commander may be relieved and how that should occur and …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-68
Accepted
Manchester Arena Inquiry
(2022)
Up-to-date site-specific plans for high-risk locations
North West Ambulance Service should ensure that it has up-to-date site-specific plans for all large, complex or high-risk locations within its area.
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-69
Accepted
Manchester Arena Inquiry
(2022)
Train NWAS commanders in operational discretion
North West Ambulance Service should ensure that its commanders are adequately trained in the use of operational discretion.
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-70
Accepted
Manchester Arena Inquiry
(2022)
Include non-specialist ambulance personnel in exercising
North West Ambulance Service should ensure that non specialist ambulance personnel are involved in multi agency exercising
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-71
Accepted
Manchester Arena Inquiry
(2022)
Improve NWAS Major Incident record-making
North West Ambulance Service should reflect on its approach to record-making during and immediately following a Major Incident, with a view to improving the current practice.
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-72
Accepted
Manchester Arena Inquiry
(2022)
Review NWAS Tactical Advisor rostering coverage
North West Ambulance Service should review how it rosters Tactical Advisors and National Interagency Liaison Officers so as to ensure that there is adequate geographical coverage enabling those on duty …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-73
Accepted
Manchester Arena Inquiry
(2022)
NWAS predetermined attendance for specialist teams
North West Ambulance Service should review its Major Incident Response Plan to consider whether, in order to speed up mobilisation, it should provide pre-determined attendances for the Hazardous Area Response …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-74
Accepted
Manchester Arena Inquiry
(2022)
NWAS predetermined attendance for Major Incidents
North West Ambulance Service should review its Major Incident Response Plan to consider whether it should be updated to include a predetermined attendance for Major Incidents.
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-75
Accepted
Manchester Arena Inquiry
(2022)
Operational Commander to gain situational awareness first
North West Ambulance Service should review its Major Incident Response Plan to make clear that the first resource on scene should assume the role of Operational Commander only once they …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-76
Accepted
Manchester Arena Inquiry
(2022)
Review HART mobilisation policies
North West Ambulance Service should review its policies for mobilising the Hazardous Area Response Team resource, to ensure that this team is available as soon as possible for an emergency …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-77
Accepted
Manchester Arena Inquiry
(2022)
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 …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-78
Accepted
Manchester Arena Inquiry
(2022)
Review NWAS Tactical Advisor numbers
North West Ambulance Service should review the number of Tactical Advisors and National Interagency Liaison Officers it has, and whether the number of such specialists, both generally and on call, …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-79
Accepted
Manchester Arena Inquiry
(2022)
Train NWAS commanders on command relief procedures
North West Ambulance Service should train its Operational Commanders on the appropriate practice for relieving another of command and being relieved of command.
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-80
Accepted
Manchester Arena Inquiry
(2022)
North West Fire Control regular multi-agency exercising
North West Fire Control should ensure that it regularly tests how it operates, by ensuring that its staff participate in regular exercises and practical tests. These should include multi-agency exercises.
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-81
Accepted
Manchester Arena Inquiry
(2022)
Improve NWFC Major Incident record-making
North West Fire Control should reflect on its approach to record-making during and immediately following a Major Incident, with a view to improving the current practice
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-82
Accepted
Manchester Arena Inquiry
(2022)
Allocate best-trained operators to Major Incident roles
North West Fire Control should review how it allocates the best-trained and most suitable Control Room Operators to roles during a Major Incident. It should consider whether it is beneficial …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-83
Accepted
Manchester Arena Inquiry
(2022)
Review NWFC information policies during incidents
North West Fire Control should review its guidance and policies on how it receives and passes on information during a Major Incident. It is important that, for any update given, …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-84
Accepted
Manchester Arena Inquiry
(2022)
Review NWFC incident log information storage
North West Fire Control should review the way it captures and records key information on its incident logs in order to ensure that the information is stored in one place …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-85
Accepted
Manchester Arena Inquiry
(2022)
NWFC involvement in multi-agency exercises
North West Fire Control should take steps to ensure that it is involved in multi-agency exercises, particularly those that test mobilisation and the response to a Major Incident in line …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-86
Accepted
Manchester Arena Inquiry
(2022)
Arena healthcare provider staffing requirements
SMG should ensure that the healthcare service provider at the Arena has adequate staffing and skill levels for every event at that location.
