Public Inquiry Recommendations

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 …

MAI-48 Accepted in part

Manchester Arena Inquiry (2023)

Statutory powers for witness attendance at inquiries

I also recommend 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 …

MAI-56 Accepted in part

Manchester Arena Inquiry (2023)

Address extradition difficulties for section 35 offences

I recommend 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 an …

MAI-57 Accepted in part

Manchester Arena Inquiry (2023)

Amend section 21 for witness interview requirements

I recommend 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 in …

MAI-58 Accepted in part

Manchester Arena Inquiry (2023)

Amend section 36 for pre-emptive witness enforcement

I recommend 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 pre-emptive …

P1-1 Accepted in part

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 …

P1-5 Accepted in part

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 …

P1-6 Accepted in part

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 …

P1-8 Accepted in part

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 …

P1-9 Accepted in part

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 …

P1-28 Accepted in part

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 …

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 …

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 …

P1-32 Accepted in part

Grenfell Tower Inquiry (2019)

Require personal emergency evacuation plans (PEEPs)

The owner and manager of every high-rise residential building be required by law to prepare personal emergency evacuation plans (PEEPs) for all residents whose ability to self-evacuate may be compromised …

P1-33 Accepted in part

Grenfell Tower Inquiry (2019)

Require PEEP information in premises information box

The owner and manager of every high-rise residential building be required by law to include up-to-date information about persons with reduced mobility and their associated PEEPs in the premises information …

P1-35 Accepted in part

Grenfell Tower Inquiry (2019)

Require clear floor number markings in high-rise buildings

In all high-rise buildings floor numbers be clearly marked on each landing within the stairways and in a prominent place in all lobbies in such a way as to be …

P1-36 Accepted in part

Grenfell Tower Inquiry (2019)

Require understandable fire safety instructions

The owner and manager of every residential building containing separate dwellings (whether or not it is a high-rise building) be required by law to provide fire safety instructions (including instructions …

P1-38 Accepted in part

Grenfell Tower Inquiry (2019)

Require quarterly fire door checks

The owner and manager of every residential building containing separate dwellings (whether or not they are high-rise buildings) be required by law to carry out checks at not less than …

P1-39 Accepted in part

Grenfell Tower Inquiry (2019)

Require compliant flat entrance doors where unsafe cladding exists

All those who have responsibility in whatever capacity for the condition of the entrance doors to individual flats in high-rise residential buildings, whose external walls incorporate unsafe cladding, be required …

P2-1 Accepted in part

Grenfell Tower Inquiry (2024)

Establish single construction industry regulator

We therefore recommend that the government draw together under a single regulator all the functions relating to the construction industry to which we have referred. (113.6)

P2-13 Accepted in part

Grenfell Tower Inquiry (2024)

Make construction regulator responsible for product conformity certificates

We therefore recommend that the construction regulator should be responsible for assessing the conformity of construction products with the requirements of legislation, statutory guidance and industry standards and issuing certificates …

P2-14 Accepted in part

Grenfell Tower Inquiry (2024)

Require test results disclosure and transparency for construction products

a) that copies of all test results supporting any certificate issued by the construction regulator be included in the certificate; b) that manufacturers be required to provide the construction regulator …

P2-25 Accepted in part

Grenfell Tower Inquiry (2024)

Maintain public record of inquiry recommendations

We recommend that it be made a legal requirement for the government to maintain a publicly accessible record of recommendations made by select committees, coroners and public inquiries together with …

P2-28 Accepted in part

Grenfell Tower Inquiry (2024)

Require gas valve accessibility inspections every three years

We therefore recommend that every gas transporter be required by law to check the accessibility of each such valve on its system at least once every three years and to …

P2-29 Accepted in part

Grenfell Tower Inquiry (2024)

Establish independent College of Fire and Rescue

We welcome the government’s ambition to create an independent College of Fire and Rescue expressed in the white paper Reforming our Fire and Rescue Service and we therefore recommend that …

P2-30 Accepted in part

Grenfell Tower Inquiry (2024)

College to have permanent staff and training facilities

Although it is for the government to decide how the college should be constituted, we recommend that it should have a permanent staff of sufficient size to manage its operations …

P2-43 Accepted in part

Grenfell Tower Inquiry (2024)

Require voluntary sector partnerships in contingency planning

Regulation 23 of the Civil Contingencies Act 2004 (Contingency Planning) Regulations 2005 requires a Category 1 responder to have regard when making its plans to the activities of relevant voluntary …

P2-48 Accepted in part

Grenfell Tower Inquiry (2024)

Verify training quality of Category 1 responders

We also recommend that a mechanism be introduced for independently verifying the frequency and quality of training provided by local authorities and other Category 1 responders. (113.71)

POH-IR1-1 Accepted in part

Post Office Horizon Inquiry (2023)

Allow Advisory Board to monitor individual cases and make full and fair monitoring a core duty

The Horizon Compensation Advisory Board should not be prevented from monitoring individual cases in which compensation has been or is to be determined by paragraph 4 of its Terms of …

POH-IR1-3 Accepted in part

Post Office Horizon Inquiry (2023)

Advise Minister and Post Office on full and fair compensation at three monthly intervals

The Horizon Compensation Advisory Board shall, as part of its advisory role, consider whether, in its view, full and fair compensation is being paid out to applicants under the three …

POH-IR1-7 Accepted in part

Post Office Horizon Inquiry (2023)

Legislate to allow GLOS compensation payments after 7 August 2024 if necessary

HM Government shall bring forward and use its best endeavours to ensure that legislation is enacted so as to allow payments of compensation under GLOS to be made to applicants …

POH-IR1-8 Accepted in part

Post Office Horizon Inquiry (2023)

Set agreed closing date for Horizon Shortfall Scheme applications

No applications for compensation to HSS shall be entertained after such date as shall be agreed by the Minister/ DBT, the Post Office and the Horizon Compensation Advisory Board.

