PFD report

Jaden Matthew FRANCOIS-ESPRIT · Prevention of Future Deaths report

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Issued 22 Feb 2021•Inner North London

Report record

Published report and response evidence

This page connects the concerns raised in this report with statements found in recipients’ published responses. A link shows a clear evidence connection; it does not assign responsibility.

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Concerns
2

Raised in this report

Recipients
1

Named on the report

Responses found
1

Of 1 recipient

Stated actions
2

Described in responses

Recipients and published responses

Source document

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

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Report evidence summary

Concerns raised2

  1. Failure to recognise firefighters’ deteriorating mental ill health
    Part of recurring concern: Failure to ensure frontline personnel recognise mental-health indicators
  2. Failure to explore requests for help followed by refusal of help
Responses linked to these concerns

Each statement is shown once, even when linked to more than one concern.

No linked response statements

No respondent-stated action or position is clearly linked to these concerns.

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to recognise firefighters’ deteriorating mental ill health

Wider context from the report

“I heard at inquest that the London Fire Brigade has quite sophisticated systems in place to support firefighters suffering mental ill health. However, Jaden was not offered the support of, for example, psychological counselling, because it was not appreciated that he was so very low. Obviously if firefighters are to be given the best chance of recovering from mental ill health, their difficulties first need to be recognised. I appreciate that it can be difficult to detect that a person may be depressed or exceptionally unhappy. Signs may be subtle and require a nuanced approach. • Jaden often complained that he was bored because Wembley Green Watch had not been called to many incidents. I heard evidence that boredom in a new firefighter can be quite common. However, I also heard that a complaint of boredom can be a sign of a person with dyslexia avoiding an unpalatable or daunting task. • Jaden had dyslexia and was worried that he would not be able to complete his written work in order to become a fully qualified firefighter, yet the reality was that his station officer was fully aware of his difficulties and had tried to reassure Jaden that he was certainly capable of achieving his goal. • He did need extra time, the space to make mistakes and a degree of sensitivity that was not always afforded him. On the other hand, he asked for help and was given a mentor, but did not make use of him and so eventually the mentorship ceased. That request for help followed by a refusal of help was not explored. Such an exploration might have led to a greater understanding of how Jaden could be helped. • Jaden felt he was being treated unfairly at work and his family have formed the view that there was an element of racism there, driven in part by their belief that Jaden was the only non white person on Wembley Green Watch. Yet the reality was that he joined a watch where a quarter of the firefighters were people of colour. • He described being teased about bringing chicken, rice and peas to work to eat, thinking that this teasing was because the food was Caribbean. Looking at this from the outside, chicken, rice and peas seems a dish without obvious world origin. Moreover, I heard about a huge variety of food being brought to work by firefighters, with some even weighing their food before eating. None of this sits easily with a dish of chicken, rice and peas resulting in a racist comment. Jaden’s interior life did not always accord with what was going on around him. Most of all he felt isolated, and yet it was clear to me that there was a lot of affection for him at the fire station. He did not always feel comfortable there. It is not necessarily an easy task to unearth such feelings in a colleague but, if it results in such a tragedy as this being avoided, it is a worthwhile one. ”

Is this part of a recurring concern?

Yes — Failure to ensure frontline personnel recognise mental-health indicators.

Open source report

Source evidence

How this individual concern was interpreted

PFD Monitor created a concise, searchable interpretation from the report wording shown below. Response links show a clear evidence connection; they do not assign responsibility.

PFD Monitor interpretation

Failure to explore requests for help followed by refusal of help

Wider context from the report

“I heard at inquest that the London Fire Brigade has quite sophisticated systems in place to support firefighters suffering mental ill health. However, Jaden was not offered the support of, for example, psychological counselling, because it was not appreciated that he was so very low. Obviously if firefighters are to be given the best chance of recovering from mental ill health, their difficulties first need to be recognised. I appreciate that it can be difficult to detect that a person may be depressed or exceptionally unhappy. Signs may be subtle and require a nuanced approach. • Jaden often complained that he was bored because Wembley Green Watch had not been called to many incidents. I heard evidence that boredom in a new firefighter can be quite common. However, I also heard that a complaint of boredom can be a sign of a person with dyslexia avoiding an unpalatable or daunting task. • Jaden had dyslexia and was worried that he would not be able to complete his written work in order to become a fully qualified firefighter, yet the reality was that his station officer was fully aware of his difficulties and had tried to reassure Jaden that he was certainly capable of achieving his goal. • He did need extra time, the space to make mistakes and a degree of sensitivity that was not always afforded him. On the other hand, he asked for help and was given a mentor, but did not make use of him and so eventually the mentorship ceased. That request for help followed by a refusal of help was not explored. Such an exploration might have led to a greater understanding of how Jaden could be helped. • Jaden felt he was being treated unfairly at work and his family have formed the view that there was an element of racism there, driven in part by their belief that Jaden was the only non white person on Wembley Green Watch. Yet the reality was that he joined a watch where a quarter of the firefighters were people of colour. • He described being teased about bringing chicken, rice and peas to work to eat, thinking that this teasing was because the food was Caribbean. Looking at this from the outside, chicken, rice and peas seems a dish without obvious world origin. Moreover, I heard about a huge variety of food being brought to work by firefighters, with some even weighing their food before eating. None of this sits easily with a dish of chicken, rice and peas resulting in a racist comment. Jaden’s interior life did not always accord with what was going on around him. Most of all he felt isolated, and yet it was clear to me that there was a lot of affection for him at the fire station. He did not always feel comfortable there. It is not necessarily an easy task to unearth such feelings in a colleague but, if it results in such a tragedy as this being avoided, it is a worthwhile one. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

Other statements in published responses

These actions and other statements could not be clearly connected to one concern in this report.

Recipient-stated actions An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.2

  1. 1

    Implement the 32-action organisational plan addressing the investigation recommendations and PFD concerns.

    Stated by London Fire CommissionerStated in progressThe respondent said that this action was in progress when they made their response on 26 February 2021.
  2. 2

    Monitor completion of outstanding action-plan items through the monthly People Services Board and People Board oversight.

    Stated by London Fire CommissionerStated in progressThe respondent said that this action was in progress when they made their response on 26 February 2021.

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Implement the 32-action organisational plan addressing the investigation recommendations and PFD concerns.

Verbatim wording from the response

“In advance of the inquest all 24 recommendations in the investigation report were accepted by LFB’s senior leadership team. These were turned into an action plan for change across the organisation. On receipt of your PFD report the action plan was extended to include the matters of concern raised therein, so far as they were not already identified by the LFB.”

Source location

2021-0048-Response-from-London-Fire-Brigade-Redacted
Page 1 · response
Published 26 February 2021

Open published response

Source evidence

How this respondent action was interpreted

PFD Monitor created a concise, searchable interpretation from the published response wording shown below.

PFD Monitor interpretation

Monitor completion of outstanding action-plan items through the monthly People Services Board and People Board oversight.

Verbatim wording from the response

“Of the 32 items listed on the plan nine have been completed. The remaining 23 are expected to be concluded in line with either the target date set or a revised date, which will be monitored by the People Board.”

Source location

2021-0048-Response-from-London-Fire-Brigade-Redacted
Page 2 · response
Published 26 February 2021

Open published response
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Information checked against the published report and official responses · Data reviewed 7 Sep 2026 · About data quality and limitations

Official responses located
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Data last updated 7 September 2026