PFD report

Andrew Paul WESTLAKE · Prevention of Future Deaths report

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Issued 3 Dec 2020•County Durham and Darlington

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.

View original report
Concerns
2

Raised in this report

Recipients
2

Named on the report

Responses found
2

Of 2 recipients

Stated actions
7

Described in 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. Lack of training for airline and ground staff on vulnerability of lone passengers when disembarked overseas
  2. Lack of safeguarding procedures for vulnerable passengers disembarked overseas
Responses linked to these concerns

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

Actions described in response An action is something a recipient says it has done, is doing, or plans to do in response to a concern raised.4

  1. Action

    Publish revised denied-boarding procedures requiring consideration of immediate needs and possible additional support for distressed or vulnerable passengers.

    Stated by Jet2.com LimitedStated completedThe respondent said that this action was complete when they made their response on 4 January 2021.
  2. Action

    Introduce an external Mental Health Awareness course for trainers.

    Stated by Jet2.com LimitedStated plannedThe respondent said that this action was planned when they made their response on 4 January 2021.
  3. Action

    Publish revised guidance recognising acute mental health crises and identifying additional assistance for passengers with hidden disabilities.

    Stated by Jet2.com LimitedStated completedThe respondent said that this action was complete when they made their response on 4 January 2021.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.2

  1. Position

    No regulations enable the CAA to mandate changes to UK airline procedures and training for disembarking vulnerable lone passengers overseas.

    Stated by Civil Aviation AuthorityUnable to actThe respondent said that a constraint prevented them from taking the relevant action.

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

Lack of training for airline and ground staff on vulnerability of lone passengers when disembarked overseas

Wider context from the report

“1. Mr WESTLAKE appears on the evidence to have been mentally unwell when he was disembarked. He was not aggressive, violent or abusive - toxicological evidence showed he had not consumed alcohol or any drugs prescribed or illicit. He was travelling alone. He had no possessions, money, mobile telephone, this was his first trip outside the UK as an adult and he could not speak Turkish. 2. A witness for JET2.Com confirmed no policy or procedure exists for disembarking a passenger other than for a disruptive passenger. She could not recall any training on this situation or in relation to passengers that may be vulnerable through mental illness. 3. A number of witnesses gave evidence on the distress and confusion of Mr WESTLAKE within the terminal, aircraft and air bridge. Mr WESTLAKE was disembarked from the aircraft. He found himself without support in a foreign country and it would appear, was in some form of mental health crisis. My concerns centre on; • Training for airline and ground staff (employed by UK Airlines) on vulnerability of lone passengers when disembarked overseas. • Procedures for safeguarding vulnerable passengers such as Mr WESTLAKE. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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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

Lack of safeguarding procedures for vulnerable passengers disembarked overseas

Wider context from the report

“1. Mr WESTLAKE appears on the evidence to have been mentally unwell when he was disembarked. He was not aggressive, violent or abusive - toxicological evidence showed he had not consumed alcohol or any drugs prescribed or illicit. He was travelling alone. He had no possessions, money, mobile telephone, this was his first trip outside the UK as an adult and he could not speak Turkish. 2. A witness for JET2.Com confirmed no policy or procedure exists for disembarking a passenger other than for a disruptive passenger. She could not recall any training on this situation or in relation to passengers that may be vulnerable through mental illness. 3. A number of witnesses gave evidence on the distress and confusion of Mr WESTLAKE within the terminal, aircraft and air bridge. Mr WESTLAKE was disembarked from the aircraft. He found himself without support in a foreign country and it would appear, was in some form of mental health crisis. My concerns centre on; • Training for airline and ground staff (employed by UK Airlines) on vulnerability of lone passengers when disembarked overseas. • Procedures for safeguarding vulnerable passengers such as Mr WESTLAKE. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

Open source report

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

Publish revised denied-boarding procedures requiring consideration of immediate needs and possible additional support for distressed or vulnerable passengers.

Verbatim wording from the response

“Section 3.3.19 of the Ground Handling Manual addresses the procedures to be followed by ground crew should a passenger be denied boarding. Denied boarding can take place for a number of reasons including disruptive behaviour, as was the case with Mr Westlake. The procedure now contains a provision that if a passenger is denied boarding, then ground crew should consider the immediate customer needs and assist the passenger to the extent practical in the circumstances.”

Source location

2020-0268-Response-from-JET-2-Redacted
Page 2 · response
Published 4 January 2021

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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

Introduce an external Mental Health Awareness course for trainers.

Verbatim wording from the response

“To further support our colleagues, training will be updated in line with the revised procedures set out above, and we will additionally use the case of Mr Westlake as a case study in our initial and recurrent training to ground crew. We also plan to introduce a further suitable external course for trainers on Mental Health Awareness. We have set a deadline of 29 January 2021 to update the relevant training”

Source location

2020-0268-Response-from-JET-2-Redacted
Page 2 · response
Published 4 January 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

Publish revised guidance recognising acute mental health crises and identifying additional assistance for passengers with hidden disabilities.

