Public Inquiry Recommendations
Showing 78 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 →
COVID-M1.10
Under consideration
COVID-19 Inquiry
(2024)
Independent Statutory Resilience Body
The UK government should, in consultation with the devolved administrations, create a statutory independent body for whole-system civil emergency preparedness and resilience. The new body should be given responsibility for: …
COVID-M2.9
Under consideration
COVID-19 Inquiry
(2025)
NI Emergency Powers Review
The Northern Ireland Executive and UK government (in consultation with the Irish government where necessary) should review the structures and delegated powers of government in Northern Ireland to consider: the …
COVID-M3.7
Under consideration
COVID-19 Inquiry
(2026)
ICU Resource Allocation Framework
The UK government and devolved administrations should publish a UK-wide framework setting out ethical and operational principles to guide the allocation of adult intensive care resources in the extreme event …
IBI-A-7c
Under consideration
Infected Blood Inquiry
(2025)
Unethical Research Award Amount Review
The Minister consider whether the £10,000 (£15,000 for Treloar's pupils) should in justice be increased and further decides what sum he considers accords most closely with the general public's sense …
74
Under consideration
IICSA
(2018)
Joint inspection of Victims Code compliance
The Chair and Panel recommend that the Ministry of Justice, Home Office and Attorney General commission a joint inspection of compliance with the Victims' Code in relation to victims and …
76
Under consideration
IICSA
(2018)
Vulnerable witness protections in civil courts
The Chair and Panel recommend that the Ministry of Justice provides in primary legislation that victims and survivors of child sexual abuse in civil court cases, where they are claiming …
L88
Under consideration
Leveson Inquiry
(2012)
Plurality Thresholds Lower Than Competition
The levels of influence that would give rise to concerns in relation to plurality must be lower, and probably considerably lower, than the levels of concentration that would give rise …
L89
Under consideration
Leveson Inquiry
(2012)
Full Menu of Plurality Remedies
Ofcom has presented the Inquiry and the Government with a full menu of potential remedies, and it has not been argued or suggested that any of them are inappropriate in …
L90
Under consideration
Leveson Inquiry
(2012)
Periodic Plurality Reviews
The Government should consider whether periodic plurality reviews or an extension to the public interest test within the markets regime in competition law is most likely to provide a timely …
L91
Under consideration
Leveson Inquiry
(2012)
Media Merger Referral Consultation
Before making a decision to refer a media merger to the competition authorities on public interest grounds, the Secretary of State should consult relevant parties as to the arguments for …
L92
Under consideration
Leveson Inquiry
(2012)
Secretary of State Media Merger Decisions
The Secretary of State should remain responsible for public interest decisions in relation to media mergers. The Secretary of State should be required either to accept the advice provided by …
ETI-1
Under consideration
Edinburgh Tram Inquiry
(2023)
Public Inquiry Efficiency
Scottish Ministers should undertake a review of public inquiries to determine the most cost-effective method of avoiding delay in the establishment of an inquiry, including consideration of establishing a dedicated …
ETI-2
Under consideration
Edinburgh Tram Inquiry
(2023)
Inquiry Independence
In any event Scottish Ministers should not appoint as the sponsor of any public inquiry any department, agency or other government organisation where it, or any of its employees, has …
ETI-3
Under consideration
Edinburgh Tram Inquiry
(2023)
Staffing Guidance
The guidance mentioned in the first recommendation should include: advice concerning the circumstances in which civil servants in the inquiry team may properly transfer to posts, other than promoted posts, …
ETI-10
Under consideration
Edinburgh Tram Inquiry
(2023)
Joint Working Group with COSLA
In the interests of protecting the public purse and maximising the benefits from public expenditure on major projects, the Scottish Ministers should contemplate establishing a joint working group consisting of …
ETI-22
Under consideration
Edinburgh Tram Inquiry
(2023)
Civil Sanctions for Misleading Reports
Where a company, including an ALEO, knowingly submits a report or other information to local authority officials that is misleading by reason of the inclusion of false statements or the …
ETI-23
Under consideration
Edinburgh Tram Inquiry
(2023)
Criminal Sanctions for Misleading Information
In addition to any civil liability arising from any sanction introduced in accordance with Recommendation 22, the Scottish Ministers should consider whether there is a need for a statutory criminal …
ETI-24
Under consideration
Edinburgh Tram Inquiry
(2023)
Duty of Disclosure Legislation
The Scottish Ministers should also give consideration to the need for legislation to impose a similar duty of disclosure to that owed by policyholders to their insurers upon a company, …
JB-15.4
Under consideration
Jermaine Baker Inquiry
(2022)
Amend firearms authorisation forms for risk assessment and tipping points
There should be an amendment to FA (and equivalent) forms to: a. encourage a multidimensional risk assessment (to comply with Article 2) to minimise, to the greatest extent possible, recourse …
JB-15.8
Under consideration
Jermaine Baker Inquiry
(2022)
National guidance on recording firearms planning meetings
The NPCC and/or College of Policing should ensure that these amendments are reflected in the guidance and training given to forces nationally.
