Training

Recommendations requiring staff training

138

Recommendations

75% accepted

Government Response

Accepted (66)Accepted in part (34)Accepted, fully or in part (not specified) (4)Not accepted (3)Under consideration (7)Noted (8)No response yet (13)Not Applicable (3)

Recommendations in This Theme

recommendation across 20 inquiries

Across 20 inquiries

Al-Sweady Inquiry Angiolini Inquiry Anthony Grainger Inquiry Baha Mousa Inquiry Brook House Inquiry COVID-19 Inquiry Cranston Inquiry Fingerprint Inquiry Fuller Inquiry Grenfell Tower Inquiry Hyponatraemia Inquiry IICSA Jermaine Baker Inquiry Mid Staffs Inquiry Morecambe Bay Investigation Muckamore Abbey Inquiry RHI Inquiry Scottish Hospitals Inquiry Urology Services Inquiry Vale of Leven Inquiry

Tagged Recommendations

138 total

SHI-11 Accepted

Scottish Hospitals Inquiry

Training for IPC professionals engineers and clinicians

I would recommend that IPC professionals should receive some basic training on the recommendations made by the NHS's own guidance for engineering systems, insofar as they are made in the …

Scottish Government

COVID-M5.8 No response yet

COVID-19 Inquiry

Training in Emergency Procurement and Distribution

The UK government and devolved administrations should each establish a pool of officials who are trained in the emergency procurement and distribution of healthcare equipment. Completion of the training should …

Department of Health and…

COVID-M6.7 No response yet

COVID-19 Inquiry

Mandatory End-of-Life Care Training

The UK government, Scottish Government, Welsh Government and Northern Ireland Executive should establish mandatory training for health and social care professionals looking after people in the adult social care sector …

Department of Health and…

AFA-6 Under consideration

Urology Services Inquiry

Medical leadership and doctors in difficulty

The Inquiry recommends that: • There must be sustained investment in leadership development for doctors at all career stages. Improvements discussed in the Medical Management and Leadership chapter should continue. …

Department of Health NI

R17 No response yet

Muckamore Abbey Inquiry

Co-production training

Creating a co-produced care environment, where people with learning disabilities, families and professionals work collaboratively, requires a fundamental shift in practice. As well as organisational commitments, staff will need education …

Department of Health NI

R31 No response yet

Muckamore Abbey Inquiry

Restraint education effectiveness metrics

The effectiveness of the education programme for staff in relation to restraint reduction should be measured through defined data metrics. This is to ensure that every instance of restraint is …

Northern Ireland Practic… Northern Ireland Executi…

R37 No response yet

Muckamore Abbey Inquiry

Human rights-based restrictive practices training

Education and training on the use of restrictive practices should be grounded in human rights principles and the dedicated human rights specialist appointed in accordance with Recommendation 21 (R21) should …

Health and Social Care N… Northern Ireland Executi…

R71 No response yet

Muckamore Abbey Inquiry

Specialist training for healthcare assistants

All healthcare assistants working with people with learning disabilities and autistic people should be provided with training, which should include specialist learning disability training as well as basic positive behaviour …

Department of Health NI

R76 No response yet

Muckamore Abbey Inquiry

NED with clinical governance expertise

NEDs should be selected for their expertise across a range of skills and at least one should have extensive experience of clinical or social care governance and be appointed as …

Health and Social Care N… Northern Ireland Executi…

R79 No response yet

Muckamore Abbey Inquiry

Board member learning framework

The DoH should commission the HSC Leadership Centre to develop a learning framework for all Board members. All Trust Board directors should be required to undertake an examined course in …

Department of Health NI

Cranston Inquiry

Joint training exercises plan

HM Coastguard should develop and implement a plan for joint training exercises, to occur at set intervals, with participation by those involved in maritime search and rescue in the English …

Cranston Inquiry

Training on normalcy bias

HM Coastguard should provide frequent training and retraining for their staff in aspects of search and rescue specific to small boats, one being the need to avoid normalcy bias, in …

Cranston Inquiry

Joint exercises on triage procedure

Those involved in maritime search and rescue should continue to undertake joint exercises on the application of the Mass Persons in the Water Triage procedure.

P2-19 Accepted in part

Deceased included in safeguarding training and policy

NHS trust boards should ensure that the security and dignity of deceased people are included in safeguarding training, policies and assurance.

