The Prime Minister has issued a "profound apology" to the families of the 96 football fans who lost their lives in the disaster at Hillsborough in 1989.
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He said: "Today's report is black and white. The Liverpool fans were not at fault for the disaster."
The panel's findings also reveal that evidence provided to the original inquiry was significantly amended and that "authorities sought to give a completely unjust account of events."
The Hillsborough Independent Panel, chaired by the Bishop of Liverpool, the Rt Rev James Jones, found the initial inquest into the disaster and the subsequent Taylor Report contained many flaws.
Mr Cameron admitted that the findings of the Panel will be "deeply distressing", while he also lambasted the police and emergency services for their "shortcomings" on the day.
The Prime Minister conceded that "police reports were significantly altered" ahead of the original inquest, which blamed the tragedy on a lack of police control.
But the newly-published documents reveal that police and emergency services made "strenuous attempts" to deflect the blame onto innocent fans.
The latest report also claimed governments over the last 23 years had not done enough to challenge the initial findings, although there was no evidence that any government had been involved in a cover-up.
The emergency services stand accused of "multiple failures", and Mr Cameron insisted it was clear that more could have been done to save lives after the full scale of the tragedy became clear.
The Panel's report reveals that emergency services implemented a "cut-off point" of 3.15pm to attempt to revive those who had been crushed at the Leppings Lane end of the stadium.
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