Verbatim wording from the response

“We have reviewed and updated the content to address the fact that a passenger who is disembarked from an aircraft for any reason may equally be suffering from a hidden disability, such as a mental health condition or crisis. In such circumstances the passenger may be vulnerable, and we have provided guidance on what additional assistance should be considered where such behaviour is evident or otherwise identified.”

Source location

2020-0268-Response-from-JET-2-Redacted
Page 2 · response
Published 4 January 2021

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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

Update and deliver initial and recurrent ground-crew training on the revised procedures, including the Westlake case as a case study.

Verbatim wording from the response

“To further support our colleagues, training will be updated in line with the revised procedures set out above, and we will additionally use the case of Mr Westlake as a case study in our initial and recurrent training to ground crew. We also plan to introduce a further suitable external course for trainers on Mental Health Awareness. We have set a deadline of 29 January 2021 to update the relevant training”

Source location

2020-0268-Response-from-JET-2-Redacted
Page 2 · response
Published 4 January 2021

Open published response

Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

No regulations enable the CAA to mandate changes to UK airline procedures and training for disembarking vulnerable lone passengers overseas.

Verbatim wording from the response

“There are no regulations that would enable the CAA to mandate changes to UK airline procedures and training for the disembarkation of vulnerable lone passengers overseas. We will however continue our work to support the UK aviation industry make improvements to the treatment of vulnerable consumers. The CAA is actively taking steps to increase our engagement with UK aviation stakeholders including airline operators, to enhance the”

Source location

2020-0268-Response-from-CAA-Redacted
Page 3 · response
Published 4 January 2021

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Source evidence

How this respondent position was interpreted

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

PFD Monitor interpretation

The CAA has no direct regulatory oversight of UK airlines’ overseas disembarkation training and procedures or specific authority to intervene in safeguarding vulnerable passengers.

Verbatim wording from the response

“The CAA has no direct regulatory oversight of UK airline operators’ overseas passenger disembarkation training and procedures. There is no specific aviation legislation that supports the CAA’s formal intervention concerning safeguarding vulnerable passengers. Nevertheless, the CAA does recognise the significance of its role regulating to safety and consumer protection in UK aviation, including the statutory requirement to have due regard to further certain societal objectives relating to equality when carrying out its functions.¹”

Source location

2020-0268-Response-from-CAA-Redacted
Page 1 · response
Published 4 January 2021

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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.3

  1. 1

    Obtain CAA review and approval of the amended vulnerable-passenger procedures.

    Stated by Jet2.com LimitedStated completedThe respondent said that this action was complete when they made their response on 4 January 2021.
  2. 2

    Continue engaging with UK aviation stakeholders to support improvements in treatment and support for vulnerable consumers.

    Stated by Civil Aviation AuthorityStated in progressThe respondent said that this action was in progress when they made their response on 4 January 2021.
  3. 3

    Prepare a report for the CAA Executive on proposed improvements to treatment of vulnerable consumers, including increased industry engagement and staff training needs.

    Stated by Civil Aviation AuthorityStated plannedThe respondent said that this action was planned when they made their response on 4 January 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

Obtain CAA review and approval of the amended vulnerable-passenger procedures.

Verbatim wording from the response

“In addition, we have liaised with the CAA, for approval of the updates made. This is detailed below.”

Source location

2020-0268-Response-from-JET-2-Redacted
Page 2 · response
Published 4 January 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

Continue engaging with UK aviation stakeholders to support improvements in treatment and support for vulnerable consumers.

Verbatim wording from the response

“There are no regulations that would enable the CAA to mandate changes to UK airline procedures and training for the disembarkation of vulnerable lone passengers overseas. We will however continue our work to support the UK aviation industry make improvements to the treatment of vulnerable consumers. The CAA is actively taking steps to increase our engagement with UK aviation stakeholders including airline operators, to enhance the”

Source location

2020-0268-Response-from-CAA-Redacted
Page 3 · response
Published 4 January 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

Prepare a report for the CAA Executive on proposed improvements to treatment of vulnerable consumers, including increased industry engagement and staff training needs.

Verbatim wording from the response

“The CAA Executive will receive a report from colleagues during the first quarter of 2021, using the adopted definition above on proposed improvements to the treatment of vulnerable consumers by the UK aviation industry. The report will include initial proposals for the CAA Executive to consider increasing our engagement with industry, starting with the CAA Chair, ████████, raising this issue with larger regulated organisations. This report will also emphasise the need for the CAA to encourage its own staff, and in the case of front-line staff, receive training on the needs of vulnerable individuals when engaging with our stakeholders.”

Source location

2020-0268-Response-from-CAA-Redacted
Page 3 · response
Published 4 January 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
2/2

Data last updated 7 September 2026