P2-25 Under consideration

Postgraduate training governance clarity

Postgraduate training providers using donors should ensure clarity in their governance and information-sharing, in particular where the providers are linked to both university and NHS settings. This clarity should include …

Department of Health and…

Ambulance policy on crew position with deceased

Every NHS ambulance service should have a policy setting out where ambulance crew members should sit when conveying deceased patients. This should include reference to the risk of abuse of …

P2-70 Under consideration

Chief Coroner review practice consistency

The Chief Coroner should review the difference in practice between coronial areas as soon as possible to ensure that: All coroners are informed of the findings of this Inquiry. All …

Ministry of Justice

Grenfell Tower Inquiry

Train incident commanders on control room communications

All officers who may be expected to act as incident commanders (i.e. all those above the rank of Crew Manager) receive training directed to the specific requirements of communication with …

London Fire Brigade

Grenfell Tower Inquiry

Train control room operators on incident commander communications

All CROs of Assistant Operations Manager rank and above receive training directed to the specific requirements of communication with the incident commander.

London Fire Brigade

Grenfell Tower Inquiry

Regular refresher training for control room operators

The LFB provide regular and more effective refresher training to CROs at all levels, including supervisors.

London Fire Brigade

Grenfell Tower Inquiry

Train control room staff on evacuation advice changes

Control room staff receive training directed specifically to handling such a change of advice and conveying it effectively to callers.

National Fire Chiefs Cou…

Grenfell Tower Inquiry

Train fire personnel on external wall fire risks

All fire and rescue services ensure that their personnel at all levels understand the risk of fire taking hold in the external walls of high-rise buildings and know how to …

National Fire Chiefs Cou…

Grenfell Tower Inquiry

LFB improve deployment control policies

The LFB develop policies and training to ensure better control of deployments and the use of resources.

London Fire Brigade

Grenfell Tower Inquiry

Improve crew debrief information systems

The LFB develop policies and training to ensure that better information is obtained from crews returning from deployments and that the information is recorded in a form that enables it …

London Fire Brigade

Grenfell Tower Inquiry

Command support system operational on all units

Urgent steps be taken to ensure that the command support system is fully operative on all command units and that crews are trained in its use.

London Fire Brigade

Grenfell Tower Inquiry

Fire services develop evacuation policies and training

Fire and rescue services develop policies for partial and total evacuation of high-rise residential buildings and training to support them.

National Fire Chiefs Cou…

Grenfell Tower Inquiry

LFB to review PN633 Appendix 1

The LFB review, and revise as appropriate, Appendix 1 to PN633 to ensure that it fully reflects the principles in GRA 3.2.

London Fire Brigade

Grenfell Tower Inquiry

Train LFB officers on high-rise inspections

The LFB ensure that all officers of the rank of Crew Manager and above are trained in carrying out the requirements of PN633 relating to the inspection of high-rise buildings.

London Fire Brigade

Grenfell Tower Inquiry

Develop fire engineering courses for construction professionals

We also recommend that the government, working in collaboration with industry and professional bodies, encourage the development of courses in the principles of fire engineering for construction professionals and members …

Grenfell Tower Inquiry

Review architect education and training for fire safety

We recognise that both the Architects Registration Board and the Royal Institute of British Architects have taken steps since the Grenfell Tower fire to improve the education and training of …

P2-29 Accepted in part

Grenfell Tower Inquiry

Establish independent College of Fire and Rescue

We welcome the government’s ambition to create an independent College of Fire and Rescue expressed in the white paper Reforming our Fire and Rescue Service and we therefore recommend that …

P2-30 Accepted in part

Grenfell Tower Inquiry

College to have permanent staff and training facilities

Although it is for the government to decide how the college should be constituted, we recommend that it should have a permanent staff of sufficient size to manage its operations …

Grenfell Tower Inquiry

Inspect London Fire Brigade incident commander training

Steps have already been taken to respond to the criticisms made by the chairman in his Phase 1 report, but in order to reassure those who live in London we …

HM Inspectorate of Const…

Grenfell Tower Inquiry

Train firefighters on communications loss response

Since radio communications are inherently unreliable in certain environments, we recommend that firefighters be trained to respond appropriately to the loss of communications and to understand how to restore them. …

