Dear Mrs CE Mason; Re: Simion Costin Report Ref:l As NHS England s National Medical Director have been asked t0 respond l0 Ine above repori on behali of Further t0 your letter dated 26 February 2015 and the issue of the Regulation 28 report to prevent future deaths; would like l0 offer my sincere condolences t0 Simion Costin $ family From our review and consideralion of the report, we note that the issue ol standardised mental health assessments has been addressed by Leicestershire Partnership Trust; However, in view of the serious nature of this case have consulted with NHS England's Midlands and Easi Regional Medical Director, wilh a view t0 ascertaining further actions needed t0 address the issues raised in the report: The NHS Trust Development Aulhority (TDA) has been in contact with the Leicestershire Partnership Trust and is assured thal specific learning points Irom this incidenl have been identilied. These include; the use of translalors; Iiaison with Primary Care; and the active involvement ol Iriends (amily following any acute assessment: Furlhermore; the Leicestershire Partnership Trust has signed up t0 Ihe Crisis Care Concordal and agreed a Local Aclion Plan to support people in mental health crisis_ The Leicestershire Parlnership Trust Local Action Plan includes actions t0 ensure: those groups known be at higher risk of suicide than the population will be idenlified; NICE Quality statement 6 is met People in crisis who are referred t0 MH services are assessed face t0 face within hours In a community localion that suits Ihem best" High quality care for all, now and for future generations and general

adequate Liaison Psychiatry is in place; development, through contract negotiation, regarding how crisis pians and advance statements can be shared when needed; and implementation of Ihe guidance on commissioning crisis care services for Black Minority Ethnic (BME) groups. The Crisis Care Concordat is a national commitment belween all services and agencies Inal come contact with people in crisis sets oul how they will work together and be involved in Ihe care and support of people in crisis , and how they ensure people get Ihe support Ihey need; when Ihey need il. As one of the signatories t0 the Crisis Care Concordat; NHS England is committed t0 working with olher agencies who come into contact with people experiencing a mental health crisis_ t0 improve the system of care and support for people in crisis, t0 work together t0 identify the causes criseS , puI place prevention and early intervention plans whenever possible. am grateful t0 you for bringing Ihis case to my attention;