Title page
Contents
Letter to the Prime Minister and Home Secretary 5
The names of those unlawfully killed 8
Executive summary 10
The structure of this report 13
Chapter 1. Treatment of the bereaved families in the aftermath of the Hillsborough disaster 14
Events in the disaster's immediate aftermath 17
The initial police investigation 22
The media 25
Have the lessons been learned from the Hillsborough families' experience? 28
Points of learning 35
Chapter 2. Inquests 41
The original inquests: 1990/1991 44
The fresh inquests: March 2014 to April 2016 50
Have the lessons been learned from the Hillsborough families' experience? 60
Points of learning 62
Chapter 3. Public inquiries 76
Introduction 77
The Taylor Inquiry 77
The Stuart-Smith Scrutiny 79
The Hillsborough Independent Panel 81
Points of learning 85
Chapter 4. Criminal and disciplinary investigations 89
The initial criminal and disciplinary investigations into the Hillsborough disaster 91
Operation Resolve and the Independent Police Complaints Commission 91
Have the lessons been learned from the Hillsborough families' experience? 95
Points of learning 96
Chapter 5. Points of learning 98
Appendix 1. Acknowledgements 111
Appendix 2. Terms of reference 112
Appendix 3. The Public Authority Accountability Bill 113