COVID-M1.2 Accepted in part

COVID-19 Inquiry (2024)

Cabinet Office Leadership for Emergencies

The UK government should: abolish the lead government department model for whole-system civil emergency preparedness and resilience; and require the Cabinet Office to lead on preparing for and building resilience …

COVID-M1.4 Accepted in part

COVID-19 Inquiry (2024)

UK-wide Civil Emergency Strategy

The UK government and devolved administrations should together introduce a UK-wide whole-system civil emergency strategy (which includes pandemics) to prevent each emergency and also to reduce, control and mitigate its …

COVID-M1.8 Accepted in part

COVID-19 Inquiry (2024)

Triennial Parliamentary Resilience Reports

The governments of the UK, Scotland, Wales and Northern Ireland should each produce and publish reports to their respective legislatures at least every three years on whole-system civil emergency preparedness …

COVID-M2.15 Accepted in part

COVID-19 Inquiry (2025)

Parliamentary Scrutiny of Emergency Powers

The UK government and devolved administrations should ensure that the draft affirmative procedure is the standard process for enacting substantial and wide-ranging powers in a civil emergency, such as a …

COVID-M2.17 Accepted in part

COVID-19 Inquiry (2025)

Public Emergency Information Portal

The UK government, Scottish Government, Welsh Government and Northern Ireland Executive should develop an online portal for use in future civil emergencies, where members of the public can access information …

COVID-M3.5 Accepted in part

COVID-19 Inquiry (2026)

Scale Up Urgent and Emergency Care

The UK government, Scottish Government, Welsh Government and Northern Ireland Executive, in conjunction with organisations responsible for delivering services, should plan for surge capacity in urgent and emergency care during …

COVID-M3.6 Accepted in part

COVID-19 Inquiry (2026)

Scale Up Hospital Capacity

The UK government, Scottish Government, Welsh Government and Northern Ireland Executive should work with trusts and health boards to ensure that pandemic plans include practical steps to rapidly scale up …

COVID-M3.10 Accepted in part

COVID-19 Inquiry (2026)

Healthcare Worker Support

The UK government, Scottish Government, Welsh Government and Northern Ireland Executive, working with healthcare employers and professional bodies, should put in place plans to deliver effective support for healthcare workers …

COVID-M4.1 Accepted in part

COVID-19 Inquiry (2026)

Establish Pharmaceutical Expert Advisory Panel

The UK government should establish a standing pharmaceutical expert advisory panel, in consultation with the Department of Health and Social Care and the Department for Science, Innovation and Technology. The …

COVID-M4.2 Accepted in part

COVID-19 Inquiry (2026)

Formalise Community Vaccine Equity Networks

The UK government, Scottish Government, Welsh Government and Northern Ireland Executive should maintain networks with local communities to produce targeted vaccination strategies and communications. To achieve this: The Scottish Government, …

COVID-M4.4 Accepted in part

COVID-19 Inquiry (2026)

Proportionate Access to Linked Healthcare Records

The UK government and devolved administrations should work together, with their respective health delivery services, to facilitate and coordinate regulatory bodies' access to healthcare records in order to make the …

COVID-M4.5 Accepted in part

COVID-19 Inquiry (2026)

Reform Vaccine Damage Payment Scheme

The UK government must reform the Vaccine Damage Payment Scheme as soon as possible. The reform should include as a minimum: increasing the £120,000 payment, at least in line with …

IBI-A-4a Accepted in part

Infected Blood Inquiry (2025)

Interferon Treatment Impacts

People infected with Hepatitis B or C who have received a course of treatment with or based on interferon should be recognised as entitled to core awards at Level 3.

IBI-A-4b Accepted in part

Infected Blood Inquiry (2025)

Special Category Mechanism

The Government reconsider whether to maintain its rejection in February 2025 of the recommendations of Sir Robert Francis KC and advice from the Infected Blood Inquiry Response Expert Group of …

IBI-A-5a Accepted in part

Infected Blood Inquiry (2025)

Severe Psychological Harm

The approach of the Infected Blood Psychology Service is adopted so that both a diagnosis made by a psychiatric professional and a formulation-based opinion of all qualified psychological and counselling …

IBI-A-6a Accepted in part

Infected Blood Inquiry (2025)

Financial Loss and Care

"x" be removed from the equation set out in Regulation 7.

IBI-A-6b Accepted in part

Infected Blood Inquiry (2025)

Exceptional Loss Evidence

The Cabinet Office consult on whether the evidential requirements for exceptional reduced earnings are likely to prove a barrier to people who have sufficient evidence that their eligibility for such …

IBI-A-7a Accepted in part

Infected Blood Inquiry (2025)

Unethical Research Award

Where there is evidence that an individual was the victim of unethical research practices IBCA should be authorised to make an unethical research practices award to that individual.