JB-15.9
Under consideration
Jermaine Baker Inquiry
(2022)
Intelligence briefing requirements during operations
The College of Policing's Authorised Professional Practice – Armed Policing (APP-AP) should clarify that, during the course of an operation, any relevant intelligence should be briefed out to the firearms …
JB-15.10
Under consideration
Jermaine Baker Inquiry
(2022)
Training on clear intelligence communication
When intelligence is being provided, the use of any language that is capable of misinterpretation is to be avoided. Training to address this point should be provided to all officers …
JB-15.15
Under consideration
Jermaine Baker Inquiry
(2022)
SOP for covert monitoring post evidence recording
When a CMP is being used to gather evidence or intelligence, the MPS (and other forces) should consider developing an SOP to ensure that the information is adequately recorded to …
JB-15.19
Under consideration
Jermaine Baker Inquiry
(2022)
Guidance on uniformity of firearms commands
Advice should be given by the College of Policing about the benefits of uniformity in instructions and commands. Ultimate discretion as to what is said must be left to the …
DM-9
Under consideration
Daniel Morgan Panel
(2021)
Regulation of private investigators
The Government should act on its stated intention in 2013 to require licensing measures, introduce legislation to ensure the creation and use of standards, and implement the recommendation in the …
DM-14
Under consideration
Daniel Morgan Panel
(2021)
Register membership of organisations like Freemasons
All police officers and police staff should be obliged to register in confidence with the Chief Officer of their police force, at either their point of recruitment to the police …
DM-17
Under consideration
Daniel Morgan Panel
(2021)
Statutory duty of candour for law enforcement
The Panel recommends the creation of a statutory duty of candour, to be owed by all law enforcement agencies to those whom they serve, subject to protection of national security …
4
Under consideration
Thirlwall Inquiry
(2026)
Safeguarding and contracts of employment
i. All Trusts must provide safeguarding training to all staff (appropriate to their role and expertise) and Board members, including Non-Executive Directors. This training should include how to deal with …
5
Under consideration
Thirlwall Inquiry
(2026)
Operating systems (interoperability)
NHS England must provide, by 31 March 2027, a clear and timed route to ensuring that computer systems are harmonised across the NHS by December 2028. Work on the development …
7
Under consideration
Thirlwall Inquiry
(2026)
Data reporting
i. All hospitals with a neonatal unit should name a ‘lead reporter’ with responsibility for inputting data regularly (at least weekly) and reviewing real-time data viewers on neonatal and maternity …
9
Under consideration
Thirlwall Inquiry
(2026)
Suspicion of Deliberate Harm Protocol and guidance
Protocol i. By 31 March 2027, NHS England must produce and distribute a one-page protocol setting out the steps to be taken by managers when concerns or suspicions are raised …
11
Under consideration
Thirlwall Inquiry
(2026)
Medical examiners
i. The National Medical Examiner should, by 31 March 2027, prepare and distribute a one-page document setting out all the steps to be taken by a medical examiner when dealing …
14
Under consideration
Thirlwall Inquiry
(2026)
Care Quality Commission (CQC)
i. CQC should conduct without-notice inspections of hospital departments. Inspection teams should include at least two current practising experts in the relevant field (in this case paediatrics/neonatology). ii. Inspectors should …
17
Under consideration
Thirlwall Inquiry
(2026)
Implementation of recommendations
A new responsibility for auditing the implementation of the recommendations of statutory inquiries into NHS bodies should be given to the National Audit Office. Funding for appropriate additional staffing should …
ANG-17
Under consideration
Angiolini Inquiry
(2025)
Collection and sharing of data at national and local levels
Immediately, the Home Office should lead work, coordinated by the National Centre for Violence Against Women and Girls and Public Protection, to significantly increase both the collection and use of …
ANG-18
