Personal Locator Beacons (PLB) and other individual MOB devices have been available for some years now and have evolved to incorporate a variety of different alerting methods and combinations. However, usage of these additional enhancements within UK Pilotage is still in its infancy.

SeaSafe - Marine pilot falling off a ships ladder with his integrated life jacket coat

"Rope Ladders" by PTR Holland

Columbia River Bar pilot transfer using helicopter from Articulated Tug and Barge Island Monarch / Island Trader, April 29, 2021 near Astoria, Oregon, USA.

In this video you can see the modern port service provided by the port. They have big LNG Powered Tug, modern pilot boat, nicely laid out berth, and experienced/competent pilot.

As a rule, every pilot has the right to refuse an unsafe ladder. Safety first! A brave pilot is not the one who uses an unsafe ladder, but the one who, in case of doubt, asks for a different ladder or a different setting.
Unfortunately, too many pilots climb a dubious ladder when in doubt.

After passing Norfolk Virginia Naval Base, the Pilot boat Steven Mc. Allister brought the Harbor Pilot, the Pilot boat got alongside and the Harbor Pilot boarded safely and guided the vessel towards the berth/terminal.
#NorfolkHarborPilot #NorfolkPortsmouth #VirginiaMarinePilot

Container vessel ALDIVIA (IMO 9333395) was dangerously close to public beach at Vlissingen Netherlands, on May 21, while heading out to sea, en route from Antwerp to Helsinki Finland.
The cause of dangerous approach is unknown, but the ship wasn’t detained, she continued her voyage.

The European Union proposed making so-called pilot services exempt from sanctions targeting the transfer of Russian oil that are set to kick in this year to punish Moscow for its invasion of Ukraine.