Dear Sir Richard ROE decd Further to the recent inquest into the death of Richard Roe this is to address the raised in the Regulation 28 Report dated 22" October 2024 concerning the method by which we can ensure that routine Cl scan reports are reviewed by clinicians Reviewing scan rcports appropriately and timeously has alvays been, and will remain, the primary responsibility of the clinicians who requested them and_ O1 their departments. However that failed for Mr Roe and we accept that there needs to be a to ensure that routine scans aren t OV rerlooked which isn't dcpendent On individual clinicians or their departments The Trust is in the process of improv its electronic records system so that it is comprehensive and includes all reports tequested by clinicians including radiology reports This is a substantial financial investment by rhe 'Trust both in terms of the technology and rhe staff time needed to implement it 'TIhe details of the system haven't yet been finalised but it will give the Trust more management and audit options and it is expected t include an easier ability to track the viewing of all types of reports includling those for routine radiology scans However, As yOu noted, the implementation of the improved records system is some WAY off and as an interim measure We revicwed the abilities of the current radiology system and it can, and will, produce reports of unviewed scans (initially monthly) which can then be followed up wirh the requesting clinicians and/or their departments The ability of the present system to provide information in detail is limited and at the moment it will identify a large number of unviewed images (most of which would be expected and not a concern) but in liaison with the external providers of the system we expecr to be able to refine the information to better identify any scans that have been overlooked: this demonstrates the steps we re t0 try to avoid routine scans overloked for before the implementation of the improved electronic records system