Public Inquiry Recommendations

MAI-153 Accepted

Manchester Arena Inquiry (2022)

Use recording equipment during exercises

The Home Office, the College of Policing, the National Ambulance Resilience Unit and the Fire Service College should ensure that, in the course of exercises, such equipment is used by …

- 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-154 Accepted

Manchester Arena Inquiry (2022)

Training on use of recording equipment

The Home Office, the College of Policing, the National Ambulance Resilience Unit and the Fire Service College should ensure that training is given to all who are issued with 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 …

MAI-155 Accepted

Manchester Arena Inquiry (2022)

Obtain comprehensive accounts from commanders

The Home Office, the College of Policing, the National Ambulance Resilience Unit and the Fire Service College should take steps to ensure that all emergency services understand the importance of …

- 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-156 Accepted

Manchester Arena Inquiry (2022)

Ambulance Liaison Officer resourcing

The Home Office, the Department of Health and Social Care and the National Ambulance Resilience Unit should consider how to ensure that the role of an Ambulance Liaison Officer 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-157 Accepted

Manchester Arena Inquiry (2022)

Review stretcher availability for mass casualties

The Home Office, the Department of Health and Social Care, the Department for Transport and the Department for Levelling Up, Housing and Communities should conduct a review to ensure 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-158 Accepted

Manchester Arena Inquiry (2022)

Guidance on commander location during incidents

The Home Office, the National Ambulance Resilience Unit, the College of Policing and the Fire Service College should develop guidance as to where commanders should locate during a spontaneous Major …

- 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-159 Accepted

Manchester Arena Inquiry (2022)

Consider funding arrangements for police services

The Inquiry heard evidence that the impact of public funding cuts fell disproportionately hard on metropolitan police services, such as Greater Manchester Police, compared with non-metropolitan services. In the event …

- 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-160 Accepted

Manchester Arena Inquiry (2022)

Train all firefighters in first responder interventions

The National Fire Chiefs Council and the Fire Service College should establish a scheme for ensuring that all firefighters are trained 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-162 Accepted

Manchester Arena Inquiry (2022)

Define BTP Senior Duty Officer role in Major Incidents

The role of the Senior Duty Officer in a Major Incident should be clearly defined and explained in the British Transport Police Major Incident Manual. This role should have a …

- 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-165 Accepted

Manchester Arena Inquiry (2022)

Ten Second Triage training for frontline staff

The team led by Philip Cowburn has devised a tool that is designed for use by a wide range of emergency responders in a mass casualty situation. It is known …

- 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-166 Accepted

Manchester Arena Inquiry (2022)

Introduce Major Incident Triage Tool

The team led by Philip Cowburn has devised a tool that is designed to replace the existing systems of primary and secondary triage. It is known as the Major 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-167 Accepted

Manchester Arena Inquiry (2022)

Clarify Casualty Collection Point terminology

The terms Casualty Collection Point and Casualty Clearing Station are capable of being confused, one for the other, particularly in circumstances of stress. That happened on the night 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-168 Accepted

Manchester Arena Inquiry (2022)

Review Major Incident plans for joint working

Those organisations should consider what changes need to be made to Major Incident plans in order to achieve those aims.

- 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-169 Accepted

Manchester Arena Inquiry (2022)

Review Operation Plato guidance

Those organisations should consider what changes need to be made to the Counter Terrorism Policing Headquarters Operation Plato guidance in order to achieve those aims.

- 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-1 Accepted

Manchester Arena Inquiry (2023)

School-to-college records on radicalisation vulnerability

A clean start should be possible when a student moves from school to college or higher education, such that it would not be appropriate for a general file on significant …

- 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-52 Accepted

Manchester Arena Inquiry (2023)

Consider Commission for Countering Extremism report

In 2021, the Commission for Countering Extremism published a report entitled Operating with Impunity. Hateful Extremism: The Need for a Legal Framework. I recommend that the Home Office consider 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-54 Accepted

Manchester Arena Inquiry (2023)

School records on radicalisation vulnerability

It is recommended that the Department for Education consider whether schools should include notes of any significant behavioural problems on the Common Transfer File, or some other suitable new form …

