Incidents
Recommendations related to incidents
5
Recommendations
80% accepted
Government Response
Accepted (2)Accepted in Part (2)Under Review (1)
Recommendations in This Theme
recommendation across 2 inquiries
Across 2 inquiries
Tagged Recommendations
5 total
P2-26
Accepted
Fuller Inquiry
HTA require anatomy adverse incidents reported as HTARIs
The Human Tissue Authority should change its guidance to require that relevant adverse incidents in the anatomy sector are formally reported as Human Tissue Authority Reportable Incidents (HTARIs).
- The government stated in December 2025 that this recommendation on HTA adverse incident reporting for anatomy was accepted in full and completed. The HTA …
Human Tissue Authority
P2-44
Accepted in Part
Fuller Inquiry
Local authority incident response SOPs
Arrangements for responding to incidents of unauthorised access must be reviewed and incorporated into Standard Operating Procedures.
- The government stated in December 2025 that this recommendation on incident response procedures in local authority mortuaries was accepted in principle. Full government response …
Ministry of Housing, Com…
P2-58
Under Consideration
Fuller Inquiry
Contractual incident notification requirement
There must be a contractual requirement to formally notify the contract manager and senior local authority officers of any incidents involving the deceased, as well as the outcome of inspections …
- The government stated in December 2025 that this recommendation on contractual standards for mortuary service contractors was under consideration. Full government response due Summer …
Ministry of Housing, Com…
P2-6
Accepted in Part
Fuller Inquiry
Security breaches reviewed by expert with action plans
All NHS trusts should take every breach of security in a mortuary or body store extremely seriously. Each security incident should be reviewed by a security expert who is able …
- The government stated in December 2025 that this recommendation on recording and investigating security incidents in NHS mortuaries was accepted in principle. Full government …
NHS England
P2-34
Accepted
Grenfell Tower Inquiry
London Fire Brigade to establish lessons learned process
That the London Fire Brigade establish effective standing arrangements for collecting, considering and effectively implementing lessons learned from previous incidents, inquests and investigations. Those arrangements should be as simple as …
- LFB accepted all Phase 2 recommendations directed to it in February 2025 (Government Response to Grenfell Tower Inquiry Phase 2 Report, MHCLG, February 2025). …
London Fire Brigade