Outdated Operational Guidance

Lack of real-time access for operational staff to up-to-date and succinct guidance, leading to potential inconsistencies or errors in enforcement.

126 items 1 source 16 inquiries
Source spread

Where this theme appears

Outdated Operational Guidance has been flagged across 1 independent accountability source:

126 inquiry recs

This theme has been identified in one data source. As more data is added, cross-references may emerge.

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Source-grouped records are useful for tracing where a concern came from. Large sections show the 50 strongest matches for that source; counts still show the full theme total.

13 — AWS is vital to the continued running of the train
Southall Inquiry
Recommendation: AWS is to be regarded as vital to the continued running of the train (para 15.11).
Unknown
12 — Designate train-borne safety equipment as vital or not
Southall Inquiry
Recommendation: All train-borne safety equipment should be clearly designated as to whether or not it is vital to the continued running of the train (para 15.11).
Unknown
11 — Avoid using several documents for one operational issue
Southall Inquiry
Recommendation: The use of more than one document (whether Rules, Group Standards or otherwise) to cover a single operational issue should be avoided, save where proper reasons exist for use of multiple sources (para 15.9).
Unknown
10 — Rules and Group Standards clear and unambiguous
Southall Inquiry
Recommendation: Railtrack must ensure that Rules and Group Standards applicable to operators, including drivers, are clear and unambiguous. In particular, Railtrack should urgently complete the review of operating Rules to ensure they are workable in the privatised, fragmented industry (para 16.6).
Unknown
9 — Review of drivers' working hours
Southall Inquiry
Recommendation: Current Rules governing drivers’ permitted daily and weekly working hours should be reviewed in the light of current research into human behaviour (para 5.9).
Unknown
5 — Testing of driver competence and knowledge of the Rules
Southall Inquiry
Recommendation: Testing of driver competence and knowledge of Rules should be extended to cover application of the Rules to practical situations, including all abnormal driving situations permitted by the Rules (para 16.4).
Unknown
4 — Driver training in abnormal situations
Southall Inquiry
Recommendation: Driver training should include driving in abnormal situations permitted by the Rules and specifically driving with AWS isolated to the extent so permitted, including the use of simulators (para 16.4).
Unknown
29 — New edition of national guidelines
Orkney Inquiry
Recommendation: A new edition of national guidelines for Scotland should be prepared embodying extracts from the relevant legislation (15.58-59) set in the context of a clear statement of basic principles (15.60).
Unknown
91 — Withdrawal of areas of operation section
Piper Alpha Inquiry
Recommendation: Sec 3 of the code for the assessment of standby vessels (areas of operation) should be withdrawn (para 20.39).
Unknown
90 — Revocation of Reg 10
Piper Alpha Inquiry
Recommendation: Reg 10 of the Emergency Procedures Regulations should be revoked (para 20.39).
Unknown
53 — Withdrawal of fire protection discussion document
Piper Alpha Inquiry
Recommendation: The DEn discussion document on Fire and Explosion Protection should be withdrawn (para 19.102).
Unknown
21 — Review PLA byelaw 19
Clarke Inquiry
Recommendation: We recommend that the PLA give further consideration to byelaw 19 in the context of the collision regulations, especially rules 13 and 17, and consider whether it is appropriate to spell out the obligations of a vessel affected by byelaw …
Unknown
67 — Defining the personal officer role
Zahid Mubarek Inquiry
Recommendation: The role of the personal officer should be clearly defined in each establishment’s personal officer scheme. The Prison Service should publish a model scheme, which should be regarded as having been adopted by every establishment which does not produce one …
Unknown
52 — Guidance for duty governors on risk assessment
Zahid Mubarek Inquiry
Recommendation: The instructions for completing the form should give duty governors guidance on how to exercise the options available to them when dealing with prisoners who are both at risk of self-harm and a risk to their cellmate.
Unknown
50 — Prisoner escort record handbook and completion
Zahid Mubarek Inquiry
Recommendation: The handbook giving guidance on how to complete the prisoner escort record should be revised to make it clear that it is not merely of use while a prisoner is in transit, but it is also intended to inform the …
Unknown
47 — Model procedure for external report comments
Zahid Mubarek Inquiry
Recommendation: The Prison Service should publish a model procedure dealing with how establishments should bring Prison Service Orders and other instructions, whether national or local, which affect the management of prisoners to the attention of staff. The model procedure should be …
Unknown
RONA-45 — Bring Code of Practice 3 Chapter V Loading up to date
Ronan Point Inquiry
Recommendation: Code of Practice 3: Chapter V: Loading, must, as a matter of urgency, be brought up to date and should take account of recent research into the frequency and duration of high winds particularly on high buildings (paragraph 214).
Unknown
28 — Revise Prison Service safeguarding guidance
IICSA