- 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-55 Accepted

Manchester Arena Inquiry (2023)

Risk-based visitor restrictions for radicalising prisoners

It is recommended that the Home Office consider introducing a system based on a robust assessment of the risk a prisoner poses for radicalisation of others. This system should allow …

- 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-60 Accepted

Manchester Arena Inquiry (2023)

Record images of students with weapons

It is recommended to all educational establishments and the Department for Education that images of school pupils or college students handling firearms, explosives or other weapons that come to 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). …

P1-1 Accepted

Grenfell Tower Inquiry (2019)

Require external wall information for fire services

The owner and manager of every high-rise residential building be required by law to provide their local fire and rescue service with information about the design of its external walls …

- The government accepted this recommendation in principle in January 2020 (Government Response to Grenfell Tower Inquiry Phase 1 Report, MHCLG, January 2020). - The …

P1-2 Accepted

Grenfell Tower Inquiry (2019)

Train fire personnel on external wall fire risks

All fire and rescue services ensure that their personnel at all levels understand the risk of fire taking hold in the external walls of high-rise buildings and know how to …

- NFCC accepted all Phase 1 recommendations directed to it, committing to develop national guidance across all 43 fire and rescue services in England (NFCC …

P1-3 Accepted

Grenfell Tower Inquiry (2019)

LFB to review PN633 Appendix 1

The LFB review, and revise as appropriate, Appendix 1 to PN633 to ensure that it fully reflects the principles in GRA 3.2.

- LFB accepted all Phase 1 recommendations directed to it in January 2020 (LFB Response to Grenfell Tower Inquiry Phase 1 Report, January 2020). - …

P1-4 Accepted

Grenfell Tower Inquiry (2019)

Train LFB officers on high-rise inspections

The LFB ensure that all officers of the rank of Crew Manager and above are trained in carrying out the requirements of PN633 relating to the inspection of high-rise buildings.

- LFB accepted all Phase 1 recommendations directed to it in January 2020 (LFB Response to Grenfell Tower Inquiry Phase 1 Report, January 2020). - …

P1-5 Accepted

Grenfell Tower Inquiry (2019)

Require building floor plans for fire services

The owner and manager of every high-rise residential building be required by law to provide their local fire and rescue services with up-to-date plans in both paper and electronic form …

- The government accepted this recommendation in principle in January 2020 (Government Response to Grenfell Tower Inquiry Phase 1 Report, MHCLG, January 2020). - The …

P1-6 Accepted

Grenfell Tower Inquiry (2019)

Require premises information boxes

The owner and manager of every high-rise residential building be required by law to ensure that the building contains a premises information box, the contents of which must include a …

- The government accepted this recommendation in principle in January 2020 (Government Response to Grenfell Tower Inquiry Phase 1 Report, MHCLG, January 2020). - The …

P1-7 Accepted

Grenfell Tower Inquiry (2019)

Equip fire services to receive electronic plans

All fire and rescue services be equipped to receive and store electronic plans and to make them available to incident commanders and control room managers.

- NFCC accepted all Phase 1 recommendations directed to it (NFCC Response, 2020). - The government's Phase 1 progress report stated this recommendation is complete, …

P1-8 Accepted

Grenfell Tower Inquiry (2019)

Require monthly firefighter lift inspections

The owner and manager of every high-rise residential building be required by law to carry out regular inspections of any lifts that are designed to be used by firefighters in …

- The government accepted this recommendation in principle in January 2020 (Government Response to Grenfell Tower Inquiry Phase 1 Report, MHCLG, January 2020). - The …

P1-9 Accepted

Grenfell Tower Inquiry (2019)

Require monthly lift control mechanism tests

The owner and manager of every high-rise residential building be required by law to carry out regular tests of the mechanism which allows firefighters to take control of the lifts …

- The government accepted this recommendation in principle in January 2020 (Government Response to Grenfell Tower Inquiry Phase 1 Report, MHCLG, January 2020). - The …

P1-10 Accepted

Grenfell Tower Inquiry (2019)

LFB review control room communications policy

The London Fire Brigade review its policies on communications between the control room and the incident commander.

