Public Inquiry Recommendations
1,832 tracked recommendations across 36 inquiries (search by inquiry name to find 1,056 historic recs) — page 21 of 37
What these recommendations are about
Most prevalent topics across all 36 inquiries:
Staff training and development (527) ·
Quality and safety oversight (440) ·
Patient safety governance (293) ·
Weak Government Accountability & Scrutiny (290) ·
Care safeguarding systems (282)
.
The same issues recur across multiple inquiries —
Staff training and development
(Workforce & Staffing)
is the single most common theme, with 527 tagged recommendations.
Explore →
AS-7
Accepted
Al-Sweady Inquiry
(2014)
Strip-Search Safeguards
Appropriate measures should be taken to ensure that minimum safeguards are in place where a detainee is to be strip-searched. These include informing a detainee as to the necessity for …
AS-8
Accepted
Al-Sweady Inquiry
(2014)
Interpreter Availability
There should be an appropriate review of all current, relevant policy and procedures to ensure that a sufficient number of suitably trained interpreters are readily available and on hand during …
AS-9
Accepted
Al-Sweady Inquiry
(2014)
Medical Fitness for Detention Forms
Appropriate forms should be made available to allow a medical examiner to declare a detainee unfit for detention and questioning. The decision as to whether a detainee has been declared …
AR-1
Accepted
Azelle Rodney Inquiry
(2013)
Full Review of Operation Tayport
I recommend that, as soon as is reasonably practicable, the MPS undertake a full, thorough review of all aspects of Operation Tayport. The review should be conducted by a senior …
AR-2
Accepted
Azelle Rodney Inquiry
(2013)
Protocol for Post-Incident Debriefing
At an early date there should be liaison between the IPCC, the MPS and ACPO (and, more significantly, lawyers acting for each) with a view to establishing a protocol for …
AR-3
Accepted
Azelle Rodney Inquiry
(2013)
Commissioner to Appoint Debrief Officer
In the event of a shooting by an MPS officer that results in death or serious injury, the Commissioner should thereupon appoint a senior officer to conduct a full, operational …
R1
Accepted
Billy Wright Inquiry
(2010)
Prison records retention
Given what we discovered about the destruction of prisoners' files, many of which would have been important historical records, we recommend that the SOSNI should satisfy himself whether any other …
R2
Accepted
Billy Wright Inquiry
(2010)
HMP Maghaberry lessons learned
Many of the problems of HMP Maze in 1997 arose from the fact that by then it was the sole prison in Northern Ireland holding the most dangerous terrorist prisoners. …
R3
Accepted
Billy Wright Inquiry
(2010)
Prison service reform process
We have identified a series of failures in the management of the NIPS in 1997. What we learned about the current management of the NIPS in the course of the …
BAHA-1
Accepted
Baha Mousa Inquiry
(2011)
Prohibition on Hooding
The MoD should retain its current absolute prohibition on the use of hoods on Captured Personnel (CPErS).
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and that the prohibition on hooding had been maintained and …
BAHA-2
Accepted
Baha Mousa Inquiry
(2011)
Standard Orders Prohibiting Five Techniques
Joint Doctrine Publication (JDP) 1-10 should include the requirement for standard orders to be issued for each operation prohibiting the use of the five techniques.
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and that JDP 1-10 had been updated to require standard …
BAHA-3
Accepted
Baha Mousa Inquiry
(2011)
Broaden Stress Position Definition
The definition of stress positions in JDP 1-10 and elsewhere should be broadened so that it is not dependent upon the intention of the person enforcing the position.
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that the definition had been broadened so that …
BAHA-4
Accepted
Baha Mousa Inquiry
(2011)
Hooding Guidance
The essence of guidance on hooding should be that it is prohibited at any time for whatever purpose to place a sandbag or other cover over a CPErS' head.
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and that guidance had been updated to make clear that …
BAHA-5
Accepted
Baha Mousa Inquiry
(2011)
Noise Prohibition Definition
The definition of the prohibition on subjecting CPErS to noise should be broadened. It should prohibit subjecting CPErS to any unnecessary excessive noise.
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that the definition had been broadened to prohibit …
BAHA-6
Accepted
Baha Mousa Inquiry
(2011)
Redacted Recommendation
[REDACTED - This recommendation has been redacted from the public version of the report]
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation (Government Response to the Baha Mousa Inquiry, Ministry of Defence, …
BAHA-7
Accepted
Baha Mousa Inquiry
(2011)
Five Techniques Communication
The MoD should give careful consideration as to whether referring to the five techniques as being prohibited 'as an aid to interrogation' remains the most effective means of communicating the …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that language had been clarified to ensure the …
BAHA-8
Accepted
Baha Mousa Inquiry
(2011)
Five Techniques Placement in Doctrine
The prohibition on the five techniques should not appear only within the Tactical Questioning and interrogation section of JDP 1-10 since it has a wider application and importance.
