Janet Richardson · Prevention of Future Deaths report

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Issued 16 Oct 2013•North and West Cumbria

Published report and response evidence

This report’s concerns and statements found in recipients’ published responses. Statements are included even where no link to an individual concern is recorded. A link shows an evidence connection; it does not assign responsibility.

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Concerns
1

Raised in this report

Recipients
3

Named on the report

Responses found
2

Of 3 recipients

Stated actions
2

Described in responses

Recipients and published responses

Full report text

This is the full text from the original published report.

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Concerns and recipient responses

Select any concern, action or position to view the source wording.

Concerns raised1

  1. Fall into the sea during rescue medical evacuation

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. Cruise and Maritime Services International Limited, trading as Cruise and Maritime Voyages (“CMV”

    Review CMV procedures that led to delay, confusion, injury and loss of life during rescue medical evacuations.

  2. Cruise and Maritime Services International Limited, trading as Cruise and Maritime Voyages (“CMV”

    Request assistance from the rescue service or its direct provider during rescue operations.

Respondent positions A position is what a recipient says about a concern when it does not describe a specific action.3

  1. North West Promotions Ltd

    Medical evacuation procedures were controlled by the relevant rescue authorities rather than the client.

    Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking action.
  2. Cruise and Maritime Services International Limited, trading as Cruise and Maritime Voyages (“CMV”

    A single rescue procedure is inappropriate because rescue circumstances, vessel size and location differ.

    Disputes the concernThe respondent disagreed with part of the concern or the basis for it.
  3. Cruise and Maritime Services International Limited, trading as Cruise and Maritime Voyages (“CMV”

    The Norwegian Rescue Service controlled the rescue operation and determined the appropriate rescue action.

    Redirects responsibilityThe respondent said that another organisation was responsible for deciding or taking 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

Fall into the sea during rescue medical evacuation

Wider context from the report

“That the deceased fell into the sea during a rescue medical evacuation. ”

Is this part of a recurring concern?

No recurring-concern membership is currently published.

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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

Review CMV procedures that led to delay, confusion, injury and loss of life during rescue medical evacuations.

Verbatim wording from the response

“CMV note that your concern is that the deceased fell into the sea during a rescue medical evacuation and that the action and the power to take such action and that the action you suggest is to revise procedures. CMV was at the time of the accident in consultation with their Counsel, Dr Anthony Howard. The evidence provided at the inquest was carefully reviewed and we are currently undertaking a review of the procedures that led to the delay, confusion, injury and even loss of life. Therefore, the procedure adopted by CMV in this situation is being reviewed and, in the meantime, the response service has requested assistance from the rescue service, or direct to the rescue service provider, and the rescue service should be at liberty to take whatever action they consider appropriate.”

Source location

2013-0261-Response-by-Cruise-Maritime-Services-International-Limited
Page 1 · response
Published 16 October 2013

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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

Request assistance from the rescue service or its direct provider during rescue operations.

Verbatim wording from the response

“CMV note that your concern is that the deceased fell into the sea during a rescue medical evacuation and that the action and the power to take such action and that the action you suggest is to revise procedures. CMV was at the time of the accident in consultation with their Counsel, Dr Anthony Howard. The evidence provided at the inquest was carefully reviewed and we are currently undertaking a review of the procedures that led to the delay, confusion, injury and even loss of life. Therefore, the procedure adopted by CMV in this situation is being reviewed and, in the meantime, the response service has requested assistance from the rescue service, or direct to the rescue service provider, and the rescue service should be at liberty to take whatever action they consider appropriate.”

Source location

2013-0261-Response-by-Cruise-Maritime-Services-International-Limited
Page 1 · response
Published 16 October 2013

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

Medical evacuation procedures were controlled by the relevant rescue authorities rather than the client.

Verbatim wording from the response

“We understand that the Coroner's Office also wrote to the Norwegian Rescue Authority and [████████] with regard to the ship that carried the deceased. Clearly, the two principal medical evacuation procedures then the control of such procedures would be in the hands of the Rescue Authorities.”

Source location

2013-0261-Response-by-Newmarket-Promotions-Ltd
Page 1 · response
Published 16 October 2013

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

A single rescue procedure is inappropriate because rescue circumstances, vessel size and location differ.

Verbatim wording from the response

“When a rescue operation is taking place there are different procedures depending upon the circumstances in which the rescue occurs, the size of the vessel and the location of the rescue. It is not appropriate for a single rescue procedure to cover all possible scenarios. The Norwegian Rescue Service were in control of the rescue operation. This is the normal situation when a rescue operation is taking place aboard a cruise ship. The Norwegian Rescue Service procedure allows for a different procedure depending upon the circumstances in which the rescue occurs, the size of the vessel and the location of the rescue. This could lead to delay, confusion, injury and even loss of life.”

Source location

2013-0261-Response-by-Cruise-Maritime-Services-International-Limited
Page 1 · response
Published 16 October 2013

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

The Norwegian Rescue Service controlled the rescue operation and determined the appropriate rescue action.

Verbatim wording from the response

“When a rescue operation is taking place there are different procedures depending upon the circumstances in which the rescue occurs, the size of the vessel and the location of the rescue. It is not appropriate for a single rescue procedure to cover all possible scenarios. The Norwegian Rescue Service were in control of the rescue operation. This is the normal situation when a rescue operation is taking place aboard a cruise ship. The Norwegian Rescue Service procedure allows for a different procedure depending upon the circumstances in which the rescue occurs, the size of the vessel and the location of the rescue. This could lead to delay, confusion, injury and even loss of life.”

Source location

2013-0261-Response-by-Cruise-Maritime-Services-International-Limited
Page 1 · response
Published 16 October 2013

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

Data last updated 7 September 2026