National Fire Chiefs Cou…

Grenfell Tower Inquiry

Provide water supply system training to all firefighters

That is a clear indication of a need for better training and we therefore recommend that basic training on the structure and operation of the water supply system, including the …

National Fire Chiefs Cou…

Grenfell Tower Inquiry

Consider guidance on firefighter initiative deviations

We cannot tell whether in any of those cases they would have been able to rescue people higher up the building if they had not done so, but we recommend …

National Fire Chiefs Cou…

Grenfell Tower Inquiry

Revise London Gold arrangements guidance

Events demonstrated, however, that there is a need for a clearer understanding of the nature of the London Gold arrangements, in particular in situations in which a single borough is …

London Authorities

P2-48 Accepted in part

Grenfell Tower Inquiry

Verify training quality of Category 1 responders

We also recommend 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)

Grenfell Tower Inquiry

Train all local authority employees on resilience

We therefore recommend that local authorities train all their employees, including chief executives, to regard resilience as an integral part of their responsibilities. (113.73)

Local Authorities

Angiolini Inquiry

Improve guidance and training on indecent exposure

By December 2024, the College of Policing, in collaboration with the National Police Chiefs' Council, should improve guidance and training on indecent exposure, in order to improve the quality of …

College of Policing

ANG-27 Under consideration

Angiolini Inquiry

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 …

12 Accepted (fully or in part)

Brook House Inquiry

Annual training on Rule 40 and Rule 42 segregation powers

The Home Office and contractors operating immigration removal centres must provide regular training, at least annually, on the operation of Rule 40 and Rule 42 of the Detention Centre Rules …

19 Not accepted

Brook House Inquiry

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 …

24 Accepted (fully or in part)

Brook House Inquiry

Mandatory staff training on mental health and trauma-informed approaches

The Home Office, in conjunction with contractors, must ensure that all relevant immigration removal centre staff receive mandatory introductory and annual training on: mental health; race and diversity; a trauma-informed …

28 Accepted (fully or in part)

Brook House Inquiry

Address barriers to detainee complaints including fear of repercussions

The Home Office and its contractors operating immigration removal centres must take steps to identify and address the barriers to making complaints that are faced by detained people, including a …

8 Accepted (fully or in part)

Brook House Inquiry

Mandatory comprehensive Rule 34 and Rule 35 training

The Home Office (in collaboration with NHS England as required) must ensure that comprehensive training on Rule 34 and Rule 35 of the Detention Centre Rules 2001 is rolled out …

31 No response yet

DBS and training compliance for Church officers

Individuals engaged in regulated activity who have failed to undergo a DBS check or complete compulsory training should not be permitted to hold voluntary offices within the Church. Failure by …

Church of England

26 No response yet

Youth Custody Service safeguarding training

The Chair and Panel recommend that the Youth Custody Service takes steps to ensure that its training provides staff with an appropriate understanding of safeguarding in the context of the …

Youth Custody Service

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 …

Department of Health and…

23 No response yet

National chaperone policy for healthcare (Wales)

The Chair and Panel recommend that the Welsh Government develops a national policy for the training and use of chaperones in the treatment of children in healthcare services. The Chair …

Welsh Government

77 Not accepted

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 …

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 …

Criminal Injuries Compen…

Lambeth councillor safeguarding training

All Lambeth Council elected members should receive training on: (i) safeguarding and (ii) corporate parenting. Newly elected members should receive training on these matters as soon as possible following their …

London Borough of Lambeth

55 No response yet

Religious organisation child protection policies

All religious organisations should have a child protection policy and supporting procedures, which should include advice and guidance on responding to disclosures of abuse and the needs of victims and …

Religious Organisations

48 No response yet

Mandatory Catholic safeguarding training

The Catholic Bishops' Conference of England and Wales should ensure that safeguarding training is mandatory for all staff and volunteers in roles where they work with children or victims and …

Catholic Bishops Confere…

Jermaine Baker Inquiry

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 …

College of Policing

JB-15.10 Under consideration

Jermaine Baker Inquiry

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 …

College of Policing

Jermaine Baker Inquiry

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).

