Communication

Recommendations related to communication

57

Recommendations

79% accepted

Government Response

Accepted (41)Accepted in part (3)Accepted, fully or in part (not specified) (1)Under consideration (2)Noted (4)No response yet (6)

Recommendations in This Theme

recommendation across 16 inquiries

Across 16 inquiries

Baha Mousa Inquiry Brook House Inquiry COVID-19 Inquiry Edinburgh Tram Inquiry Grenfell Tower Inquiry Hyponatraemia Inquiry ICL Inquiry Jermaine Baker Inquiry Manchester Arena Inquiry Mid Staffs Inquiry Muckamore Abbey Inquiry Paterson Inquiry RHI Inquiry Scottish Hospitals Inquiry Urology Services Inquiry Vale of Leven Inquiry

Tagged Recommendations

57 total

Scottish Hospitals Inquiry

Communication strategy for patients and families

Health boards must ensure that in the event of any adverse situation that could affect the wellbeing of patients and their families, there is a communication strategy in place to …

Scottish Government

COVID-M2.14 Accepted

COVID-19 Inquiry

Accessible Emergency Communications

The UK government and devolved administrations should each develop action plans for how government communications will be made more accessible during a pandemic. As a minimum, these should include making …

Urology Services Inquiry

Patient focus and complaints

The Inquiry recommends that the Trust and Department work together to ensure there is: • A specific programme of work to strengthen patient involvement, improve communication, and ensure patients and …

Southern Health and Soci…

R18 No response yet

Muckamore Abbey Inquiry

Co-production processes and clinical audit

Specific processes rather than policies should be designed to ensure there is good communication with families and carers to ensure co-production takes place and is effective. Evidence of co-production should …

Department of Health NI

R22 No response yet

Muckamore Abbey Inquiry

Easy Read documents

All documents relevant to the service user’s experience and intended for their information must be made available in Easy Read format.

Health and Social Care N… Northern Ireland Executi…

R42 No response yet

Muckamore Abbey Inquiry

Regular updates on complaint progress

Complainants must be regularly updated and informed of the progress of any investigation, including when the process concludes without a specific finding.

Health and Social Care N… Northern Ireland Executi…

R59 No response yet

Muckamore Abbey Inquiry

CCTV explained in accessible format

All service users and their families should have the CCTV explained to them in easily understood language and with easy access materials, so that they are aware that it is …

Health and Social Care N… Northern Ireland Executi…

R85 No response yet

Muckamore Abbey Inquiry

RQIA communication with patients

RQIA needs to spend proportionately more time talking to patients/residents, and its staff need to be trained in specific communication techniques such as Makaton and Talking Mats.

R99 No response yet

Muckamore Abbey Inquiry

Key individual for resettlement communication

Communication between the HSCTs and/or resettlement service providers and families and people with learning disabilities should be more open and transparent. Each service user/family should have appointed to them a …

Health and Social Care N… Northern Ireland Executi…

Grenfell Tower Inquiry

LFB review control room communications policy

The LFB review its policies on communications between the control room and the incident commander.

London Fire Brigade

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

Dedicated control room to incident commander link

A dedicated communication link be provided between the senior officer in the control room and the incident commander.

London Fire Brigade

Grenfell Tower Inquiry

Distinguish between advice and rescue callers

The LFB's policies be amended to draw a clearer distinction between callers seeking advice and callers who believe they are trapped and need rescuing.

London Fire Brigade

Grenfell Tower Inquiry

Develop policies for handling multiple FSG calls

All fire and rescue services develop policies for handling a large number of FSG calls simultaneously.

National Fire Chiefs Cou…

Grenfell Tower Inquiry

Electronic FSG recording and display systems

Electronic systems be developed to record FSG information in the control room and display it simultaneously at the bridgehead and in any command units.

National Fire Chiefs Cou…

Grenfell Tower Inquiry

Investigate inter-control room information sharing

Steps be taken to investigate methods by which assisting control rooms can obtain access to the information available to the host control room.

National Fire Chiefs Cou…

Grenfell Tower Inquiry

LAS and MPS review FSG call protocols

The LAS and the MPS review their protocols and policies to ensure that their operators can identify FSG calls (as defined by the LFB) and pass them to the LFB …

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

Direct control room to incident commander communications

The LFB develop a communication system to enable direct communication between the control room and the incident commander and improve the means of communication between the incident commander and the …

London Fire Brigade

Grenfell Tower Inquiry

Investigate modern control room to bridgehead communications

The LFB investigate the use of modern communication techniques to provide a direct line of communication between the control room and the bridgehead, allowing information to be transmitted directly between …

London Fire Brigade

Grenfell Tower Inquiry

Equipment for BA communication in high-rise buildings

The LFB urgently take steps to obtain equipment that enables firefighters wearing helmets and breathing apparatus to communicate with the bridgehead effectively, including when operating in high-rise buildings.

London Fire Brigade

Grenfell Tower Inquiry

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.

Grenfell Tower Inquiry

Designate single point of contact in control rooms

A single point of contact should be designated within each control room to facilitate such communication.