Recommendation: The Chair and Panel note that Prison Service Instruction (PSI) 08/2012, which sets out the mandatory actions for YOIs and STCs for 'maintaining a safe and secure environment', has expired. The Chair and Panel recommend that the Ministry of Justice …
No response yet
BAHA-19 — JDP 1-10 Redraft Clarity
Baha Mousa Inquiry
Recommendation: In the current redrafting of JDP 1-10 and in future subordinate doctrine and instructions regarding CPERS: (1) plain English, simplicity of structure and brevity should be given greater priority while allowing for the target audience and complexity of the subject …
Words of: Liam Fox, Secretary of State for Defence, statement to the House of Commons, 8 September 2011 (HC Deb vol 532 col 571), as published by the Ministry of Defence
Gov response: I can inform this House that I am accepting in principle all of his recommendations with one reservation.
Accepted in part
COVID-M2.3 — UK-wide Expert Register
COVID-19 Inquiry
Recommendation: The Government Office for Science (GO-Science) should develop and maintain a register of experts across the four nations of the UK who would be willing to participate in scientific advisory groups, covering a broad range of potential civil emergencies. The …
Words of: UK Government (Cabinet Office), UK Government Response to the Covid-19 Inquiry Module 2 Report (CP 1534), 25 March 2026
Gov response: GO-Science already maintains an expert register for SAGE and is committed to refreshing the register; improving selection processes to broaden participation across disciplines, institutions and backgrounds; and increasing our engagement with experts outside of emergencies. …
Accepted
COVID-M1.10 — Independent Statutory Resilience Body
COVID-19 Inquiry
Recommendation: 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: providing independent, strategic advice to the UK government and devolved …
Words of: UK Government (Cabinet Office), UK Government Response to the Covid-19 Inquiry Module 1 Report (CP 1240), January 2025
Gov response: Since the pandemic, significant strategic and material changes have been made to the way in which the UK and devolved governments handle crises. Considerable progress has been made against the longer-term programme to build a …
Response Unclear
COVID-M1.7 — Publish Exercise Reports and Lessons
COVID-19 Inquiry
Recommendation: For all civil emergency exercises, the governments of the UK, Scotland, Wales and Northern Ireland should each (unless there are reasons of national security for not doing so): publish an exercise report summarising the findings, lessons and recommendations, within three …
Words of: UK Government (Cabinet Office), UK Government Response to the Covid-19 Inquiry Module 1 Report (CP 1240), January 2025
Gov response: The government agrees that, given the UK-wide cross-cutting implications, the UK government should publish findings and lessons from all Tier 1 civil emergency exercises (except where there are justifiable reasons not to do so, such …
Accepted In progress
COVID-M1.6 — Triennial Pandemic Exercises
COVID-19 Inquiry
Recommendation: The UK government and devolved administrations should together hold a UK-wide pandemic response exercise at least every three years. The exercise should: test the UK-wide, cross-government, national and local response to a pandemic at all stages, from the initial outbreak …
Words of: UK Government (Cabinet Office), UK Government Response to the Covid-19 Inquiry Module 1 Report (CP 1240), January 2025
Gov response: The government agrees that regularly programmed exercises should test pandemic preparedness. A ministerial, national level (Tier 1) exercise has been programmed for 2025 to test the response to a major pandemic. In addition, smaller scale …
Accepted
COVID-M1.3 — Improved Risk Assessment Approach
COVID-19 Inquiry
Recommendation: The UK government and devolved administrations should work together on developing a new approach to risk assessment that moves away from a reliance on single reasonable worst-case scenarios towards an approach that: assesses a wider range of scenarios representative of …
Words of: UK Government (Cabinet Office), UK Government Response to the Covid-19 Inquiry Module 1 Report (CP 1240), January 2025
Gov response: The government agrees with the need to continually improve its approach to risk assessment as the basis for the entire system of preparedness and resilience. The government’s principal framework for risk assessment is the National …
Accepted
POH-19 — Publish restorative justice programme by 31 October 2025
Post Office Horizon Inquiry
Recommendation: By 31 October 2025, the Department, Fujitsu and the Post Office shall publish, either separately or together, a report outlining any agreed programme of restorative justice and/or any actions taken by that date to produce such a programme. For the …
Words of: Department for Business and Trade, Government response to the Post Office Horizon IT Inquiry report (volume 1), 9 October 2025
Gov response: DBT, the Post Office and Fujitsu have jointly embarked on a restorative justice project for postmasters, facilitated by the Restorative Justice Council. All 3 parties are committed to the programme being postmaster-led. The first phase …
Accepted
POH-18 — Devise redress process for affected family members
Post Office Horizon Inquiry
Recommendation: The Department shall devise a process for providing financial redress to close family members of those most adversely affected by Horizon. Such family members shall qualify for such redress only if they themselves, have suffered serious adverse consequences by reason …
