Public Inquiry Recommendations

MAI-102 Accepted

Manchester Arena Inquiry (2022)

Enhanced care training for HART personnel

The Department of Health and Social Care and the National Ambulance Resilience Unit should consider ensuring that there is further training of HART personnel so that at least one member …

- 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-103 Accepted

Manchester Arena Inquiry (2022)

Guidance on Ambulance Liaison Officer role

The Department of Health and Social Care and the National Ambulance Resilience Unit should consider the scope of the role of an Ambulance Liaison Officer and issue guidance to ambulance …

- 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-104 Accepted

Manchester Arena Inquiry (2022)

Review Advanced Medical Priority Dispatch System

The Department of Health and Social Care and the National Ambulance Resilience Unit should consider whether the Advanced Medical Priority Dispatch System is fit for purpose and, if it 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-105 Accepted

Manchester Arena Inquiry (2022)

Consider SMART Triage Tags in paramedic bags

The Department of Health and Social Care and the National Ambulance Resilience Unit should consider whether the Basic Life Support and Advanced Life Support bags used by paramedics should contain …

- 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-106 Accepted

Manchester Arena Inquiry (2022)

Notify duty command of significant events

The Department of Health and Social Care and the National Ambulance Resilience Unit should develop a system for ensuring that the duty command structure in each ambulance service has notice …

- 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-107 Accepted

Manchester Arena Inquiry (2022)

Ensure immediate HART resource deployment

The Department of Health and Social Care and the National Ambulance Resilience Unit should develop procedures to ensure that, so far as possible, each ambulance service trust is able to …

- 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-108 Accepted

Manchester Arena Inquiry (2022)

Regular Major Incident training for ambulance commanders

The Department of Health and Social Care and the National Ambulance Resilience Unit should ensure that all ambulance commanders receive regular Major Incident training. The training should include training 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-109 Accepted

Manchester Arena Inquiry (2022)

Review stretchers on Mass Casualty Equipment Vehicles

The Department of Health and Social Care and the National Ambulance Resilience Unit should review whether stretchers should be carried on National Capability Mass Casualty Equipment Vehicles.

- 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-110 Accepted

Manchester Arena Inquiry (2022)

Guidance on event first aid equipment

The Department of Health and Social Care should consider issuing guidance on the first aid equipment that event providers should have available on the relevant premises, as well as where …

- 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-111 Accepted

Manchester Arena Inquiry (2022)

Establish standard for event healthcare services

The Department of Health and Social Care should establish the standard for the level of healthcare services required at events. Consideration should be given to putting that standard on 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-112 Accepted

Manchester Arena Inquiry (2022)

Give consideration to NHS commissioner recommendations

The Department of Health and Social Care should give urgent and close consideration to any recommendations made by the trusts and the NHS commissioners.

- 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-113 Accepted

Manchester Arena Inquiry (2022)

Public Access Trauma kits equipment requirements

The Department of Health and Social Care should take steps to ensure that Public Access Trauma kits contain the equipment that is necessary to enable first responder interventions to be …

- 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-114 Accepted

Manchester Arena Inquiry (2022)

Review optimal stretcher types for mass casualties

The Department of Health and Social Care should undertake a review, with input from other bodies as the Department considers appropriate, in order to identify the type of stretcher that …

- 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-115 Accepted

Manchester Arena Inquiry (2022)

Guidance on equipment for warm zone interventions

The Department of Health and Social Care, the Faculty of Pre-Hospital Care, the College of Paramedics and the National Ambulance Resilience Unit should consider issuing guidance on how to ensure …

- 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-116 Accepted

Manchester Arena Inquiry (2022)

Consider freeze-dried plasma for HART operatives

The Department of Health and Social Care, the Faculty of Pre-Hospital Care, the College of Paramedics and the National Ambulance Resilience Unit should consider whether all Hazardous Area Response Team …

- 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-117 Accepted

Manchester Arena Inquiry (2022)

Review UK evacuation to hospital model

The Department of Health and Social Care, the Faculty of Pre-Hospital Care, the College of Paramedics and the National Ambulance Resilience Unit should review the current model for evacuation to …

- 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-118 Accepted

Manchester Arena Inquiry (2022)

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 …

- 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-119 Accepted

Manchester Arena Inquiry (2022)

Integrate air ambulances into Major Incident 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 what staff …

- 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-120 Accepted

Manchester Arena Inquiry (2022)

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 …

- 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-121 Accepted in Part

Manchester Arena Inquiry (2022)

Consequences for breaching event healthcare standards

The Department of Health and Social Care together with the Care Quality Commission should consider what the consequences of breaching the appropriate standard should be. That should include consideration of …

- 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-122 Accepted

Manchester Arena Inquiry (2022)

Maintain radio communications during Major Incidents

The emergency services should prepare, train and exercise for how they will maintain effective radio communications between emergency responders on the ground, commanders and control rooms, during the response to …

- 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-123 Accepted

Manchester Arena Inquiry (2022)

GM Resilience Forum tri-service plan reviews

The Greater Manchester Resilience Forum should oversee, at least every six months, a regular tri-service review of the Major Incident plans used by Greater Manchester Police, Greater Manchester Fire 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-124 Accepted

Manchester Arena Inquiry (2022)

First responder training for all police officers

The Home Office and College of Policing should ensure that all newly recruited and existing police officers and all frontline police staff, such as Police Community Support Officers, are trained …

- 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-125 Accepted

Manchester Arena Inquiry (2022)

Silver Commander training for designated officers

The Home Office and College of Policing should ensure that any police officer whose position carries with it the expectation that they will assume a Tactical/Silver Commander role in 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-126 Accepted

