Public Inquiry Recommendations
Showing 71 of 1,955 recommendations — page 1 of 2
What these recommendations are about
Most prevalent topics across all 38 inquiries:
Quality and safety oversight (762) ·
Staff training and development (671) ·
Patient safety governance (345) ·
Weak Government Accountability & Scrutiny (343) ·
Care safeguarding systems (342)
.
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 →
P1-37
Noted
Grenfell Tower Inquiry
(2019)
Urgent fire door inspections required
The owner and manager of every residential building containing separate dwellings (whether or not they are high-rise buildings) carry out an urgent inspection of all fire doors to ensure that …
P1-40
Noted
Grenfell Tower Inquiry
(2019)
Communicate Major Incident declarations to all responders
Each emergency service must communicate the declaration of a Major Incident to all other Category 1 Responders as soon as possible.
P1-41
Noted
Grenfell Tower Inquiry
(2019)
Establish inter-service control room communications
On the declaration of a Major Incident clear lines of communication must be established as soon as possible between the control rooms of the individual emergency services.
P1-42
Noted
Grenfell Tower Inquiry
(2019)
Designate single point of contact in control rooms
A single point of contact should be designated within each control room to facilitate such communication.
P1-43
Noted
Grenfell Tower Inquiry
(2019)
Use METHANE messages for Major Incidents
A “METHANE” message should be sent as soon as possible by the emergency service declaring a Major Incident.
P1-45
Noted
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 …
POH-17
Noted
Post Office Horizon Inquiry
(2025)
Establish standing public body to administer future redress schemes
As soon as is reasonably practicable, HM Government shall establish a standing public body which shall, when called upon to do so, devise, administer and deliver schemes for providing financial …
22
Noted
IICSA
(2018)
National chaperone policy for healthcare (England)
The Chair and Panel recommend that the Department of Health and Social Care develops a national policy for the training and use of chaperones in the treatment of children in …
95
Noted
IICSA
(2018)
CICA specialist caseworker training
The Chair and Panel recommend that CICA ensures that claims relating to child sexual abuse are only considered by caseworkers who have specific and detailed training in the nature and …
70
Noted
IICSA
(2019)
Include clergy in position of trust definition
The government should amend Section 21 of the Sexual Offences Act 2003 so as to include clergy within the definition of a position of trust. This would criminalise under s16-s20 …
80
Noted
IICSA
(2019)
National register of public liability insurance
The Department for Work and Pensions should work with the Association of British Insurers to introduce a national register of public liability insurance policies. The register should provide details of …
97
Noted
IICSA
(2019)
Clarify Compensation Act on apologies
The government should introduce legislation revising the Compensation Act 2006 to clarify that section 2 facilitates apologies or offers of treatment or other redress to victims and survivors of child …
98
Noted
IICSA
(2019)
Increase use of criminal compensation orders
The Ministry of Justice should consult with the Sentencing Council, the Judicial College, the Crown Prosecution Service and other relevant bodies, in order to increase the use of CCOs, where …
37
Noted
IICSA
(2020)
Westminster whistleblowing policies for CSA
Government, political parties and other Westminster institutions must have whistleblowing policies and procedures which cover child sexual abuse and exploitation. Every employee must be aware that they can raise any …
38
Noted
IICSA
(2020)
Government department safeguarding policy reviews
The Cabinet Office must ensure that each government department reviews its child safeguarding policy or policies in light of the expert witness report of Professor Thoburn. There must also be …
99
Noted
IICSA
(2020)
Honours forfeiture for CSA convictions
The criteria for forfeiture of all honours must be formally extended to include convictions, cautions and cases decided by trial of the facts involving offences of child sexual abuse. This …
100
Noted
IICSA
(2020)
Posthumous honours forfeiture policy
The Cabinet Office should re-examine the policy on posthumous forfeiture, in order to consider the perspectives of victims and survivors of child sexual abuse.