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that the prohibition now appears in multiple relevant …
BAHA-9
Accepted
Baha Mousa Inquiry
(2011)
Five Techniques in JTTP
The prohibition on the five techniques should appear in the Joint Tactics, Techniques and Procedures guidance as well as in the main body of JDP 1-10.
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that the prohibition on the five techniques had …
BAHA-10
Accepted
Baha Mousa Inquiry
(2011)
Sight Deprivation Principles
Five principles on permitted sight deprivation should be consistently emphasised in JDP 1-10 and subordinate doctrine and instructions: (1) where practicable the need to deprive CPErS of their sight should …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that all five principles on permitted sight deprivation …
BAHA-11
Accepted
Baha Mousa Inquiry
(2011)
Sleep Deprivation Prohibition
JDP 1-10 should make clear that it is prohibited deliberately to keep prisoners awake, even for short periods, merely because they may shortly face tactical questioning or interrogation. CPErS may …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that JDP 1-10 had been updated to prohibit …
BAHA-12
Accepted
Baha Mousa Inquiry
(2011)
CPErS Meals Guidance
JDP 1-10 should give some guidance in relation to the number of daily meals for CPErS and the timing of them. Such guidance will obviously need to take into account …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that guidance on meal provision for captured persons …
BAHA-13
Accepted
Baha Mousa Inquiry
(2011)
Redacted Recommendation
[REDACTED - This recommendation has been redacted from the public version of the report]
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation (Government Response to the Baha Mousa Inquiry, Ministry of Defence, …
BAHA-14
Accepted
Baha Mousa Inquiry
(2011)
Communicating Sight Deprivation Reasons
JDP 1-10 should include guidance that where practicable CPErS should be told the reason why sight deprivation is being applied. Suitable simple phrases in relation to sight deprivation should be …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that guidance on communicating with captured persons about …
BAHA-15
Accepted
Baha Mousa Inquiry
(2011)
Unit Holding Area Checklist
JDP 1-10 should include a simple checklist covering both the principles and practicalities of accommodation for unit holding areas.
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that a checklist for unit holding area accommodation …
BAHA-16
Accepted
Baha Mousa Inquiry
(2011)
Death in Custody Checklist
JDP 1-10 should include a simple checklist for actions on a death in custody. Where there is a death in custody, particularly one that is sudden or unexplained, prompt checks …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that a death in custody checklist had been …
BAHA-17
Accepted
Baha Mousa Inquiry
(2011)
CPErS Complaints Procedure
JDP 1-10 should incorporate the requirement that on entry to and exit from a theatre level detention facility, CPErS are proactively asked whether or not they have any complaints concerning …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that procedures for proactively seeking captured persons' complaints …
BAHA-18
Accepted
Baha Mousa Inquiry
(2011)
Whistleblower Protection
JDP 1-10 should address the protection that will be afforded to service personnel who make complaints or allegations in good faith of the mistreatment of CPErS. It should give guidance …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that guidance on protection for those reporting mistreatment …
BAHA-19
Accepted
Baha Mousa Inquiry
(2011)
Redacted Recommendation
[REDACTED - This recommendation has been redacted from the public version of the report]
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation (Government Response to the Baha Mousa Inquiry, Ministry of Defence, …
BAHA-20
Accepted
Baha Mousa Inquiry
(2011)
Doctrine Usability Review
The MoD should ensure that Development Concepts and Doctrine Centre (DCDC) reviews whether its protocols for layout and pagination of joint doctrine really serve the end user.
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that the Development Concepts and Doctrine Centre (DCDC) …
BAHA-21
Accepted
Baha Mousa Inquiry
(2011)
Generic CPErS Handling SOI
Permanent Joint Headquarters (PJHQ) should complete work on a generic theatre-level Standard Operating Instruction (SOI) for CPErS handling. This should stand as the starting template for CPErS handling on future …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that a generic theatre-level Standard Operating Instruction for …
BAHA-22
Accepted
Urgent
Baha Mousa Inquiry
(2011)
Tactical Questioning Policy Clarity
Urgent consideration must be given to amending the tactical questioning policy to make clear what approaches are and are not authorised for use in tactical questioning. In future all tactical …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that the tactical questioning policy had been amended …
BAHA-23
Not Accepted
Urgent
Baha Mousa Inquiry
(2011)
Ban Harsh Approach in Tactical Questioning
The harsh approach should no longer have a place in tactical questioning. The MoD should forbid tactical questioners from using what is currently known as the harsh approach and this …
- The Defence Secretary stated on 8 September 2011 that the government did not accept this recommendation. The Defence Secretary decided to retain the ability …
BAHA-24
Accepted
Baha Mousa Inquiry
(2011)
Harsh Approach Parameters
To the extent that the MoD considers that the harsh approach can still lawfully be used in interrogation: (1) there is a need for very clear guidance to be given …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that guidance on the harsh approach had been …
BAHA-25
Accepted
Baha Mousa Inquiry
(2011)
Redacted Recommendation
[REDACTED - This recommendation has been redacted from the public version of the report]
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation (Government Response to the Baha Mousa Inquiry, Ministry of Defence, …
BAHA-26
Accepted
Baha Mousa Inquiry
(2011)
Guidance on Exploiting Pressures
The tactical questioning and interrogation policies should give more detailed guidance on the extent to which tactical questioners and interrogators may seek to exploit self and system induced pressures.
