An official investigation has concluded that a British cruise ship passenger who died after a fall during a severe storm received 'suboptimal treatment' from the vessel's medical team. The tragic incident occurred aboard the Saga Cruises' Spirit of Discovery ship, which was battered by force 11 winds in the Bay of Biscay on November 4, 2023.
Details of the Fatal Incident
Trevor Gilks, an 85-year-old passenger, was sitting on a high-backed armchair when the ship rolled violently in the storm. The chair toppled backwards, with the main impact of the fall concentrated on his neck. Crew members assisted Mr. Gilks back into his chair and then helped him to his cabin. He was later transported in a wheelchair to the ship's medical centre for evaluation.
Medical Response Criticised
At the medical centre, X-rays were taken of Mr. Gilks' neck and emailed to a shore-based radiologist for review. However, the radiologist reported being unable to determine whether the cervical spine was damaged because no side-on view was provided. Despite this critical feedback, no further X-rays were taken. Investigators also noted that Mr. Gilks was placed on a bed rather than a spinal board, contrary to standard protocols for potential spinal injuries.
As his condition deteriorated on November 6, a doctor expressed concern that Mr. Gilks might become paralysed and recommended evacuation. However, due to the risks associated with a helicopter transfer in high seas, the captain decided it would be safer for him to remain on board until the ship reached Portsmouth later that day. Mr. Gilks was transferred by ambulance to hospital upon arrival but died on November 8. The official cause of death was recorded as a complete cervical spine injury.
Investigation Findings and Recommendations
The Marine Accident Investigation Branch (MAIB) report stated: 'Delay in identifying that Mr. Gilks had suffered a severe spinal injury led to him receiving suboptimal treatment that may have affected the severity of his injury.' The investigation also revealed that the captain's decision to cross the Bay of Biscay despite weather advisories against the crossing was 'not effectively challenged by the crew and operational teams ashore.'
During the storm, the Spirit of Discovery lost propulsion because its violent movements caused the propellers to over-speed, triggering an automatic shutdown. The MAIB has issued several recommendations, including requiring cruise ships to be fitted with electronic devices to measure stability more accurately.
Industry Response and Safety Concerns
Chief inspector of marine accidents, Rob Loder, commented: 'While cruising remains safe and accidents rare, Spirit of Discovery's violent motion in heavy weather caused injury to over 100 passengers and, very sadly, one passenger lost their life as a result of injuries sustained. A complex sequence of events led to this accident, and we have identified a number of clear lessons around vessel safety, crew decision-making, and medical response.'
Saga Cruises responded by stating they 'disagree with some of the conclusions' of the MAIB report. A spokesman said: 'Our thoughts remain with the family and friends of Mr. Gilks and all the guests and crew affected by this incident, and we are sorry for the distress they suffered. While we accept the MAIB's recommendations, we disagree with some of their conclusions and feel the synopsis does not accurately reflect the report.'
The company emphasised that safety is their top priority and noted they have enhanced policies and procedures following the incident. The report did not disclose Mr. Gilks' place of residence.
