Public Inquiry Recommendations

Showing 35 of 1,955 recommendations

What these recommendations are about

The same issues recur across multiple inquiries — Quality and safety oversight (Care Quality & Organisational Culture) is the single most common theme, with 762 tagged recommendations. Explore →
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POH-13 Not accepted
Post Office Horizon Inquiry (2025)
Close HSS Dispute Resolution Procedure when HSSA opens
The current Dispute Resolution Procedure in HSS should be closed once all claimants currently within the Procedure have either (a) settled their claims or (b) transferred to HSSA. No claimant …
COVID-M2.7 Not accepted
COVID-19 Inquiry (2025)
Statutory Child Rights Impact Assessments
The UK government should introduce legislation to place child rights impact assessments on a statutory footing in England. The Northern Ireland Executive should consider an equivalent provision.
COVID-M3.9 Not accepted
COVID-19 Inquiry (2026)
Standardised Advance Care Planning
The UK government, Scottish Government, Welsh Government and Northern Ireland Executive, working with trusts and health boards, should establish and promote one standardised process across the UK (such as ReSPECT, …
FR-5 Not accepted
IICSA (2022)
Prohibit Pain Compliance Techniques
The Inquiry recommends (as originally stated in its Sexual Abuse of Children in Custodial Institutions: 2009-2017 Investigation Report, dated February 2019) that the UK government prohibits the use of any …
25 Not accepted
IICSA (2018)
Amendment of Safeguarding Vulnerable Groups Act 2006
The Chair and Panel recommend that the Home Office ensures that the Safeguarding Vulnerable Groups Act 2006 is amended so that, where a fitness to practise hearing has been conducted …
77 Not accepted
IICSA (2018)
CSA experience for Chief Officer progression
The Chair and Panel recommend that any police officer (or staff equivalent) who wants to progress to the Chief Officer cadre must first be required to: have operational policing experience …
16 Not accepted
IICSA (2019)
Review mixed justice/welfare placement risk
The Chair and Panel recommend that the Department for Education and the Youth Custody Service conduct a full review of the practice of placing children for justice and welfare reasons …
34 Not accepted
IICSA (2020)
DBS certificates for overseas work
The Home Office should introduce legislation permitting the Disclosure and Barring Service to provide enhanced certificates to UK nationals and residents of England and Wales applying for: 1. work or …
35 Not accepted
IICSA (2020)
Mandatory DBS for work with children overseas
The Home Office should introduce legislation making it mandatory for: (a) all UK nationals and residents of England and Wales to provide a prospective employer overseas with an enhanced DBS …
11 Not accepted
IICSA (2022)
Ban CSE-risk children from semi-independent placements
The Department for Education should ban the placement in semi-independent and independent settings of children aged 16 and 17 who have experienced, or are at heightened risk of experiencing, sexual …
7 Not accepted Urgent
Brook House Inquiry (2023)
Introduce 28-day maximum time limit on detention
The government must introduce in legislation a maximum 28-day time limit on any individual's detention within an immigration removal centre.
19 Not accepted
Brook House Inquiry (2023)
Healthcare staff guidance and training on use of force incidents
The Home Office must ensure that guidance is issued to healthcare staff in immigration removal centres clarifying their role in use of force incidents. It must liaise as necessary with …
30 Not accepted
Brook House Inquiry (2023)
Enhance Professional Standards Unit independence and seniority
The Home Office must: take steps to enhance the independence of the Professional Standards Unit from the Home Office and the perception of this independence; and increase the seniority of …
L26 Not accepted
Leveson Inquiry (2012)
Arbitration and Costs
It should be open any subscriber to a recognised regulatory body to rely on the fact of such membership and on the opportunity it provides for the claimant to use …
L31 Not accepted
Leveson Inquiry (2012)
Ofcom as Recognition Body
The role of recognition body, that is to say, to recognise and certify that any particular body satisfies (and, on review, continues to satisfy) the requirements set out in law …
L33 Not accepted
Leveson Inquiry (2012)
Duty to Protect Press Freedom
In passing legislation to identify the legitimate requirements to be met by an independent regulator organised by the press, and to provide for a process of recognition and review of …
L73 Not accepted
Leveson Inquiry (2012)
Civil Procedure Rules on Costs
The Civil Procedure Rules should be amended to require the court, when considering the appropriate order for costs at the conclusion of proceedings, to take into account the availability of …