College of Policing

Jermaine Baker Inquiry

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 …

College of Policing

Jermaine Baker Inquiry

Mandatory CLIO system training for command officers

Training should be made mandatory for command officers in the use of the Computer Logging of Intelligence Operations (CLIO) system and the Serious Organised Crime Tasking and Briefing (SOCTAB) system …

College of Policing

JB-15.19 Under consideration

Jermaine Baker Inquiry

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 …

College of Policing

Jermaine Baker Inquiry

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 …

College of Policing

JB-15.22 Accepted in part

Jermaine Baker Inquiry

Training for officers presenting firearms court applications

There should be training of those who are authorised by reason of rank to present such applications at court, and no-one should act as a substitute for a properly authorised …

College of Policing

Jermaine Baker Inquiry

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.

College of Policing

JB-15.8 Under consideration

Jermaine Baker Inquiry

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.

National Police Chiefs C…

Policy Skills Training

As far as practicable, Northern Ireland Civil Service teams working on policies, particularly new and untested initiatives, should be trained and supported so that they have the skills to do …

Northern Ireland Executi…

RHI-30 Accepted

Budget Holder Financial Training

Civil servants who are responsible for holding and monitoring a budget should have to demonstrate core requirements in financial literacy and an understanding of how public spending operates, including what …

Department of Finance

Ministerial Training and Support

One role of Ministers in a democratic system is to decide on policies and they can only do so effectively if they are prepared, in appropriate cases, to question and …

Northern Ireland Executi…

Special Adviser Induction

There should be a clearly defined induction process for new Special Advisers, shared by the appointing Minister and the relevant Permanent Secretary, in the course of which the structure and …

Northern Ireland Executi…

Commercial Awareness

Commercial and business awareness amongst policy officials, particularly those working in roles relating to the economy of Northern Ireland, must be improved. It is important that the leadership of the …

Northern Ireland Executi…

Anthony Grainger Inquiry

HMICFRS Thematic Inspection of Armed Policing

Her Majesty’s Inspectorate of Constabulary and Fire & Rescue Services (“HMICFRS”) should conduct a thematic inspection or inspections concerning: (i) the selection and training of officers authorised to use weapons …

HM Inspectorate of Const…

Anthony Grainger Inquiry

MASTS Documentation and Training Clarity

All documents and training relating to Mobile Armed Support to Surveillance (MASTS) should: clearly differentiate between MASTS as an operational method of supporting surveillance (and delivering a standard range of …

National Police Chiefs C…

IHRD-31 Accepted

Hyponatraemia Inquiry

SAI Reporting Understanding

Trusts should ensure that all healthcare professionals understand what is expected of them in relation to reporting Serious Adverse Incidents ('SAIs').

IHRD-4 Accepted

Hyponatraemia Inquiry

Trust Awareness of Duty of Candour

Trusts should ensure that all healthcare professionals are made fully aware of the importance, meaning and implications of the duty of candour and its critical role in the provision of …

Northern Ireland Executi… HSC Trusts

IHRD-55 Accepted

Hyponatraemia Inquiry

Board Member Training on Patient Safety

Trust Chairs and Non-Executive Board Members should be trained to scrutinise the performance of Executive Directors particularly in relation to patient safety objectives.

IHRD-56 Accepted

Hyponatraemia Inquiry

Board Member Induction Training

All Trust Board Members should receive induction training in their statutory duties.

IHRD-57 Accepted

Hyponatraemia Inquiry

Clinical Training for Guidelines

Specific clinical training should always accompany the implementation of important clinical guidelines.

IHRD-58 Accepted

Hyponatraemia Inquiry

Paediatric Fluid Management Training

HSC Trusts should ensure that all nurses caring for children have facilitated access to e-learning on paediatric fluid management and hyponatraemia.

IHRD-59 Accepted

Hyponatraemia Inquiry

Post-Mortem Request Form Training

There should be training in the completion of the post-mortem examination request form.

IHRD-60 Accepted

Hyponatraemia Inquiry

Coroner Communication Training

There should be training in the communication of appropriate information and documentation to the Coroner's office.

IHRD-61 Accepted

Hyponatraemia Inquiry

Paediatric Communication Training

Clinicians caring for children should be trained in effective communication with both parents and children.

IHRD-62 Accepted

Hyponatraemia Inquiry

Adverse Incident Communication Training

Clinicians caring for children should be trained specifically in communication with parents following an adverse clinical incident, which training should include communication with grieving parents after a SAI death.