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-87
Accepted
Manchester Arena Inquiry
(2022)
Healthcare provider relationship with NWAS
SMG should ensure that the healthcare service provider at the Arena has a strong working relationship with North West Ambulance Service.
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-88
Accepted
Manchester Arena Inquiry
(2022)
Review Arena healthcare equipment provision
SMG should review its approach to the provision of healthcare service equipment at the Arena to ensure that adequate equipment is always available
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-89
Accepted
Manchester Arena Inquiry
(2022)
CQC regulation of event healthcare standards
That standard needs to be regulated and enforced. The Care Quality Commission is the appropriate body to provide regulation and enforcement. The Department of Health and Social Care should give …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-90
Accepted
Manchester Arena Inquiry
(2022)
Firearms officers trained in Care Under Fire
The College of Policing and Counter Terrorism Policing Headquarters should ensure that all firearms officers are trained to understand that, while their primary role in an Operation Plato situation is …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-92
Accepted
Manchester Arena Inquiry
(2022)
Emergency service hotline to Force Duty Officer
The College of Policing and Counter Terrorism Policing Headquarters should take steps to ensure that each police service establishes a hotline that enables those within the command structure of the …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-93
Accepted
Manchester Arena Inquiry
(2022)
24-hour qualified command structure rostering
The College of Policing and His Majesty's Inspectorate of Constabulary and Fire and Rescue Services should ensure that each police service has in place a system that means appropriately qualified …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-94
Accepted
Manchester Arena Inquiry
(2022)
Review firearms officer Post Incident Procedures delays
The College of Policing should assess whether delays in the provision of written accounts by some firearms officers involved in the response to the Attack were due to Post Incident …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-95
Accepted
Manchester Arena Inquiry
(2022)
Improve police training record systems
The College of Policing should consider whether the current process for maintaining and storing training records for all police officers can be improved. That should include assessing the following: a. …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-96
Accepted
Manchester Arena Inquiry
(2022)
Force Duty Officer not to handle media enquiries
The College of Policing should issue guidance to all police services to ensure the following, in the event of a Major Incident: a. The Force Duty Officer is not expected …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-97
Accepted
Manchester Arena Inquiry
(2022)
Control room trauma care guidance for 999 callers
The College of Policing, the Fire Service College and National Fire Chiefs Council should consider devising training packages for operators within control rooms, to enable them to give guidance on …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-98
Accepted
Manchester Arena Inquiry
(2022)
Extend first aid education in National Curriculum
The Department for Education should consider extending the National Curriculum to ensure that pupils, once of an appropriate age, receive education in all first responder interventions.
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-99
Accepted
Monitored
Manchester Arena Inquiry
(2022)
Review licensing guidance on event healthcare
The Ministry of Housing Commuities and Local Government should review the guidance given to all licensing authorities on the decisions they make in relation to venues that hold events, and …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "Completed" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February 2026). …
MAI-100
Accepted
Manchester Arena Inquiry
(2022)
Event healthcare staff trained in first responder interventions
The Department of Health and Social Care and the Care Quality Commission should consider introducing guidelines to ensure that all event healthcare staff who work at events are trained in …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …
MAI-101
Accepted
Manchester Arena Inquiry
(2022)
Review analgesia regulatory regime for paramedics
The Department of Health and Social Care and the Medicines and Healthcare products Regulatory Agency (MHRA) should consider urgently whether the regulatory regime should be altered to enable analgesia, such …
- The Government's implementation dashboard records this recommendation as accepted in full with delivery status "In progress" (Manchester Arena Inquiry Recommendations Dashboard, Cabinet Office, February …