Grenfell Tower Inquiry

Investigate LFB-MPS-LAS system compatibility

Steps be taken to investigate the compatibility of the LFB systems with those of the MPS and the LAS with a view to enabling all three emergency services' systems to …

London Fire Brigade

Grenfell Tower Inquiry

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 …

Grenfell Tower Inquiry

Consider higher power radios for breathing apparatus

We therefore recommend that fire and rescue services that continue to use low power intrinsically safe radios as part of breathing apparatus consider reserving them only for situations in which …

National Fire Chiefs Cou…

Grenfell Tower Inquiry

Provide firefighters with digital radios

We therefore recommend that all fire and rescue services give consideration to providing all firefighters with digital radios. (113.60)

National Fire Chiefs Cou…

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

Establish effective emergency communication methods

We recommend that as part of their emergency planning local authorities make effective arrangements for continuing communication with those who need assistance using the most suitable technology and a range …

Local Authorities

Grenfell Tower Inquiry

Use modern communication for public emergency information

We recommend that all local authorities include in their plans for responding to emergencies arrangements for providing information to the public by whatever combination of modern methods of communication are …

Local Authorities

Grenfell Tower Inquiry

Clarify casualty bureau purpose and limitations

In future, to avoid confusion, wasted effort and frustration we also recommend that what in the past has been called by the police a “casualty bureau” be described in a …

National Police Chiefs C…

4 Accepted (fully or in part)

Brook House Inquiry

Ensure reasonable internet and computer access for detainees

The Home Office and its contractors must ensure reasonable access to computers and the internet. Contractors must comply in full with Detention Services Order 04/2016: Detainee Access to the Internet, …

Edinburgh Tram Inquiry

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 …

City of Edinburgh Council

MAI-122 Accepted

Manchester Arena Inquiry

Maintain radio communications during Major Incidents

The emergency services should prepare, train and exercise for how they will maintain effective radio communications between emergency responders on the ground, commanders and control rooms, during the response to …

Manchester Arena Inquiry

Ensure Airwave Tactical Advisors availability

All police services should ensure that they have made adequate provision for Airwave Tactical Advisors, in particular that an identified Airwave Tactical Advisor is either on duty or on call …

Police Services

MAI-82 Accepted

Manchester Arena Inquiry

Allocate best-trained operators to Major Incident roles

North West Fire Control should review how it allocates the best-trained and most suitable Control Room Operators to roles during a Major Incident. It should consider whether it is beneficial …

MAI-85 Accepted

Manchester Arena Inquiry

NWFC involvement in multi-agency exercises

North West Fire Control should take steps to ensure that it is involved in multi-agency exercises, particularly those that test mobilisation and the response to a Major Incident in line …

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

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

RHI-33 Accepted

HMT Communication Protocol

The protocol for relations with HMT, namely that the Northern Ireland Department of Finance must be the sole conduit of formal communication, should be reinforced and widely understood across the …

Department of Finance

Paterson Inquiry

Patient-focused correspondence

We recommend that it should be standard practice that consultants in both the NHS and the independent sector should write to patients, outlining their condition and treatment, in simple language, …

Department of Health and…

IHRD-26 Accepted

Hyponatraemia Inquiry

Recording Clinical Discussions

Clinical notes should always record discussions between clinicians and parents relating to patient care and between clinicians at handover or in respect of a change in care.

IHRD-43 Accepted

Hyponatraemia Inquiry

GP Notification of Death Circumstances

A deceased's family GP should be notified promptly as to the circumstances of death to enable support to be offered in bereavement.

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-72 Accepted

Hyponatraemia Inquiry

Candour in Trust Communications

All Trust publications, media statements and press releases should comply with the requirement for candour and be monitored for accuracy by a nominated non-executive Director.

Vale of Leven Inquiry

Nursing staff for relatives

Health Boards should ensure that a member of nursing staff is available to deal with questions from relatives during visiting periods.

NHS Health Boards (Scotl…

Vale of Leven Inquiry

Relative discussions recorded

Health Boards should ensure that any discussion between a member of nursing staff and a relative about a patient which is relevant to the patient’s continuing care is recorded in …

NHS Health Boards (Scotl…

Vale of Leven Inquiry

Explanation to relatives on CDI death

Health Boards should ensure that if a patient dies with CDI either as a cause of death or as a condition contributing to the death, relatives are provided with a …

NHS Health Boards (Scotl…

Mid Staffs Inquiry

Communication with and about patients

Regular interaction and engagement between nurses and patients and those close to them should be systematised through regular ward rounds: All staff need to be enabled to interact constructively, in …

Healthcare providers

Mid Staffs Inquiry

Care Quality Commission independence strategy and culture

The leadership of the Care Quality Commission should communicate clearly and persuasively its strategic direction to the public and to its staff, with a degree of clarity that may have …

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-33 Accepted in part

Baha Mousa Inquiry

Communicating Deprivation Reasons

Where practicable CPERS who are subjected to sight deprivation or hearing deprivation should be told the reason for it. If being deprived of their sight for some or part of …

Ministry of Defence

BAHA-7 Accepted in part

Baha Mousa Inquiry

Five Techniques Communication

The MoD should give careful consideration as to whether referring to the five techniques as being prohibited “as an aid to interrogation” remains the most effective means of communicating the …

Ministry of Defence

LPG Safety Communications

There should be prompt and effective communication between all interested parties of all technical developments in matters of LPG safety.

Health and Safety Execut…