IHRD-64 Accepted

Hyponatraemia Inquiry

Parental Involvement in Training

Parents should be involved in the preparation and provision of any such training programme.

IHRD-65 Accepted

Hyponatraemia Inquiry

SAI Investigator Training

Training in SAI investigation methods and procedures should be provided to those employed to investigate.

IHRD-68 Accepted

Hyponatraemia Inquiry

Using Investigations for Training

Information from clinical incident investigations, complaints, performance appraisal, inquests and litigation should be specifically assessed for potential use in training and retraining.

IHRD-9 Accepted

Hyponatraemia Inquiry

Leadership Development

The highest priority should be accorded the development and improvement of leadership skills at every level of the health service including both executive and non-executive Board members.

Northern Ireland Executi… Department of Health NI

14 Not Applicable

Morecambe Bay Investigation

Review clinical leadership arrangements

The University Hospitals of Morecambe Bay NHS Foundation Trust should review arrangements for clinical leadership in obstetrics, paediatrics and midwifery, to ensure that the right people are in place with …

University Hospitals of …

2 Not Applicable

Morecambe Bay Investigation

Review clinical staff competencies

The University Hospitals of Morecambe Bay NHS Foundation Trust should review the skills, knowledge, competencies and professional duties of care of all obstetric, paediatric, midwifery and neonatal nursing staff, and …

University Hospitals of …

22 Accepted in part

Morecambe Bay Investigation

Recognise educational opportunities in smaller units

We believe that the educational opportunities afforded by smaller units, particularly in delivering a broad range of care with a high personal level of responsibility, have been insufficiently recognised and …

28 Accepted in part

Morecambe Bay Investigation

National standards for clinical leads

Clear national standards should be drawn up setting out the professional duties and expectations of clinical leads at all levels, including, but not limited to, clinical directors, clinical leads, heads …

3 Not Applicable

Morecambe Bay Investigation

Deliver staff training and development plans

The University Hospitals of Morecambe Bay NHS Foundation Trust should draw up plans to deliver the training and development of staff identified as a result of the review of maternity, …

University Hospitals of …

AS-3 Accepted in part

Al-Sweady Inquiry

Training Material Dating and Archiving

All training material should be dated, appropriately retained and archived in such a way that it can easily be established when the training material was composed, when it came into …

Ministry of Defence

Vale of Leven Inquiry

TVN training and qualification

Health Boards should ensure that a nurse appointed as Tissue Viability Nurse (TVN) is appropriately trained and possesses, or is working towards, a recognised specialist post-registration qualification. Health Boards should …

NHS Health Boards (Scotl…

Vale of Leven Inquiry

Mandatory IPC training

Health Boards should ensure that all those working in a healthcare setting have mandatory infection prevention and control training that includes CDI on appointment and regularly thereafter. Staff records should …

NHS Health Boards (Scotl…

Vale of Leven Inquiry

IPC staff regular training

Health Boards should ensure that Infection Control Nurses and Infection Control Doctors have regular training in infection prevention and control, of which a record should be kept.

NHS Health Boards (Scotl…

Vale of Leven Inquiry

Surveillance system training

Health Boards should ensure that the users of surveillance systems are properly trained in their use and fully aware of how to use and respond to the data available.

NHS Health Boards (Scotl…

Vale of Leven Inquiry

Cleanliness Champions implementation

Health Boards should ensure that programmes designed to improve staff knowledge of good infection prevention and control practice, such as the Cleanliness Champions Programme, are implemented without undue delay. Staff …

NHS Health Boards (Scotl…

Vale of Leven Inquiry

Link Nurse training

Health Boards should ensure that, where a local Link Nurse system is in place as part of the infection prevention and control system, the Link Nurses have specific training for …

NHS Health Boards (Scotl…

Mid Staffs Inquiry

Support for other agencies

Public Health England should review the support and training that health protection staff can offer to local authorities and other agencies in relation to local oversight of healthcare providers' infection …

Mid Staffs Inquiry

The complexities of the health service are such that proper training must be available to the leadership of Local Healthwatch as well as, when the occasion arises, expert advice.