Words of: Department for Business and Trade, Government response to the Post Office Horizon IT Inquiry report (volume 1), 9 October 2025
Gov response: Some family members of postmasters suffered gravely because of the Horizon scandal. ​As set out in the Minister for Postal Affairs’ statement to the House of Commons on 8 July 2025, DBT has committed to …
Accepted In progress
POH-17 — Establish standing public body to administer future redress schemes
Post Office Horizon Inquiry
Recommendation: 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 redress to persons who have been wronged by public bodies.
Words of: Department for Business and Trade, Government response to the Post Office Horizon IT Inquiry report (volume 1), 9 October 2025
Gov response: DBT sees clear advantages of the recommendation but recognises that options to improve future delivery of redress will need to be carefully considered and the feasibility of an independent body will need to be properly …
Noted In progress
POH-16 — Clarify whether HCRS and OCS assessment processes differ
Post Office Horizon Inquiry
Recommendation: The Department shall make a public announcement in which (a) it clarifies whether there will be any differences in the process for assessing financial redress, between the merged HCRS and OCS, and the process currently operating in OCS and if …
Words of: Department for Business and Trade, Government response to the Post Office Horizon IT Inquiry report (volume 1), 9 October 2025
Gov response: DBT confirms that the HCRS will apply the same principles as the previous OC scheme, ensuring no OC claimant is disadvantaged by the transfer to HCRS. DBT has published further guidance on GOV.UK about the …
Accepted
POH-15 — Set deadline for HSS claims with guidance on late applications
Post Office Horizon Inquiry
Recommendation: No claims for financial redress under HSS shall be entertained after midnight 27 November 2025.
Words of: Department for Business and Trade, Government response to the Post Office Horizon IT Inquiry report (volume 1), 9 October 2025
Gov response: DBT broadly accepts this recommendation and agrees with the need for finality. However, postmasters who have yet to submit their claim will need sufficient notice of the closure date. The Post Office will send a …
Accepted
POH-14 — Post Office to engage in negotiations during HSSA appeal period
Post Office Horizon Inquiry
Recommendation: During the nine-month period afforded to claimants to submit an appeal to the Department in HSSA, the Post Office shall engage in negotiations and/or mediation with any claimants who notify the Post Office of a desire to seek a negotiated …
Words of: Department for Business and Trade, Government response to the Post Office Horizon IT Inquiry report (volume 1), 9 October 2025
Gov response: Prior to the publication of the Inquiry’s report, DBT had been in discussion with claimants’ legal representatives about the deadlines for submission of HSS Appeals. In the light of the representatives’ concerns, DBT has agreed …
Accepted
POH-11 — Apply best offer principle equally in GLOS
Post Office Horizon Inquiry
Recommendation: The "best offer" principle which will apply in HSSA, as explained in response to Recommendation 10, shall be equally applicable in GLOS.
Words of: Department for Business and Trade, Government response to the Post Office Horizon IT Inquiry report (volume 1), 9 October 2025
Gov response: The minister announced on 8 July that DBT would adopt a best offer principle at panel stage on the GLO, HSSA and HCRS schemes. DBT consulted the Advisory Board, Sir Ross Cranston and claimants’ legal …
Accepted
MAI-169 — Review Operation Plato guidance
Manchester Arena Inquiry
Recommendation: Those organisations should consider what changes need to be made to the Counter Terrorism Policing Headquarters Operation Plato guidance in order to achieve those aims.
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted
MAI-166 — Introduce Major Incident Triage Tool
Manchester Arena Inquiry
Recommendation: The team led by Philip Cowburn has devised a tool that is designed to replace the existing systems of primary and secondary triage. It is known as the Major Incident Triage Tool. It already has the support of NHS England. …
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted
MAI-162 — Define BTP Senior Duty Officer role in Major Incidents
Manchester Arena Inquiry
Recommendation: The role of the Senior Duty Officer in a Major Incident should be clearly defined and explained in the British Transport Police Major Incident Manual. This role should have a corresponding action card.
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted
MAI-158 — Guidance on commander location during incidents
Manchester Arena Inquiry
Recommendation: The Home Office, the National Ambulance Resilience Unit, the College of Policing and the Fire Service College should develop guidance as to where commanders should locate during a spontaneous Major Incident. Steps should be taken to ensure that a consistent …
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted In progress
MAI-145 — Strategic Co-ordinating Group within two hours
Manchester Arena Inquiry
Recommendation: The Home Office should consider the introduction of a national standard requiring a meeting of the Strategic Co-ordinating Group to take place no more than two hours after the declaration of a Major Incident where more than one emergency service …
