Jail first aid chiefs who don’t employ enough trained emergency staff

Inquiry chairman’s anger over ‘serious shortcomings’ at arena

BOSSES of firms providing first aid at events should face the threat of prison sentences if they fail to meet proper safety standards, the Manchester Arena inquiry chairman said.

Sir John Saunders blasted ‘serious shortcomings’ by the first aid provider at the arena on the night of the bombing.

Emergency Training UK – which was under contract to venue operator SMG – was ‘not adequately prepared’ for responding to a mass casualty event, he found.

Shockingly, not all staff on duty were trained in applying tourniquets.

In addition, its director, Ian Parry, had failed to refresh his expired qualifications on major incident management and advanced life support.

Sir John said he had ‘little doubt that such serious shortcomings occurred elsewhere at other venues’.

Saying there was ‘inadequate regulation by the state’, the inquiry chairman called for a change in the law to ensure the providers were inspected by the Care Quality Commission. Regulation ‘should have teeth’ as such firms ‘may be responsible for the lives of very many people’, he said.

Sir John said there was a ‘strong argument’ for ‘civil and criminal consequences’ of failing the public, ‘including the possible imposition of custodial sentences’.

It was among 149 hard-hitting recommendations in yesterday’s report, which include that schools should teach pupils how to cope with catastrophic injuries to help the public fill a ‘ care gap’ while they wait for paramedics to arrive.

Techniques such as applying tourniquets and dressings, and keeping open airways, should be taught as part of the national cur

‘Inadequate regulation’

riculum, he said. In a recognition that the emergency services may again be overwhelmed immediately after a mass casualty attack, Sir John said it was ‘inevitable’ that members of the public caught up in it would ignore Government advice to ‘ run, hide, tell’ and instead try to help survivors.

Still others would ‘run towards danger to provide their assistance’, he added.

Since September 2020, all primary and secondary school pupils have to be taught first aid, as part of the national curriculum.

But Sir John said the Department for Education should consider broadening that to cover dealing with catastrophic bleeds or airway impairment.

In addition, he recommended that trauma kits containing lifesaving equipment should be installed in public locations such as stations and concert venues.

There should also be an examination of whether it is possible for people such as police officers to

drive ambulances so paramedics can stay at the scene of an attack.

The report called for bosses to ensure that adequate stretchers were ‘always available for use by the emergency services and in appropriate locations’.

And it said all ambulance service trusts should review their capacity

to respond to a mass casualty incident. Sir John said: ‘Not only do ambulances contain the personnel and equipment able to provide many life- saving interventions, but they are also the vehicles by which casualties are best transported to hospital. If ambulances do not attend the scene quickly

and in sufficient numbers, lives will be lost.’

Sir John criticised SMG for not carrying out ‘ basic checks that would have revealed major deficiencies in ETUK’s approach’, or having its work scrutinised by external experts.

The effect of doing neither was

that SMG ‘saved money’, he added. ETUK is no longer operating.

The inquiry chairman said he would require witness statements from bosses of each organisation addressed in his recommendations in the next six months, followed by hearings next summer on what has been done.