Felix Cembrowicz

Dear Mr Moore am in response to the Regulation 28 report that you issued following the inquest held into the death of Felix Cembrowicz deceased Thank you for drawing your concerns formally to my attention and providing me with the opportunity to update you on the changes that we have made. Data Migration think it is helpful to set out our approach to the migration of data you refer to. Our electronic records svstem (RiO) was introduced in May 2011 and Felix Cembrowicz s records were included in the Cactive cohort' of records that were migrated from our old system (MHIS) to Rio. The active cohort for migration was defined as: "clients who have had activity with phase threelfour care options in the current financial the previous financial year and the six months prior to that (01/10/2009)". year; Mr Cembrowicz had referrals made in February 2011_ which were discharged, but as you can see from the criteria above, he was clearly in the 'active cohort' . The_migration of activity only (which did not include documents) from MHIS into RiO was in accOedabcowith the nationally agreed standards as agreed by the National Programme for IT and Mr Cembrowicz's activity was migrated from MHIS into Rio. The Trust decided to migrate specific documents from MHIS to Rio Team members were indructed t0 dentify Gocuments t0 be uploaded f0 TRrO (guidancR Cas erovideemnhetin We ex Oacitly foigeationtstrategy and were instructed to place these documents in a 'RiO documents for transaea folder' within MHIS_ The migration team then uploaded these documents into the RiO clinical correspondence module_ Only one document 'AWP Initial Assessment' , was identified by the team for Mr Cembrowicz; which was migrated across on 21 February 2011 . Therefore, the relapse management because the team had not saved it in the folder for migration into Rio. plan was not in RiO, Trust Headquarters Chief Executive Jenner House, Langley Park Iain Chippenham, SNiS 1GG writing two Tulley

Tecorafovictionawas available within MHIS Which staff still had access to at the time, and in record; which was located in the office where Mr Cembrowicz's the paper care was co-ordinated from , Improvements In response to your concerns, we have taken the following steps: When patients are re-referred it must be established if have historic relapse management plans, and an additional check shoeld bev plans such as documents to establish if they have been undertaken in the RiO clinical migrated across Ardetokelv; searches of both the historic electronic (MHIS) and paper records should be underakere toeee f any %f the following documents, as per thecRapeate cnigratioo exist for the previous 24 months from the date of referral and, if strategy across_ The documents are: 80, they should be copied Current CPA documents: assessment Risk assessment Care plan Latest review Acute CPA review Specialist assessments: Psychology, OT and other therapy assessments Other documents: comprehensive summaries Consultant letters Referral letter Mental Health Act reports (including tribunal reports) This requirement is included in the current initial assessmentladmission process_ We are our supervision processes with staff to updating our RiO and information communicate these new requirements as well as information in the RiO record governance packages We also see the inclusion of this this change through d8 aldinical and quality indicator and plan to audit the implementation of our records audit plan do hope that this letter reassures you that we have however;_if you would like any further information responded appropriately to your concerns, then please let me know.