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that more detailed guidance on self and system …
BAHA-27
Accepted
Baha Mousa Inquiry
(2011)
Interrogation Video Audit
The interrogation policy should require, as part of the auditing process, a review of a selection of video recordings of interrogations of the inspector's choosing. Interrogators should know that the …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that video recording review had been incorporated into …
BAHA-28
Accepted
Baha Mousa Inquiry
(2011)
Tactical Questioning Audit Procedure
The tactical questioning policy should be amended to include a clear and simple auditing procedure.
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that a clear auditing procedure for tactical questioning …
BAHA-29
Accepted
Baha Mousa Inquiry
(2011)
Medical Personnel Role
Armed Forces medical personnel can and should be involved in providing advice that a CPErS is not fit for detention or questioning. Alternatively, the medic may validly advise that no …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that the role of medical personnel had been …
BAHA-30
Accepted
Baha Mousa Inquiry
(2011)
CPErS Medical Examination Policy
The medical policy for CPErS should include: (1) CPErS must undergo a medical examination within four hours of capture, unless there are compelling circumstances; (2) CPErS should be examined by …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that medical examination requirements had been updated in …
BAHA-31
Accepted
Baha Mousa Inquiry
(2011)
Update SOI J3-9 Definitions
The definitions of the prohibited techniques contained in SOI J3-9 should be updated to reflect the recommendations made in respect of JDP 1-10.
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that SOI J3-9 had been updated to reflect …
BAHA-32
Accepted
Baha Mousa Inquiry
(2011)
SOI J3-9 Sight Deprivation
SOI J3-9 should reflect the greater emphasis that is given in the latest draft of JDP 1-10 to avoiding in the first place, where practicable, circumstances in which sight deprivation …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that SOI J3-9 had been updated to emphasise …
BAHA-33
Accepted
Baha Mousa Inquiry
(2011)
Communicating Deprivation Reasons
Where practicable CPErS who are subjected to sight deprivation or hearing deprivation should be told the reason for it. If being deprived of their sight for some or part of …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that requirements to communicate with captured persons about …
BAHA-34
Accepted
Baha Mousa Inquiry
(2011)
Consistent Sight Deprivation Terminology
Theatre level detention instructions and guidance should be reviewed to ensure that references to the means of permissible sight deprivation are consistent. The clearest wording is likely to be 'sight …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that terminology had been standardised to 'sight deprivation …
BAHA-35
Accepted
Baha Mousa Inquiry
(2011)
Detention Timescales Consistency
Theatre level detention instructions and guidance should be reviewed to ensure that references to timescales for detention are clear and consistent. Timescales for detention are an important aspect of managing …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that detention timescales had been reviewed and made …
BAHA-36
Accepted
Baha Mousa Inquiry
(2011)
CPErS Documentation
CPErS documents should be as few in number as possible but they require amendment to ensure that those involved in detention are guided more accurately on what to record. Current …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that captured persons documentation had been amended to …
BAHA-37
Accepted
Baha Mousa Inquiry
(2011)
Occurrence Book Requirement
A suitable occurrence book must be maintained at all times whenever CPErS are being held at a unit or sub-unit holding facility.
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that occurrence book requirements had been mandated for …
BAHA-38
Accepted
Baha Mousa Inquiry
(2011)
Single Comprehensive CPErS Order
The MoD should continue its recent practice of ensuring that theatre level instructions and procedures for CPErS are contained within a single comprehensive order that is kept up to date …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that the practice of maintaining a single comprehensive …
BAHA-39
Accepted
Baha Mousa Inquiry
(2011)
Review Goggles Use in THF
The Provost Marshal (Army) should formally review whether the current practice of using blacked out goggles for all movement of CPErS within Temporary Holding Facilities is strictly necessary and ensure …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that the Provost Marshal (Army) had reviewed the …
BAHA-40
Accepted
Baha Mousa Inquiry
(2011)
Battlegroup Detention Officer
Each Battlegroup should have a 'Detention Officer' being a commissioned officer within Battlegroup Headquarters. The role should encompass coordination and management of CPErS; acting as a focus on CPErS matters …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that the role of Battlegroup Detention Officer had …
BAHA-41
Accepted
Baha Mousa Inquiry
(2011)
Detention Sergeant Role
On operations where CPErS may be taken there should be a Senior Non-Commissioned Officer (NCO) who acts as the 'Detention Sergeant' who has responsibility for the administrative aspects of CPErS …
- The Defence Secretary stated on 8 September 2011 that the government accepted this recommendation and stated that the Detention Sergeant role had been established …