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 …

- 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-48 Accepted in Part

Manchester Arena Inquiry (2023)

Statutory powers for witness attendance at inquiries

It is recommended 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 …

- 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-56 Accepted in Part

Manchester Arena Inquiry (2023)

Address extradition difficulties for section 35 offences

It is recommended 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 …

- 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-57 Accepted in Part

Manchester Arena Inquiry (2023)

Amend section 21 for witness interview requirements

It is recommended 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 …

- 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-58 Accepted in Part

Manchester Arena Inquiry (2023)

Amend section 36 for pre-emptive witness enforcement

It is recommended 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 …

- 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). …

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 …

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 …

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

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 …

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

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 …

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

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 …

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

P1-45 Accepted in Part

Grenfell Tower Inquiry (2019)

NPAS helicopter datalink encryption standards

Steps be taken to ensure that the airborne datalink system on every NPAS helicopter observing an incident which involves one of the other emergency services defaults to the National Emergency …

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

P2-1 Accepted in Part

Grenfell Tower Inquiry (2024)

Establish single construction industry regulator

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

- The government accepted this recommendation in principle in February 2025, stating the single regulator will deliver the functions specified with two exceptions relating to …

P2-13 Accepted in Part

Grenfell Tower Inquiry (2024)

Make construction regulator responsible for product conformity certificates

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 as appropriate. We …

- The government accepted this recommendation in principle in February 2025, publishing a Construction Products Reform Green Paper alongside the response (Government Response to Grenfell …

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 …

- The government accepted this recommendation in principle in February 2025 (Government Response to Grenfell Tower Inquiry Phase 2 Report, MHCLG, February 2025). - The …

P2-25 Accepted in Part

Grenfell Tower Inquiry (2024)

Maintain public record of inquiry recommendations

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 a description …

- The government accepted this recommendation in principle in February 2025 (Government Response to Grenfell Tower Inquiry Phase 2 Report, MHCLG, February 2025). - Public …

P2-28 Accepted in Part

Grenfell Tower Inquiry (2024)

Require gas valve accessibility inspections every three years

That every gas transporter be required by law to check the accessibility of each [pipeline isolation] valve on its system at least once every three years and to report the …

- The available official evidence indicates that this recommendation is complete. The May 2026 government progress report expressly records it among nine recommendations completed since …

P2-29 Accepted in Part

Grenfell Tower Inquiry (2024)

Establish independent College of Fire and Rescue

That the government establish [an independent College of Fire and Rescue] immediately with sufficient resources to provide the following services nationally: a) practical training at all levels supplementary to that …

- The government accepted this recommendation in principle in February 2025, recognising the importance of fire and rescue service training and noting HMICFRS also recommended …

P2-30 Accepted in Part

Grenfell Tower Inquiry (2024)

College to have permanent staff and training facilities

That [the college] should have a permanent staff of sufficient size to manage its operations and develop its functions in response to the demands of fire and rescue services nationally …

- The government accepted this recommendation in principle in February 2025, linking it to the College of Fire and Rescue consultation (Government Response to Grenfell …

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 …

- The government accepted this recommendation in principle in February 2025, acknowledging the vital role of the voluntary, community and faith sector in resilience (Government …

P2-48 Accepted in Part

Grenfell Tower Inquiry (2024)

Verify training quality of Category 1 responders

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)

- The government accepted this recommendation in principle in February 2025 (Government Response to Grenfell Tower Inquiry Phase 2 Report, MHCLG, February 2025). - The …

POH-4 Accepted in Part

Post Office Horizon Inquiry (2025)

Fund legal advice for HSS claimants before scheme choice

All claimants in HSS shall be entitled to obtain legal advice funded by the Department prior to choosing between accepting the Fixed Sum Offer or seeking financial redress which is …

- The recommendation required all HSS claimants to be entitled to funded legal advice prior to choosing between the Fixed Sum Offer and assessed redress. …

POH-15 Accepted in Part

Post Office Horizon Inquiry (2025)

Set deadline for HSS claims with guidance on late applications

No claims for financial redress under HSS shall be entertained after midnight 27 November 2025.

- The recommendation called for HSS to be closed to new claims after 27 November 2025. - The Department for Business and Trade broadly accepted …

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 …

- The Department for Business and Trade accepted this recommendation in part on 21 September 2023, confirming the Horizon Compensation Advisory Board would consider whether …

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 …

- The Department for Business and Trade accepted this recommendation in part on 21 September 2023, endorsing the Board's view that it "would not be …

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 …

- The Department for Business and Trade accepted this recommendation in principle on 21 September 2023, stating it was determined to deliver the GLO scheme …

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.

- The Department for Business and Trade accepted this recommendation in part on 21 September 2023, committing to discuss and agree a closing date with …

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 …

- The government accepted this recommendation with modification in its response published 16 January 2025, retaining the Lead Government Department model but expanding the Cabinet …

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 …

- The available evidence indicates partial implementation across the UK. Scotland reported its action delivered and closed, while the latest cited UK Government update still …

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 …

- The available official evidence indicates that this recommendation has been implemented. Both the UK and Scottish Governments recorded their actions as delivered or closed, …

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 …

- The UK government stated in its Module 2 response (25 March 2026) that it agrees the legislative response to emergencies should be subject to …

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 …

- The UK government stated in its Module 2 response (25 March 2026) that it agrees with the aim of making restrictions and guidance accessible …

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.