Mid Staffs Inquiry

Focus on culture of caring

There should be an increased focus in nurse training, education and professional development on the practical requirements of delivering compassionate care in addition to the theory. A system which ensures …

Mid Staffs Inquiry

Practical hands-on training and experience

Nursing training should be reviewed so that sufficient practical elements are incorporated to ensure that a consistent standard is achieved by all trainees throughout the country. This requires national standards.

Mid Staffs Inquiry

Practical hands-on training and experience

There should be a national entry-level requirement that student nurses spend a minimum period of time, at least three months, working on the direct care of patients under the supervision …

F189 Accepted in part

Mid Staffs Inquiry

Consistent training

The Nursing and Midwifery Council and other professional and academic bodies should work towards a common qualification assessment/examination.

F190 Accepted in part

Mid Staffs Inquiry

National standards

There should be national training standards for qualification as a registered nurse to ensure that newly qualified nurses are competent to deliver a consistent standard of the fundamental aspects of …

F197 Accepted in part

Mid Staffs Inquiry

Nurse leadership

Training and continuing professional development for nurses should include leadership training at every level from student to director. A resource for nurse leadership training should be made available for all …

Mid Staffs Inquiry

Training standards for healthcare support workers

There should be a common set of national standards for the education and training of healthcare support workers.

Department of Health and…

Mid Staffs Inquiry

Shared training

A leadership staff college or training system, whether centralised or regional, should be created to: provide common professional training in management and leadership to potential senior staff; promote healthcare leadership …

F220 Accepted in part

Mid Staffs Inquiry

A training facility could provide the route through which an accreditation scheme could be organised. Although this might be a voluntary scheme, at least initally, the objective should be to …

Mid Staffs Inquiry

Appropriate and sensitive contact with bereaved families

It is important that independent medical examiners and any others having to approach families for this purpose have careful training in how to undertake this sensitive task in a manner …

Department of Health and…

Mid Staffs Inquiry

Enhancement of monitoring and the importance of inspection

The Care Quality Commission should develop a specialist cadre of inspectors by thorough training in the principles of hospital care. Inspections of NHS hospital care providers should be led by …

Mid Staffs Inquiry

Enhancement of role of governors

Monitor and the NHS Commissioning Board should review the resources and facilities made available for the training and development of governors to enhance their independence and ability to expose and …

Mid Staffs Inquiry

Accountability of providers' directors

Consideration should be given to including in the criteria for fitness a minimum level of experience and/or training, while giving appropriate latitude for recognition of equivalence.

Mid Staffs Inquiry

Requirement of training of directors

A requirement should be imposed on foundation trusts to have in place an adequate programme for the training and continued development of directors.

Fingerprint Inquiry

Academic study requirement

An emphasis needs to be placed on the importance not only of learning and practising the methodology of fingerprint work, but also of engaging with members of the academic community …

SPA Forensic Services

BAHA-14 Accepted in part

Baha Mousa Inquiry

Communicating Sight Deprivation Reasons

JDP 1-10 should include guidance that where practicable CPERS should be told the reason why sight deprivation is being applied. Suitable simple phrases in relation to sight deprivation should be …

Ministry of Defence

BAHA-23 Not accepted

Baha Mousa Inquiry

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 …

Ministry of Defence

BAHA-46 Accepted in part

Baha Mousa Inquiry

Lessons Learned Process

The MoD should consider whether the lessons learned procedures need to be adjusted or supplemented so that the clearer and more urgent lessons and changes to previous practice are fed …

Ministry of Defence

BAHA-47 Accepted in part

Baha Mousa Inquiry

CPERS Training Content

CPERS training should include both theoretical and practical training in what Forces personnel can and should do when handling CPERS.

Ministry of Defence

BAHA-48 Accepted in part

Baha Mousa Inquiry

End-to-End CPERS Training

CPERS training should be woven into the full range of military exercises and training. Such training should be “end to end”, not just focused on planning and the actual combat/public …

Ministry of Defence

BAHA-49 Accepted in part

Baha Mousa Inquiry

Consistent Training Materials

Training materials across the Services need to be reviewed to ensure that the messages about all aspects of CPERS handling are clear and consistent.

