Public Inquiry Recommendations

IBI-7d Accepted in Part

Infected Blood Inquiry (2024)

Training in Transfusion Medicine

Training in Transfusion Medicine: That those bodies concerned with undergraduate and postgraduate training across the UK of those people who are, or intend to be, working in the NHS ensure …

- The Government's implementation dashboard records this recommendation as: Accepted in principle by the UK Government, Scottish Government, Welsh Government, Northern Ireland Executive (Infected Blood …

IBI-7e Accepted in Part

Infected Blood Inquiry (2024)

Implementing SHOT Reports

Implementing SHOT reports: That all NHS organisations across the UK have a mechanism in place for implementing recommendations of Serious Hazard of Transfusion (SHOT) reports, which should be professionally mandated, …

- The Government's implementation dashboard records this recommendation as: Accepted in principle by the UK Government, Scottish Government, Welsh Government, Northern Ireland Executive (Infected Blood …

IBI-7f(iii) Accepted in Part

Infected Blood Inquiry (2024)

Blood Tracking Systems Funding

Establishing the outcome of every transfusion: That funding for the provision of enhanced electronic clinical systems in relation to blood transfusion be regarded as a priority across the UK.

- The Government stated in December 2024 that enhanced electronic clinical systems for blood transfusion were part of the broader digital transformation programme, but that …

IBI-10a(iv) Accepted in Part

Infected Blood Inquiry (2024)

Thalassaemia Society Support

Particular consideration be given, together with the UK Thalassaemia Society and the Sickle Cell Society, to how the needs of patients with thalassaemia or sickle cell disease can best holistically …

- The Government stated in December 2024 that NHS England had established a comprehensive programme to prioritise reduction of clinical risk, increase community support and …

IBI-11a Accepted in Part

Infected Blood Inquiry (2024)

Ministerial Power to Call Inquiries

That a minister should retain the power to call an inquiry as the minister sees fit, in accordance with the Inquiries Act 2005 – but where a minister does not …

- The Government stated in December 2024 that it accepted the principles behind this recommendation and noted the broader debate about the effectiveness and reform …

IBI-11b Accepted in Part

Infected Blood Inquiry (2024)

Parliamentary Referral to PACAC

If there is sufficient support from within Parliament for there to be an inquiry, the question whether there should be one should be referred to the Public Administration and Constitutional …

- The Government stated in December 2024 that it accepted the principles behind this recommendation, and noted that the question of whether PACAC should consider …

IBI-11c Accepted in Part

Infected Blood Inquiry (2024)

PACAC Recommendation Power

If it appears to PACAC that there is sufficient concern to justify a public inquiry, either because what happened and why has caused concern (as the committee sees it) or …

- The Government stated in December 2024 that it accepted the principles behind this recommendation regarding PACAC's potential role in recommending public inquiries (Government Response …

IBI-11d Accepted in Part

Infected Blood Inquiry (2024)

Ministerial Reasons for Disagreement

If the minister disagrees with the recommendation, they must set out in detail and publish reasons for this disagreement which are sufficient to satisfy PACAC that the matter has been …

- The Government stated in December 2024 that it accepted the principles behind this recommendation regarding the requirement for ministers to publish detailed reasons for …

IBI-12d Accepted in Part

Infected Blood Inquiry (2024)

PACAC Oversight of Implementation

The Public Administration and Constitutional Affairs Committee (“PACAC”) should review both the progress towards responding to the Inquiry’s recommendations and, to the extent that they are accepted, implementing those recommendations.

- The Government stated in December 2024 that it accepted the principles behind this recommendation, noting that it was for Parliament to consider, and referenced …

IBI-12e Accepted in Part

Infected Blood Inquiry (2024)

PACAC Role for Future Inquiries

PACAC should accept the role in respect of any future statutory inquiry of reviewing the government’s timetable for consideration of recommendations, and of its progress towards implementation of that inquiry’s …

- The Government stated in December 2024 that it accepted the principles behind this recommendation regarding PACAC's role in future inquiry follow-up, noting it was …

FR-1 Accepted in Part

IICSA (2022)

Single Core Data Set

The Inquiry recommends that the UK government and the Welsh Government improve data collected by children's social care and criminal justice agencies concerning child sexual abuse and child sexual exploitation …

- In May 2023, the government accepted this recommendation, stating that it would improve data collection through the Centre of Expertise on Child Sexual Abuse …

FR-2 Accepted in Part

IICSA (2022)

Child Protection Authorities

The Inquiry recommends that the UK government establishes a Child Protection Authority for England and the Welsh Government establishes a Child Protection Authority for Wales. Each Authority's purpose should be …

