Recurring concern
Unreliable RIO clinical-record functions
- Reports that mention this concern
- 9
- Times this concern has been raised
- 11
- Stated actions linked to this concern
- 10
What this concern includes
Includes failures in RIO clinical-record functions and directly associated workflows, including unclear or unreliable entry-timeliness requirements, inability to capture required clinical history, restricted access between RIO users or related systems, incomplete or poorly structured RIO forms, and failures that make relevant RIO information unavailable to staff.
What is not included
- Excludes generic clinical-record deficiencies where RIO is not the deficient system.
- Excludes failures of other electronic clinical-record systems unless the assertion explicitly concerns RIO or its direct interface with RIO.
- Excludes failures to review or act on complete and accessible RIO information when the RIO system and its recording or access controls operated reliably.
- Excludes clinical-care, staffing or communication failures that are not directly tied to the safety-critical operation of RIO clinical-record functions.
Trends
Reports over time
Reports mentioning this concern, over time
Reports about this concern issued each year.
* 2026 is projected from reports observed to 7 Sep 2026.
Most frequent recipients
Most frequent recipients
Reports about this concern sent to each recipient.
Reports and published responses 9 reports
See individual reports that have raised this concern, and the actions taken in response
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Concerns raised1
Failure of RiO and BTT teams to access each other’s clinical notes
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Linked response
- Oxford Health NHS Foundation Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.1
-
Oxford Health NHS Foundation Trust
Establish effective BTT staff access to the Trust’s RiO electronic health records system through documented procedures.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Oxford Health NHS Foundation Trust
Direct secondary-care access to BTT records is not provided, but shared records and BTT’s established RiO access are considered sufficient.
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Concerns raised1
Failure to highlight high clozapine results in routinely used clinical notes
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Birmingham and Solihull Mental Health NHS Foundation Trust
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Birmingham and Solihull Mental Health NHS Foundation Trust
Existing ICE access, abnormal-result indicators and pharmacy reporting provide the strongest safeguards for recording and responding to high clozapine levels.
-
Concerns raised1
Failure to flag key information on DHUFT RiO records
This report raised 11 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Dorset Healthcare University NHS Foundation Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
-
Dorset Healthcare University NHS Foundation Trust
Develop and publish RiO guidance explaining how to view, add and remove alerts.
-
Dorset Healthcare University NHS Foundation Trust
Update RiO training and provide a standalone e-learning module on using the alerts system, promoting it to existing users and staff.
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.1
-
Dorset Healthcare University NHS Foundation Trust
No further action is identified for RiO significant-event flags because their use already forms part of the Trust’s training programme.
-
Concerns raised3
Incomplete demographic information on RIO
Unclear timeliness standard for RIO entries
RIO records system displaying an older information-sharing form as the most recent
This report raised 6 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked response
- Avon and Wiltshire Mental Health Partnership NHS Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.2
-
Avon and Wiltshire Mental Health Partnership NHS Trust
Reinforce minimum demographic-information requirements and audit patient records monthly.
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Avon and Wiltshire Mental Health Partnership NHS Trust
Amend and disseminate RiO guidance on editing or creating information-sharing forms.
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Concerns raised1
Failure to update the RIO system with telephone triage information
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure to record significant third-party information in Rio notes
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Lack of CRI access to Nottinghamshire Healthcare electronic patient records
This report raised 5 other concerns. They are not shown here because they do not form part of this recurring concern.
No linked response statementsNo respondent-stated action or position is linked to these concerns in the published data.
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Concerns raised1
Failure of RIO to support complete recording and accessibility of patients' epilepsy information
This report raised 1 other concern. They are not shown here because they do not form part of this recurring concern.
Linked response
- Hampshire and Isle of Wight Healthcare NHS Foundation Trust
Stated actions An action is something a respondent says it has done, is doing, or plans to do in response to the concern raised.5
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Hampshire and Isle of Wight Healthcare NHS Foundation Trust
Build and release electronic epilepsy assessment forms in OpenRiO for Learning Disability and other relevant Trust services.
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Hampshire and Isle of Wight Healthcare NHS Foundation Trust
Communicate the OpenRiO release and explain use of the electronic epilepsy forms through Trust-wide, divisional and governance channels.
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Hampshire and Isle of Wight Healthcare NHS Foundation Trust
Add a specific physical-health-risk prompt to the overarching RiO risk assessment form.
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Hampshire and Isle of Wight Healthcare NHS Foundation Trust
Promote Learning Disability Service Specific Guidance for recording physical-health risks, including epilepsy, in RiO.
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Hampshire and Isle of Wight Healthcare NHS Foundation Trust
Collate results from epilepsy, bathing-risk and physical-health audits to inform further improvements.
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Concerns raised1
Failure to include the RIO reference on observation record front sheets
This report raised 7 other concerns. They are not shown here because they do not form part of this recurring concern.
Linked responses
- Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
- Department of Health and Social Care
Respondent positions A position is what a respondent says about the concern when they do not describe a specific action.2
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Department of Health and Social Care
Individual NHS Trusts are responsible for developing and implementing patient observation policies appropriate to their patients.
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Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust
The observation record’s front sheet need not include the RiO number because the patient’s name and hospital number enable electronic record retrieval.
Actions and positions describe what organisations say in published responses. Implementation is not independently verified.
Data last updated 7 September 2026