- LFB accepted all Phase 1 recommendations in January 2020 (LFB Response to Grenfell Tower Inquiry Phase 1 Report, January 2020). - LFB Commissioner stated …

P1-11 Accepted

Grenfell Tower Inquiry (2019)

Train incident commanders on control room communications

All officers who may be expected to act as incident commanders (i.e. all those above the rank of Crew Manager) receive training directed to the specific requirements of communication with …

- LFB accepted all Phase 1 recommendations in January 2020 (LFB Response to Grenfell Tower Inquiry Phase 1 Report, January 2020). - LFB Commissioner stated …

P1-12 Accepted

Grenfell Tower Inquiry (2019)

Train control room operators on incident commander communications

All control room operators of Assistant Operations Manager rank and above receive training directed to the specific requirements of communication with the incident commander.

- LFB accepted all Phase 1 recommendations in January 2020 (LFB Response to Grenfell Tower Inquiry Phase 1 Report, January 2020). - LFB Commissioner stated …

P1-13 Accepted

Grenfell Tower Inquiry (2019)

Dedicated control room to incident commander link

A dedicated communication link be provided between the senior officer in the control room and the incident commander.

- LFB accepted all Phase 1 recommendations in January 2020 (LFB Response to Grenfell Tower Inquiry Phase 1 Report, January 2020). - LFB Commissioner stated …

P1-14 Accepted

Grenfell Tower Inquiry (2019)

Distinguish between advice and rescue callers

The LFB's policies be amended to draw a clearer distinction between callers seeking advice and callers who believe they are trapped and need rescuing.

- LFB accepted all Phase 1 recommendations in January 2020 (LFB Response to Grenfell Tower Inquiry Phase 1 Report, January 2020). - The government's Phase …

P1-15 Accepted

Grenfell Tower Inquiry (2019)

Regular refresher training for control room operators

The LFB provide regular and more effective refresher training to control room operators at all levels, including supervisors.

- LFB accepted all Phase 1 recommendations in January 2020 (LFB Response to Grenfell Tower Inquiry Phase 1 Report, January 2020). - The government's Phase …

P1-16 Accepted

Grenfell Tower Inquiry (2019)

Develop policies for handling multiple FSG calls

All fire and rescue services develop policies for handling a large number of Fire Survival Guidance (FSG) calls simultaneously.

- NFCC accepted all Phase 1 recommendations directed to it (NFCC Response, 2020). - The government's Phase 1 progress report stated this recommendation is complete, …

P1-17 Accepted

Grenfell Tower Inquiry (2019)

Electronic FSG recording and display systems

Electronic systems be developed to record FSG information in the control room and display it simultaneously at the bridgehead and in any command units.

- NFCC accepted all Phase 1 recommendations directed to it (NFCC Response, 2020). - The government's Phase 1 progress report stated this recommendation is complete, …

P1-18 Accepted

Grenfell Tower Inquiry (2019)

Develop stay put to evacuation transition policies

Policies be developed for managing a transition from 'stay put' to 'get out'.

- NFCC accepted all Phase 1 recommendations directed to it (NFCC Response, 2020). - The government's Phase 1 progress report stated this recommendation is complete, …

P1-19 Accepted

Grenfell Tower Inquiry (2019)

Train control room staff on evacuation advice changes

Control room staff receive training directed specifically to handling such a change of advice and conveying it effectively to callers.

- NFCC accepted all Phase 1 recommendations directed to it (NFCC Response, 2020). - The government's Phase 1 progress report stated this recommendation is complete, …

P1-20 Accepted

Grenfell Tower Inquiry (2019)

Investigate inter-control room information sharing

Steps be taken to investigate methods by which assisting control rooms can obtain access to the information available to the host control room.

- NFCC accepted all Phase 1 recommendations directed to it (NFCC Response, 2020). - The Multi Agency Incident Transfer (MAIT) system has been rolled out …

P1-21 Accepted

Grenfell Tower Inquiry (2019)

LAS and MPS review FSG call protocols

The London Ambulance Service and Metropolitan Police Service review their protocols and policies to ensure that their operators can identify FSG calls (as defined by the LFB) and pass them …

- The London Ambulance Service accepted all Phase 1 recommendations directed to it in October 2019 (LAS Response to Grenfell Tower Inquiry Phase 1 Report, …

P1-22 Accepted

Grenfell Tower Inquiry (2019)

LFB improve deployment control policies

The LFB develop policies and training to ensure better control of deployments and the use of resources.