Under consideration
Angiolini Inquiry
(2025)
Increased use of police Designing Out Crime Officers
By November 2026, the Government should explore how to improve the impact that the safety advice provided by police Designing Out Crime Officers could have on the prevention of sexually …
ANG-19
Under consideration
Angiolini Inquiry
(2025)
Targeted and consistent public messaging
By March 2026, the Home Office, as the lead department for the response to violence against women and girls, should agree funding for a multi-year series of public information campaigns …
ANG-20
Under consideration
Angiolini Inquiry
(2025)
Empowering and engaging citizens to take action
The public has a pivotal role to play in the prevention of sexually motivated crimes against women in public spaces. In recognition of that: a. By April 2026, the Home …
ANG-21
Under consideration
Angiolini Inquiry
(2025)
National roll-out of Project Vigilant
By April 2026, the Home Office, the National Centre for Violence Against Women and Girls and Public Protection, and the National Police Chiefs' Council should roll out Project Vigilant nationally …
ANG-22
Under consideration
Angiolini Inquiry
(2025)
Information and early intervention for men and boys
By September 2026, the Home Office (as the lead department for the response to violence against women and girls), working closely with the Department for Education, the Ministry of Justice, …
ANG-23
Under consideration
Urgent
Angiolini Inquiry
(2025)
Police prioritisation of prevention
Immediately, Chief Constables and Police and Crime Commissioners should ensure that the prevention of sexually motivated crimes against women in public spaces is an essential part of: (i) their violence …
ANG-24
Under consideration
Angiolini Inquiry
(2025)
Implementation of Operation Soteria
By March 2026, the Home Office, working with the National Police Chiefs' Council, and the National Centre for Violence Against Women and Girls and Public Protection, should agree plans for …
ANG-25
Under consideration
Angiolini Inquiry
(2025)
Whole-system approach to preventing sexually motivated crimes
By June 2026, building on the wider violence against women and girls strategy, the Government should publish a comprehensive, multi-year and whole-system prevention strategy, which specifically targets the perpetrators of …
ANG-26
Under consideration
Angiolini Inquiry
(2025)
Improved mechanism for converting initiatives from local to national
By March 2026, the College of Policing, working with the National Police Chiefs' Council including the Office of the Police Chief Scientific Adviser, the Home Office, HM Inspectorate of Constabulary …
ANG-27
Under consideration
Urgent
Angiolini Inquiry
(2025)
Perpetrator focus and interventions
Immediately, the Home Office, as the lead department for the response to violence against women and girls, in conjunction with the Ministry of Justice, the Department for Transport, and national …
ANG-28
Under consideration
Angiolini Inquiry
(2025)
Improvement of the investigation of sexually motivated crimes
By March 2026, the College of Policing and the National Centre for Violence Against Women and Girls and Public Protection, working with the National Police Chiefs' Council and the Crown …
ANG-29
Under consideration
Urgent
Angiolini Inquiry
(2025)
Government prioritisation of prevention
Immediately, the Government should take action to make it clearer that preventing sexually motivated offences against women in public is an essential part of tackling violence against women and girls. …
CR11
Under consideration
Cranston Inquiry
(2026)
Coastguard role in legislation
The role and functions of HM Coastguard should be set out in up-to-date legislation.
CR12
Under consideration
Cranston Inquiry
(2026)
Independent external oversight body
An independent external body should be given responsibility for the regular assessment of the effectiveness and efficiency of HM Coastguard. Consideration should be given to extending the remit of His …
CR13
Under consideration
Cranston Inquiry
(2026)
Reconsider Border Force SAR function
The government should reconsider Mr Downer's recommendation in his independent review of Border Force that Border Force Maritime should not be providing an ongoing search and rescue function in the …