71
Noted
IICSA
(2020)
Pre-screen material before upload
The government should require industry to pre-screen material before it is uploaded to the internet to prevent access to known indecent images of children.
105
Noted
IICSA
(2020)
WeProtect international action on CSAM
The government should press the WeProtect Global Alliance to take more action internationally to ensure that those countries hosting indecent images of children implement legislation and procedures to prevent access …
106
Noted
IICSA
(2020)
Online age verification legislation
The government should introduce legislation requiring providers of online services and social media platforms to implement more stringent age verification techniques on all relevant devices.
1
Noted
IICSA
(2022)
Collect disaggregated CSE data
Police forces and local authorities in England and Wales must collect data on all cases of known or suspected child sexual exploitation and child sexual exploitation by networks. These data …
9
Noted
IICSA
(2022)
Mandatory aggravating factor for CSE offences
The government should amend the Sentencing Act 2020 to provide a mandatory aggravating factor in sentencing in the case of the commission of an offence under Part 1 of the …
L25
Noted
Leveson Inquiry
(2012)
ICO and Regulatory Membership
In any reconsideration of the powers of the Information Commissioner (or replacement body), power should be given to that body to determine that membership of a satisfactory regulatory body, which …
L48
Noted
Leveson Inquiry
(2012)
Section 32 DPA Amendment
The exemption in section 32 of the Data Protection Act 1998 should be amended so as to make it available only where: (a) the processing of data is necessary for …
L49
Noted
Leveson Inquiry
(2012)
Narrow Section 32 Exemption Scope
The exemption in section 32 of the Data Protection Act 1998 should be narrowed in scope, so that it no longer allows, by itself, for exemption from: (a) the requirement …
L51
Noted
Leveson Inquiry
(2012)
Repeal Procedural Provisions
The procedural provisions of the Data Protection Act 1998 with special application to journalism in: (a) section 32(4) and (5) (b) sections 44 to 46 inclusive should be repealed.
L54
Noted
Leveson Inquiry
(2012)
Bring into Force Section 55 Penalties
The necessary steps should be taken to bring into force the amendments made to section 55 of the Data Protection Act 1998 by section 77 of the Criminal Justice and …
2
Noted
Hillsborough Panel
(2012)
Police records under Public Records Act 1958
The Panel recommends that police force records are brought under legislative control and that police forces are added to Part II of the First Schedule to the Public Records Act …
AR-2
Noted
Azelle Rodney Inquiry
(2013)
Protocol for Post-Incident Debriefing
At an early date there should be liaison between the IPCC, the MPS and ACPO (and, more significantly, lawyers acting for each) with a view to establishing a protocol for …
R1
Noted
Billy Wright Inquiry
(2010)
Prison records retention
Given what we discovered about the destruction of prisoners' files, many of which would have been important historical records, we recommend that the SOSNI should satisfy himself whether any other …
R2
Noted
Billy Wright Inquiry
(2010)
HMP Maghaberry lessons learned
Many of the problems of HMP Maze in 1997 arose from the fact that by then it was the sole prison in Northern Ireland holding the most dangerous terrorist prisoners. …
R3
Noted
Billy Wright Inquiry
(2010)
Prison service reform process
We have identified a series of failures in the management of the NIPS in 1997. What we learned about the current management of the NIPS in the course of the …
ETI-5
Noted
Edinburgh Tram Inquiry
(2023)
Business Case Timing
Where the Business Case for any future light rail project is based upon an assumption that, prior to the award of the contract for the construction of the infrastructure, certain …
ETI-6
Noted
Edinburgh Tram Inquiry
(2023)
Optimism Bias in Business Cases
All versions of the Business Case, including any Business Case required as a result of altered assumptions, should include an assessment of risk that takes account of optimism bias in …
ETI-7
Noted
Edinburgh Tram Inquiry
(2023)
External Peer Review