- In May 2023, the government accepted the need for a stronger safeguarding system but stated it would strengthen existing mechanisms rather than create new …

FR-4 Accepted in Part

IICSA (2022)

Public Awareness Campaign

The Inquiry recommends that the UK government and the Welsh Government commission regular programmes of activity to increase public awareness about child sexual abuse and the action to take if …

- In May 2023, the government stated it would continue funding awareness campaigns including Stop Abuse Together, Look Closer, ParentWise and No Place To Hide …

FR-6 Accepted in Part

IICSA (2022)

Amend Children Act 1989

The Inquiry recommends that the UK government amends the Children Act 1989 so that, in any case where a court is satisfied that there is reasonable cause to believe that …

- In May 2023, the government accepted the need for children in care to raise concerns and challenge their care, but stated it would address …

FR-7 Accepted in Part

IICSA (2022)

Registration of Care Home Staff

The Inquiry recommends (as originally stated in its Interim Report, dated April 2018) that the UK government introduces arrangements for the registration of staff working in care roles in children's …

- In May 2023, the government accepted this recommendation, stating it was exploring professional registration proposals through the Stable Homes, Built on Love strategy (Government …

FR-8 Accepted in Part

IICSA (2022)

Registration in Young Offender Institutions

The Inquiry recommends (as originally stated in its Sexual Abuse of Children in Custodial Institutions: 2009-2017 Investigation Report, dated February 2019) that the UK government introduces arrangements for the professional …

- In May 2023, the government accepted this recommendation, stating that internal registration was most appropriate for the young offender institution and secure training centre …

FR-9 Accepted in Part

IICSA (2022)

Greater Use of DBS

The Inquiry recommends that the UK government enables any person engaging an individual to work or volunteer with children on a frequent basis to check whether or not they have …

- In May 2023, the government accepted this recommendation subject to further assessment of feasibility and impact, taking into account the Bailey Review of Disclosure …

FR-10 Accepted in Part

IICSA (2022)

Improve DBS Referral Compliance

The Inquiry recommends that the UK government takes steps to improve compliance by regulated activity providers with their statutory duty to refer concerns about the suitability of individuals to work …

- In May 2023, the government accepted this recommendation, stating it would work with regulators to improve compliance with the statutory duty to refer to …

FR-11 Accepted in Part

IICSA (2022)

Extend Disclosure Regime Overseas

The Inquiry recommends (as originally stated in its Children Outside the United Kingdom Phase 2 Investigation Report, dated January 2020) that the UK government introduces legislation permitting the Disclosure and …

- In January 2021, the Home Office stated that it would consider whether disclosure arrangements could be strengthened for those working with children overseas (Government …

FR-12 Accepted in Part

IICSA (2022)

Pre-screening by Internet Providers

The Inquiry recommends that the UK government makes it mandatory for all regulated providers of search services and user-to-user services to pre-screen for known child sexual abuse material.

- In May 2023, the government accepted this recommendation, noting that the Online Safety Bill would hold companies to account for CSAM on their services …

FR-13 Accepted in Part

IICSA (2022)

Mandatory Reporting

The Inquiry recommends that the UK government and Welsh Government introduce legislation which places certain individuals - 'mandated reporters' - under a statutory duty to report child sexual abuse where …

- The available evidence indicates that implementation is in progress but not complete. Parliament enacted the recommended legal change in April 2026, but the operative …

FR-14 Accepted in Part

IICSA (2022)

Victim Code Compliance

The Inquiry recommends (as originally stated in its Interim Report, dated April 2018) that the UK government commissions a joint inspection of compliance with the Victims' Code in relation to …

- In May 2023, the government accepted this recommendation, stating the Criminal Justice Joint Inspectorates had included an inspection of victims' experiences of CSA in …

FR-15 Accepted in Part

IICSA (2022)

Remove Limitation Period

The Inquiry recommends that the UK government makes the necessary changes to legislation in order to ensure: the removal of the three-year limitation period for personal injury claims brought by …

- The available evidence indicates that implementation is in progress but not complete. Parliament enacted the recommended legal change in April 2026, but the operative …

FR-16 Accepted in Part

IICSA (2022)

Specialist Therapeutic Support

The Inquiry recommends that the UK government and the Welsh Government introduce a national guarantee that child victims of sexual abuse will be offered specialist and accredited therapeutic support. There …

- In May 2023, the government accepted this recommendation, stating it would ensure effective therapeutic support access through extensive engagement linked to the redress scheme …

FR-17 Accepted in Part

IICSA (2022)