- The available evidence indicates that implementation is in progress through an alternative design. The government decided to create a new Level 2B band rather …

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 …

- The available evidence indicates that implementation is in progress. The government reconsidered its earlier position and decided to create a supplementary-route award, but the …

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 …

- The available evidence indicates that implementation is in progress. The government set out a Severe Health Condition award intended to recognise severe psychological harm, …

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.

- The available evidence indicates that implementation is in progress. The government decided to remove the 25% past-care deduction, but the April 2026 response described …

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 …

- The available evidence indicates that this consultation-and-decision recommendation has been implemented in substance. The consultation was completed and the government decided to introduce a …

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.

- The available evidence indicates that implementation is in progress. The government defined eligibility for an Unethical Research award, but the April 2026 response did …

IBI-A-7b Accepted in Part

Infected Blood Inquiry (2025)

Wider Definition of Unethical Research

When considering the evidence IBCA applies the wider definition of research explained in the Infected Blood Inquiry Additional Report chapter on Unethical Research.

- The available evidence indicates that implementation is in progress. The government adopted a broader eligibility approach that does not require proof of participation in …

IBI-A-8a Accepted in Part

Infected Blood Inquiry (2025)

Supplementary Route for Affected Persons

The Minister give consideration to there being a supplementary route for people affected. This could include opening the supplemental award for severe psychological harm to people affected. He should involve …

- The available evidence indicates that implementation is in progress. Following consultation, the government decided on a 50% uplift for specified affected people, but the …

IBI-4a(iv) Accepted in Part

Infected Blood Inquiry (2024)

Individual Duty of Candour for Leaders

Statutory duty of candour: The statutory duties of candour in England, Scotland, Wales (and Northern Ireland, when introduced) should be extended to cover those individuals in leadership positions in the …

- The Government stated in December 2024 that it had accepted this recommendation in principle and launched a 12-week consultation on regulating NHS managers in …

IBI-4a(v) Accepted in Part

Infected Blood Inquiry (2024)

Leadership Accountability for Safety

Statutory duty of candour: Individuals in leadership positions should be required by the terms of their appointment and by secondary legislation to record, consider and respond to any concern about …

- The Government stated in December 2024 that it accepted this recommendation in principle, referencing the Learn from Patient Safety Events service and the importance …

IBI-4b Accepted in Part

Infected Blood Inquiry (2024)

Organisational Culture Change

Cultural Change: That a culture of defensiveness, lack of openness, failure to be forthcoming, and being dismissive of concerns about patient safety be addressed both by taking the steps set …

- The Government stated in December 2024 that it accepted the recommendation in principle, and that leaders would be accountable for organisational culture through the …

IBI-5a Accepted in Part

Infected Blood Inquiry (2024)

Civil Service Statutory Duty of Candour

The Government should reconsider whether, in the light of the facts revealed by this Inquiry, it is sufficient to continue to rely on the current non-statutory duties in the Civil …

- The Government stated in December 2024 that the Prime Minister had committed to legislation introducing a statutory duty of candour for public authorities and …

IBI-5b Accepted in Part

Infected Blood Inquiry (2024)

Monitoring Non-Statutory Duties

If, on review, the Government considers that it is sufficient to rely on the current non-statutory duties in the Civil Service Code, it should nonetheless introduce a statutory duty of …

- The Government stated in December 2024 that it accepted this recommendation in principle and was considering the extent of statutory duties for senior civil …

IBI-5c Accepted in Part

Infected Blood Inquiry (2024)

Ministerial Duty of Candour

The Government should consider the extent to which Ministers should be subject to a duty beyond their current duty to Parliament under the Ministerial Code.

- The Government stated in December 2024 that it would consider the extent to which Ministers should be subject to a duty beyond the Ministerial …

IBI-6a(ii) Accepted in Part

Infected Blood Inquiry (2024)

Specialist Hepatology Centre Access

All patients who have contracted hepatitis via a blood transfusion or blood products should receive the following care: Those who have fibrosis should receive the same care

- The Government's implementation dashboard records this recommendation as: Accepted in principle by the UK Government, the Welsh Government, the Scottish Government, and the Northern …

IBI-6a(v) Accepted in Part

Infected Blood Inquiry (2024)

Consultant Hepatologist Access

All patients who have contracted hepatitis via a blood transfusion or blood products should receive the following care: Those who have had Hepatitis C which is attributable to infected blood …

- The Government's implementation dashboard records this recommendation as: Accepted in principle by the UK Government, the Scottish Government, the Welsh Government and the Northern …

IBI-7a(i) Accepted in Part

Infected Blood Inquiry (2024)

Transfusion Committees and Tranexamic Acid - England

In England, Hospital Transfusion Committees and transfusion practitioners take steps to ensure that consideration of tranexamic acid be on every hospital surgical checklist; that hospital medical directors be required to …

- The Government's implementation dashboard records this recommendation as: Accepted in principle (Infected Blood Inquiry Recommendations Dashboard, Cabinet Office, May 2025). - The Government stated …

IBI-7c Accepted in Part

Infected Blood Inquiry (2024)

Transfusion Laboratory Staffing

Transfusion laboratories: Transfusion laboratories should be staffed (and resourced) adequately to meet the requirements of their functions.

- 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 …