- LFB accepted all Phase 1 recommendations in January 2020 (LFB Response to Grenfell Tower Inquiry Phase 1 Report, January 2020). - LFB Commissioner stated …

P1-23 Accepted

Grenfell Tower Inquiry (2019)

Improve crew debrief information systems

The LFB develop policies and training to ensure that better information is obtained from crews returning from deployments and that the information is recorded in a form that enables it …

- LFB accepted all Phase 1 recommendations in January 2020 (LFB Response to Grenfell Tower Inquiry Phase 1 Report, January 2020). - LFB Commissioner stated …

P1-24 Accepted

Grenfell Tower Inquiry (2019)

Direct control room to incident commander communications

The LFB develop a communication system to enable direct communication between the control room and the incident commander and improve the means of communication between the incident commander and the …

- LFB accepted all Phase 1 recommendations in January 2020 (LFB Response to Grenfell Tower Inquiry Phase 1 Report, January 2020). - LFB Commissioner stated …

P1-25 Accepted

Grenfell Tower Inquiry (2019)

Investigate modern control room to bridgehead communications

The LFB investigate the use of modern communication techniques to provide a direct line of communication between the control room and the bridgehead, allowing information to be transmitted directly between …

- LFB accepted all Phase 1 recommendations in January 2020 (LFB Response to Grenfell Tower Inquiry Phase 1 Report, January 2020). - LFB Commissioner stated …

P1-26 Accepted

Grenfell Tower Inquiry (2019)

Equipment for BA communication in high-rise buildings

The LFB urgently take steps to obtain equipment that enables firefighters wearing helmets and breathing apparatus to communicate with the bridgehead effectively, including when operating in high-rise buildings.

- LFB accepted all Phase 1 recommendations in January 2020 (LFB Response to Grenfell Tower Inquiry Phase 1 Report, January 2020). - LFB Commissioner stated …

P1-27 Accepted

Grenfell Tower Inquiry (2019)

Command support system operational on all units

Urgent steps be taken to ensure that the command support system is fully operative on all command units and that crews are trained in its use.

- LFB accepted all Phase 1 recommendations in January 2020 (LFB Response to Grenfell Tower Inquiry Phase 1 Report, January 2020). - LFB Commissioner stated …

P1-28 Accepted

Grenfell Tower Inquiry (2019)

National guidelines for high-rise evacuations

The government develop national guidelines for carrying out partial or total evacuations of high-rise residential buildings, such guidelines to include the means of protecting fire exit routes and procedures for …

- The government accepted this recommendation in principle in January 2020 (Government Response to Grenfell Tower Inquiry Phase 1 Report, MHCLG, January 2020). - National …

P1-29 Accepted

Grenfell Tower Inquiry (2019)

Fire services develop evacuation policies and training

Fire and rescue services develop policies for partial and total evacuation of high-rise residential buildings and training to support them.

- NFCC accepted all Phase 1 recommendations directed to it (NFCC Response, 2020). - National Evacuation Guidelines were published on 5 February 2024 (National Evacuation …

P1-30 Accepted in Part

Grenfell Tower Inquiry (2019)

Require evacuation plans for high-rise buildings

The owner and manager of every high-rise residential building be required by law to draw up and keep under regular review evacuation plans, copies of which are to be provided …

- The government accepted this recommendation in principle in January 2020 (Government Response to Grenfell Tower Inquiry Phase 1 Report, MHCLG, January 2020). - The …

P1-31 Accepted in Part

Grenfell Tower Inquiry (2019)

Require evacuation alarm systems in high-rise buildings

All high-rise residential buildings (both those already in existence and those built in the future) be equipped with facilities for use by the fire and rescue services enabling them to …

- The government accepted this recommendation in principle in January 2020 (Government Response to Grenfell Tower Inquiry Phase 1 Report, MHCLG, January 2020). - Statutory …