Manchester Arena Inquiry (2022)

Assess quality of first responder training

The Home Office and the College of Policing should regularly assess and appraise the training on first responder interventions provided by each police service to ensure that it is of …

- 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-127 Accepted

Manchester Arena Inquiry (2022)

Robust debrief systems for multi-agency exercises

The Home Office and the Department for Levelling Up, Housing and Communities should ensure that there exist robust national and local systems and sufficient resources to make sure that the …

- 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-128 Accepted

Manchester Arena Inquiry (2022)

National systems to record lessons from exercises

The Ministry of Housing, Communities and Local Government should ensure that there exist robust national and local systems to identify and record the lessons learned from all multi-agency exercises 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-129 Accepted

Manchester Arena Inquiry (2022)

Threshold for Ambulance Liaison Officer at events

The Home Office and the Department of Health and Social Care should consider how the threshold for a requirement that an Ambulance Liaison Officer be present at an event is …

- 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-130 Accepted

Manchester Arena Inquiry (2022)

Public Access Trauma kit availability

The Home Office and the Department of Health and Social Care should consider how to ensure Public Access Trauma kits are available in all locations where they are most likely …

- 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-131 Accepted

Manchester Arena Inquiry (2022)

Force Duty Officer comprehensive training course

The Home Office, College of Policing and Counter Terrorism Policing Headquarters should ensure that all police officers to be appointed to the role of Force Duty Officer or Force 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-132 Accepted

Manchester Arena Inquiry (2022)

Body-worn video for firearms officers

The Home Office, Counter Terrorism Policing Headquarters and the College of Policing should consider whether firearms officers should be equipped routinely with body-worn video cameras.

- 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-133 Accepted

Manchester Arena Inquiry (2022)

High fidelity training for emergency responders

The Home Office, Counter Terrorism Policing Headquarters, the College of Policing, the Fire Service College and the National Ambulance Resilience Unit should consider introducing the use of regular 'high fidelity …

- 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-134 Accepted

Manchester Arena Inquiry (2022)

Fire service notice of significant pre-planned events

The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, and the Fire Service College should develop a system for ensuring that the duty command structure 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-135 Accepted

Manchester Arena Inquiry (2022)

Action cards for emergency services in Major Incidents

The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College and the National Ambulance Resilience Unit should oversee 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-136 Accepted

Manchester Arena Inquiry (2022)

Awareness of specialist capabilities across services

The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the National Ambulance Resilience Unit and all local resilience …

- 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-137 Accepted

Manchester Arena Inquiry (2022)

Common terminology for Operation Plato zones

The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the National Ambulance Resilience Unit and JESIP should ensure …

- 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-138 Accepted

Manchester Arena Inquiry (2022)

Common terminology for non-Plato hazardous zones

The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the National Ambulance Resilience Unit and JESIP should ensure …

- 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-139 Accepted

Manchester Arena Inquiry (2022)

Review and update JESIP Joint Doctrine

The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the National Ambulance Resilience Unit and JESIP should review …

- 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-140 Accepted

Manchester Arena Inquiry (2022)

Review Major Incident plans for interoperability

The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the National Ambulance Resilience Unit, individual police services 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-141 Accepted

Manchester Arena Inquiry (2022)

Nationally agreed format for all emergency plans

The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the National Ambulance Resilience Unity, individual police services and …

- 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-142 Accepted

Manchester Arena Inquiry (2022)

Compel LRF attendance from Category 1 and 2 responders

The Home Office should consider empowering the leadership of local resilience forums to compel the attendance of a senior representative of its Category 1 and Category 2 responders at all …

- 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-143 Accepted

Manchester Arena Inquiry (2022)

Consistent and sufficient LRF funding

The Home Office should consider how local resilience forums are to be funded consistently and sufficiently to enable them to do their important work.

- 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-144 Accepted

Manchester Arena Inquiry (2022)

Mandatory Ambulance Liaison Officer at events

The Home Office should consider how the presence of an Ambulance Liaison Officer in appropriate circumstances may be made mandatory. This may need to be put on a statutory footing.

- 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-145 Accepted

Manchester Arena Inquiry (2022)

Strategic Co-ordinating Group within two hours

The Home Office should consider the introduction of a national standard requiring a meeting of the Strategic Co-ordinating Group to take place no more than two hours after the declaration …

- 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-146 Accepted

Manchester Arena Inquiry (2022)

Public education on first responder interventions

The Home Office should consider the introduction of a public education programme to educate the public in 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-147 Accepted

Manchester Arena Inquiry (2022)

Employer requirement to train in first aid

The Home Office should consider the introduction of a requirement into law, for example through regulations issued under the Health and Safety at Work etc. Act 1974, that employers train …

- 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-148 Accepted

Manchester Arena Inquiry (2022)

LRF staffing and resources

The Home Office should consider, together with local resilience forums, how they are to have sufficient staff and resources to enable them to function effectively.

- 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-150 Accepted

Manchester Arena Inquiry (2022)

Police notice of significant pre-planned events

The Home Office, the College of Policing and His Majesty's Inspectorate of Constabulary and Fire and Rescue Services should develop a system for ensuring that the duty command structure 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-151 Accepted

Manchester Arena Inquiry (2022)

App for commander contact details

The Home Office, the College of Policing, the Fire Service College and the National Ambulance Resilience Unit should consider together whether an app giving ready access to the contact details …

- 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-152 Accepted

Manchester Arena Inquiry (2022)

Recording equipment for incident commanders

The Home Office, the College of Policing, the National Ambulance Resilience Unit and the Fire Service College should ensure that all those who may be required to take up 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 …