The assessment of risk at each stage mentioned in Recommendation 6 should be the subject of a peer review by external consultants with experience of similar large-scale infrastructure projects in …
ETI-8
Noted
Edinburgh Tram Inquiry
(2023)
Update Optimism Bias Guidance
The existing Guidance on optimism bias was based on empirical data available almost two decades ago and should be revised to take into account the additional data that is now …
ETI-9
Noted
Edinburgh Tram Inquiry
(2023)
Risk Management Standards
The identification and management of risk should be an integral part of the governance of all major public-sector contracts in future. In identifying and managing risk the following principles should …
ETI-11
Noted
Edinburgh Tram Inquiry
(2023)
Public Fund Protection
The Scottish Ministers and local authorities responsible for funding light rail projects should be mindful at all times of their obligation to protect public funds and to obtain value for …
ETI-12
Noted
Edinburgh Tram Inquiry
(2023)
Record Keeping Requirements
For reasons of transparency and accountability for public expenditure, the Scottish Ministers should keep minutes of: • the nature and content of any discussions and the reasons for any decisions …
ETI-13
Noted
Edinburgh Tram Inquiry
(2023)
Utility Diversion Planning
The procurement strategy for any future light rail project should make adequate provision for the uncertainties concerning the location of utilities and redundant equipment belonging to present and past utility …
ETI-14
Noted
Edinburgh Tram Inquiry
(2023)
Utility Diversion Risk Management
Although some participants in the Inquiry criticised the use of MUDFA to divert utilities in advance of the infrastructure works and advocated the “bow wave” approach to the diversion of …
ETI-18
Noted
Edinburgh Tram Inquiry
(2023)
Interviews of Key Personnel in Readiness Reviews
As part of their investigations, representatives of OGC undertaking an independent “readiness review” of a publicly funded project and representatives of any person, including representatives of any public body such …
JB-15.1
Noted
Jermaine Baker Inquiry
(2022)
Clarify separation of SIO and firearms commander roles
There should be clearer guidance from the MPS, College of Policing and/or the NPCC on the separation of roles between the Senior Investigating Officer (SIO) and the Tactical and Strategic …
JB-15.2
Noted
Jermaine Baker Inquiry
(2022)
Require multidimensional risk assessments throughout operations
Training should emphasise that multidimensional risk assessments must be carried out throughout police operations, including the planning and briefing of operations. Those risk assessments should assess the future threat and …
JB-15.5
Noted
Jermaine Baker Inquiry
(2022)
Compulsory training on firearms authorisation forms
Appropriate training and refresher courses on the usage and completion of FA (and equivalent) forms should be made compulsory for firearms commanders and Tactical Advisors.
JB-15.11
Noted
Jermaine Baker Inquiry
(2022)
Training requirement for covert monitoring post officers
Only those officers who have received the requisite training and accreditation should be posted to a Covert Monitoring Post (CMP).
JB-15.12
Noted
Jermaine Baker Inquiry
(2022)
Written guidance for covert monitoring posts
There should be clear and unequivocal written guidance for the CMP from the TFC as to the key information and intelligence that is being sought.
JB-15.13
Noted
Jermaine Baker Inquiry
(2022)
Training on note-taking for covert monitoring officers
The training referred to in paragraph 15.11 must emphasise the importance of covert monitoring officers (CMOs) making accurate notes of: (a) what they have heard; and (b) what they have …
JB-15.14
Noted
Jermaine Baker Inquiry
(2022)
Require trained CMP manager for covert monitoring posts
CMPs should not be established without the appointment of a properly trained CMP manager, whose responsibility it should be to appoint a team of CMOs, once satisfied from proper assessment …
JB-15.16
Noted
Jermaine Baker Inquiry
(2022)
Requirements for sustained public protection operations
APP-AP should be amended to cover the following: a. Sustained public protection should never be the object of an operation unless and until there is a clearly recorded note of …