Code of Practice on Records Access

The Inquiry recommends that the UK government directs the Information Commissioner's Office to introduce a code of practice on retention of and access to records known to relate to child …

- In May 2023, the government accepted this recommendation and stated it would engage with the Information Commissioner's Office on implementing it (Government Response to …

FR-18 Accepted in Part

IICSA (2022)

Criminal Injuries Compensation Scheme Changes

The Inquiry recommends that the UK government changes the Criminal Injuries Compensation Scheme to: include other forms of child sexual abuse, including online-facilitated sexual abuse; amend the rule on unspent …

- In May 2023, the government accepted this recommendation and stated it would consult on whether to amend the scope and time limits of the …

FR-19 Accepted in Part

IICSA (2022)

Tiered Redress Scheme

The Inquiry recommends that the UK government establishes a single redress scheme in England and Wales, taking into account devolved responsibilities. The detailed rules of, and funding for, this redress …

- In May 2023, the government accepted this recommendation, stating it would introduce a redress scheme acknowledging institutional failures and would launch extensive engagement with …

FR-20 Accepted in Part

IICSA (2022)

Age Verification Online

The Inquiry recommends (as originally stated in its The Internet Investigation Report, dated March 2020) that the UK government introduces legislation requiring providers of online services and social media platforms …

- In May 2023, the government accepted this recommendation, noting the Online Safety Bill required companies to consider age verification (Government Response to IICSA Final …

27 Accepted in Part

IICSA (2019)

Professional registration for custodial care staff

As the Inquiry set out in its Interim Report, professional registration of the workforce in settings responsible for the care of vulnerable children complements regulation of institutions by a separate, …

- In November 2021, the Ministry of Justice stated that it had reviewed evidence from a targeted consultation on professional registration for the youth custody …

97 Accepted in Part

IICSA (2019)

Clarify Compensation Act on apologies

The government should introduce legislation revising the Compensation Act 2006 to clarify that section 2 facilitates apologies or offers of treatment or other redress to victims and survivors of child …

- On 16 March 2021, the Ministry of Justice stated that it would consult on the subject of apologies, including consideration of the use of …

8 Accepted in Part

IICSA (2021)

Expand Ofsted powers for unregistered settings

The government should introduce legislation to: change the definition of full-time education, and to bring any setting that is the pupil's primary place of education within the scope of the …

- On 2 March 2022, the UK government stated that it had consulted on legislating to amend registration requirements for independent educational institutions in 2020 …

1 Accepted in Part

IICSA (2022)

Collect disaggregated CSE data

Police forces and local authorities in England and in Wales must collect data on all cases of known or suspected child sexual exploitation and child sexual exploitation by networks. These …

- In May 2023, the government stated that improved data collection on child sexual exploitation was being driven through the Centre of Expertise on Child …

9 Accepted in Part

IICSA (2022)

Mandatory aggravating factor for CSE offences

The government should amend the Sentencing Act 2020 to provide a mandatory aggravating factor in sentencing in the case of the commission of an offence under Part 1 of the …

- In January 2025, the Home Secretary committed to legislate to make grooming an aggravating factor in the sentencing of child sexual offences (Government Announcement, …

10 Accepted in Part

IICSA (2022)

Publish enhanced Child Exploitation Disruption Toolkit

As referenced in its Tackling Child Sexual Abuse Strategy, the government should publish an enhanced version of its Child Exploitation Disruption Toolkit as soon as possible. This Toolkit must: specify …

- In January 2021, the government published the Tackling Child Sexual Abuse Strategy, which committed to publishing an enhanced Child Exploitation Disruption Toolkit (Tackling Child …

11 Accepted in Part

IICSA (2022)

Ban CSE-risk children from semi-independent placements

The Department for Education should ban the placement in semi-independent and independent settings of children aged 16 and 17 who have experienced, or are at heightened risk of experiencing, sexual …

- In May 2023, the government stated that it was implementing reforms through the Stable Homes, Built on Love strategy, including changes to placement standards …

56 Accepted in Part

IICSA (2022)

Update CSE guidance with network information

The Department for Education should review and publish an updated version of its guidance on child sexual exploitation. The update should specify that the core element of the definition of …

- In May 2023, the government stated that its final response to this recommendation was pending and that it was considering updates to guidance on …

57 Accepted in Part

IICSA (2022)

Distinguish CSE risk from actual exploitation

The Department for Education and the Welsh Government must ensure that their updated national guidance makes clear that signs that a child is being sexually exploited must never be treated …

- In May 2023, the government stated that its final response was pending, noting it would ensure that updated guidance made clear that signs of …

58 Accepted in Part

IICSA (2022)