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted
MAI-144 — Mandatory Ambulance Liaison Officer at events
Manchester Arena Inquiry
Recommendation: The Home Office should consider how the presence of an Ambulance Liaison Officer in appropriate circumstances may be made mandatory. This may need to be put on a statutory footing.
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted In progress
MAI-141 — Nationally agreed format for all emergency plans
Manchester Arena Inquiry
Recommendation: The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the National Ambulance Resilience Unity, individual police services and JESIP should develop a nationally agreed format for all plans, …
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted In progress
MAI-140 — Review Major Incident plans for interoperability
Manchester Arena Inquiry
Recommendation: The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the National Ambulance Resilience Unit, individual police services and JESIP should review what changes need to be made to …
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted
MAI-139 — Review and update JESIP Joint Doctrine
Manchester Arena Inquiry
Recommendation: The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College, the National Ambulance Resilience Unit and JESIP should review and, as necessary, update the Joint Doctrine: The Interoperability Framework …
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted
MAI-135 — Action cards for emergency services in Major Incidents
Manchester Arena Inquiry
Recommendation: The Home Office, His Majesty's Inspectorate of Constabulary and Fire and Rescue Services, the College of Policing, the Fire Service College and the National Ambulance Resilience Unit should oversee the development and implementation of action cards for the police, fire …
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted In progress
MAI-129 — Threshold for Ambulance Liaison Officer at events
Manchester Arena Inquiry
Recommendation: The Home Office and the Department of Health and Social Care should consider how the threshold for a requirement that an Ambulance Liaison Officer be present at an event is to be identified.
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted In progress
MAI-115 — Guidance on equipment for warm zone interventions
Manchester Arena Inquiry
Recommendation: The Department of Health and Social Care, the Faculty of Pre-Hospital Care, the College of Paramedics and the National Ambulance Resilience Unit should consider issuing guidance on how to ensure that specialist paramedics take with them, into a warm zone, …
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted In progress
MAI-110 — Guidance on event first aid equipment
Manchester Arena Inquiry
Recommendation: The Department of Health and Social Care should consider issuing guidance on the first aid equipment that event providers should have available on the relevant premises, as well as where that equipment should be stored to ensure that it is …
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted In progress
MAI-103 — Guidance on Ambulance Liaison Officer role
Manchester Arena Inquiry
Recommendation: The Department of Health and Social Care and the National Ambulance Resilience Unit should consider the scope of the role of an Ambulance Liaison Officer and issue guidance to ambulance services in that regard.
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted In progress
MAI-96 — Force Duty Officer not to handle media enquiries
Manchester Arena Inquiry
Recommendation: The College of Policing should issue guidance to all police services to ensure the following, in the event of a Major Incident: a. The Force Duty Officer is not expected to deal with media enquiries. b. The important task of …
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted
MAI-75 — Operational Commander to gain situational awareness first
Manchester Arena Inquiry
Recommendation: North West Ambulance Service should review its Major Incident Response Plan to make clear that the first resource on scene should assume the role of Operational Commander only once they have achieved situational awareness.
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted
MAI-67 — NWAS policy for relieving Operational Commanders
Manchester Arena Inquiry
Recommendation: North West Ambulance Service should ensure that it has a policy that sets out the circumstances in which an Operational Commander may be relieved and how that should occur and be communicated to the outgoing Operational Commander and beyond.
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted
MAI-59 — Codify prisoner communication restrictions scheme
Manchester Arena Inquiry
Recommendation: I recommend that the scheme be codified, and clear policy and guidance be published so that it can be applied consistently across the prison estate.
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted
MAI-53 — CPS protocol for section 35 prosecution takeover
Manchester Arena Inquiry
Recommendation: I recommend that the Crown Prosecution Service establish a written protocol in relation to its approach to any application from an inquiry Chairman for a section 35 prosecution to be taken over under section 6(2) of the Prosecution of Offences …
Speaker not recorded. Source: Cabinet Office, Manchester Arena Inquiry Recommendations Dashboard (government response status), 14 November 2025
Gov response: Accepted in full
Accepted