Ministry of Defence

BAHA-50 Accepted in part

Baha Mousa Inquiry

MATT 7 Presentation Update

The MATT 7 PowerPoint presentation on the five techniques should be amended to ensure that the definitions of the techniques are consistent with amendments to JDP 1-10; that it is …

Ministry of Defence

BAHA-51 Accepted in part

Baha Mousa Inquiry

Prisoner Handling DVD Update

The 2005 prisoner handling DVD should be amended to avoid misleading messages about sight deprivation in the context of interrogation, and the inappropriate presentation of the interrogation facility. Where such …

Ministry of Defence

BAHA-52 Accepted in part

Baha Mousa Inquiry

Restraint Positions Guidance

Greater clarity and guidance should be given in training in relation to the concept of “restraint positions”. More must be done to give practical guidance to help service personnel distinguish …

Ministry of Defence

BAHA-53 Accepted in part

Baha Mousa Inquiry

Positional Asphyxia Training

MATT 7 and mission specific training for CPERS handling should incorporate suitably pitched training on the risks of positional asphyxia/death by struggle against restraint.

Ministry of Defence

BAHA-55 Accepted in part

Baha Mousa Inquiry

Operational Law Training Currency

Those responsible for designing the mandatory operational law and values and standards training must keep the training relevant and up-to-date both in its content and in the style and means …

Ministry of Defence

BAHA-56 Accepted in part

Baha Mousa Inquiry

Operational Law Training Quality

Unit commanders should ensure that the annual operational law training is delivered to the highest standards, so as to avoid it becoming stale or routine. Different media should be used …

Ministry of Defence

BAHA-57 Accepted in part

Baha Mousa Inquiry

Remove Shock of Capture Language

Training soldiers to maintain or prolong the shock of capture is apt to be misunderstood and should not feature in general training. Phrases such as “calm, neutral and professional” and …

Ministry of Defence

BAHA-58 Accepted in part

Baha Mousa Inquiry

Moral Courage Training

MATT 6 training should include discussion and role play scenarios relevant to moral courage. Training materials should include reference to occasions when UK troops have breached the Law of Armed …

Ministry of Defence

BAHA-60 Accepted in part

Baha Mousa Inquiry

Annual Legal Review of TQ Training

The annual legal review of training materials planned by Defence Intelligence and Security Centre (DISC) is a necessary step which I commend. It must, however, include a rigorous scrutiny of …

Ministry of Defence

BAHA-63 Accepted in part

Baha Mousa Inquiry

Complete TQ Training in Approaches

The tactical questioning and interrogation courses must train students adequately in all approaches that they may be required to use operationally. The current compromise whereby tactical questioning students are given …

Ministry of Defence

BAHA-64 Accepted in part

Baha Mousa Inquiry

Geneva Convention Compliance in Training

The MoD should give further careful consideration to the examples used in training for bridging between questioning sessions to ensure that they comply with the Geneva Conventions.

Ministry of Defence

BAHA-66 Accepted in part

Baha Mousa Inquiry

Remove Shock of Capture from DISC

DISC should give consideration to avoiding the terminology “maintain the shock of capture” and “prolong the shock of capture” even in their own courses. As a minimum, students on the …

Ministry of Defence

BAHA-67 Accepted in part

Baha Mousa Inquiry

Resistance Training Warning

All theoretical and practical resistance training must include a warning which explains in terms that the training is to show conduct that can be expected of a non-Geneva Conventions compliant …

Ministry of Defence

BAHA-70 Accepted in part

Baha Mousa Inquiry

MCTC Control and Restraint Monitoring

The Military Correction Training Centre (MCTC) should continue to monitor that breakaway, personal protection and control and restraint techniques taught on the All Arms Unit Custody Staff Course (AAUCSC) are …

Ministry of Defence

BAHA-71 Accepted in part

Baha Mousa Inquiry

Refresher Training Rollout

Refresher training for unit custody staff in whichever breakaway, personal protection and control and restraint techniques they are taught on the AAUCSC should now be rolled out ensuring that there …

Ministry of Defence

BAHA-72 Accepted in part

Baha Mousa Inquiry

Detention Sergeant Training

Unit Detention Sergeants (see recommendation 41) should be properly trained in CPERS handling practices.

Ministry of Defence

BAHA-73 Accepted in part

Baha Mousa Inquiry

Retaining Detention Expertise

In reducing the number of firm base unit custody facilities, the MoD should be careful not to erode the unit level operational detention expertise which is provided to a Battlegroup …

Ministry of Defence