Residential schools inspection and guardians registration

The Department for Education and the Welsh Government should: require all residential special schools to be inspected against the quality standards used to regulate children's homes in England and care …

- In May 2023, the government stated that it was still of the view that the best approach to protecting children in residential special schools …

59 Accepted in Part

IICSA (2022)

National LADO standards

The Department for Education and the Welsh Government should: introduce a set of national standards for local authority designated officers in England and in Wales to promote consistency; and clarify …

- In May 2023, the government stated that it was considering the scope and timetable for a review of Working Together guidance, including standards for …

60 Accepted in Part

IICSA (2022)

Independent school governance standards

The Department for Education and the Welsh Government should: amend the Independent School Standards to include the requirements that there is an effective system of governance, based on three principles …

- In May 2023, the government stated that it agreed in principle with the first two points on governance standards for independent schools and intended …

61 Accepted in Part

IICSA (2022)

Nationally accredited safeguarding training in schools

The Department for Education and the Welsh Government should: set nationally accredited standards and levels of safeguarding training in schools; make the highest level of safeguarding training mandatory for headteachers, …

- In May 2023, the government stated that it would consider setting nationally accredited standards and levels of safeguarding training in schools (Government Response to …

62 Accepted in Part

IICSA (2022)

Schools notify inspectorate of DBS referrals

The Department for Education and the Welsh Government should: require schools to inform the relevant inspectorate when they have referred a member of staff to the Disclosure and Barring Service, …

- In May 2023, the government stated that it was cautious about creating a reporting mechanism limited to DBS, TRA and police referrals and that …

63 Accepted in Part

IICSA (2022)

Extend TRA jurisdiction to teaching assistants

The Department for Education should amend the Teachers' Disciplinary (England) Regulations 2012 to bring all teaching assistants, learning support staff and cover supervisors within the misconduct jurisdiction of the Teaching …

- In May 2023, the government stated that anyone undertaking teaching work can be referred to the Teaching Regulation Agency and that this could include …

1 Accepted in Part

Brook House Inquiry (2023)

Monitor Brook House contract performance robustly

The Home Office must actively and robustly monitor the performance of the Brook House contract, including satisfying itself that any self-reported information is accurate. This may include engagement with monitoring …

- In March 2024, the Home Office stated that it had introduced new contracts requiring internal audit programmes and self-reporting by service providers, with two …

2 Accepted in Part

Brook House Inquiry (2023)

Require IRC contracts to uphold Rule 3 humane detention principles

The Home Office must ensure that each contract for the management of an immigration removal centre must expressly require compliance with the overriding purpose of Rule 3, which is to …

- In March 2024, the Home Office stated that new contracts mandate adherence to Detention Services Orders including the Detention Centre Rules 2001 and that …

3 Accepted in Part

Brook House Inquiry (2023)

Limit cell occupancy to maximum two people

The Home Office must ensure that a maximum of two detained people are accommodated in each cell at Brook House.

- In March 2024, the Home Office stated that all rooms across the removal estate meet standards under Rule 15(1) of the Detention Centre Rules …

4 Accepted in Part

Brook House Inquiry (2023)

Ensure reasonable internet and computer access for detainees

The Home Office and its contractors must ensure reasonable access to computers and the internet. Contractors must comply in full with Detention Services Order 04/2016: Detainee Access to the Internet, …

- In March 2024, the Home Office stated that service contracts mandate adherence to DSO 04/2016 (Detainee Access to the Internet) and that fines are …

5 Accepted in Part

Brook House Inquiry (2023)

Require proper cell sharing risk assessments

The Home Office must ensure that adequate risk assessment for cell sharing is carried out by contractors in relation to every detained person. This must be done at the outset …

- In March 2024, the Home Office stated that cell sharing risk assessments are covered under new contractual arrangements and that a new staffing model …

6 Accepted in Part

Brook House Inquiry (2023)

Review and reduce cell lock-in periods

The Home Office, in consultation with the contractor responsible for operating each immigration removal centre, must review the current lock-in regime and determine whether the period of time during which …

- In March 2024, the Home Office committed to implementing a maximum 9-hour overnight lock-in period, noting this was already being driven forward at Brook …

8 Accepted in Part

Brook House Inquiry (2023)

Mandatory comprehensive Rule 34 and Rule 35 training

The Home Office (in collaboration with NHS England as required) must ensure that comprehensive training on Rule 34 and Rule 35 of the Detention Centre Rules 2001 is rolled out …

- In March 2024, the Home Office committed to reviewing Adults at Risk policy and Detention Centre Rules 34 and 35, and stated that NHS …