L74 Not accepted
Leveson Inquiry (2012)
Qualified One Way Costs Shifting
In the absence of the provision of an approved mechanism for dispute resolution, available through an independent regulator without cost to the complainant, together with an adjustment to the Civil …
F19 Not accepted
Mid Staffs Inquiry (2013)
Gaps between the understood functions of separate regulators
There should be a single regulator dealing both with corporate governance, financial competence, viability and compliance with patient safety and quality standards for all trusts.
F61 Not accepted
Mid Staffs Inquiry (2013)
Consolidation of regulatory functions
A merger of system regulatory functions between Monitor and the Care Quality Commission should be undertaken incrementally and after thorough planning. Such a move should not be used as a …
F64 Not accepted
Mid Staffs Inquiry (2013)
Authorisation of foundation trusts
The authorisation process should be conducted by one regulator, which should be equipped with the relevant powers and expertise to undertake this effectively. With due regard to protecting the public …
F137 Not accepted
Mid Staffs Inquiry (2013)
Intervention and sanctions for substandard or unsafe services
Commissioners should have powers of intervention where substandard or unsafe services are being provided, including requiring the substitution of staff or other measures necessary to protect patients from the risk …
F145 Not accepted
Mid Staffs Inquiry (2013)
Structure of Local Healthwatch
There should be a consistent basic structure for Local Healthwatch throughout the country, in accordance with the principles set out in Chapter 6: Patient and public local involvement and scrutiny.
F183 Not accepted
Mid Staffs Inquiry (2013)
Criminal liability
It should be made a criminal offence for any registered medical practitioner, or nurse, or allied health professional or director of an authorised or registered healthcare organisation: Knowingly to obstruct …
F209 Not accepted
Mid Staffs Inquiry (2013)
Registration of healthcare support workers
A registration system should be created under which no unregistered person should be permitted to provide for reward direct physical care to patients currently under the care and treatment of …
F212 Not accepted
Mid Staffs Inquiry (2013)
Training standards for healthcare support workers
The code of conduct, education and training standards and requirements for registration for healthcare support workers should be prepared and maintained by the Nursing and Midwifery Council after due consultation …
F213 Not accepted
Mid Staffs Inquiry (2013)
Training standards for healthcare support workers
Until such time as the Nursing and Midwifery Council is charged with the recommended regulatory responsibilities, the Department of Health should institute a nationwide system to protect patients and care …
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 …
BAHA-44 Not accepted
Baha Mousa Inquiry (2011)
External Inspection by HMIP
In the ongoing deliberations as to what arrangements should be made for external inspection of main operational detention facilities, the fullest consideration should be given to: (1) the significant benefit …
ETI-4 Not accepted
Edinburgh Tram Inquiry (2023)
Inquiry Cost Transparency
In reporting the cost of a public inquiry Scottish Ministers should report its net cost to the public purse, after discounting expenditure already incurred on accommodation, staff and other resources, …
JB-15.21 Not accepted
Jermaine Baker Inquiry (2022)
Amend Criminal Procedure Rules for firearms court applications
There should be an amendment to the Criminal Procedure Rules which govern the process in applications for a firearms presence in court – a requirement for witness statements, sworn evidence …
DM-10 Not accepted
Daniel Morgan Panel (2021)
Custodial sentences for data protection offences
Given the potential seriousness of such offences, it is recommended that the Government take an early opportunity to amend the Data Protection Act 2018 to provide for sentences of imprisonment …
ICL-4 Not accepted
ICL Inquiry (2009)
Independent Risk Assessment Audit
The current risk assessment system should be improved by the addition of an independent audit process.
12a Not accepted
Paterson Inquiry (2020)
Suspension during investigation
We recommend that if, when a hospital investigates a healthcare professional's behaviour, including the use of an HR process, any perceived risk to patient safety should result in the suspension …
15 Not accepted
Paterson Inquiry (2020)
Independent sector NHS contract qualification
We recommend that, if the Government accepts any of the recommendations concerned, it should make arrangements to ensure that these are to be applicable across the whole of the independent …