The practicalities of fitting mental health screening into the time-limited annual medical check and the problems of confidentiality

Throughout the world, all pilots are subject to regular medical checks in order to assess their continuing fitness to fly. The rules that govern such medical checks vary from country to country and are based upon Standards and Recommended Practices (SARPS) published and periodically updated by ICAO, the International Civil Aviation Organisation, which is an agency of the United Nations (ICAO, 2012).