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The Royal College of Psychiatrists Improving the lives of people with mental illness

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HoNOS and Mental Health Payment by Results (PbR)



The Department of Health are currently undertaking pilot work with a number of mental health service providers in developing the system to support the Mental Health PbR. This includes work to evaluate the scales currently referred to as HoNOS PbR.


HoNOS PbR" is the name given to the scales that are being developed to form the classification underpinning Payment by Results for mental health in England. There are 18 scales; the first 12 of which are scored using the HoNOS glossary. There are a further 6 scales developed to support the PbR project.The ratings made using these extended scales assistclinicians to assign people using mental health services to a "care cluster" that indicates their need for care.



UK Routine Clinical Outcomes in Mental Health Group


The UK Routine Clinical Outcomes in Mental Health Group is an informal association of NHS and other providers of mental health services for adults of all ages who are implementing routine clinical outcomes measurement.  The aim of the group is to share best practice in all aspects of the process, including choice of measures, training, data collection, analysis and feedback.  We will also consider international developments, health outcomes measurement in other health services, relevant government policy and commissioning practice, including the relationship between "payment by results" (PbR) and routine clinical outcomes.  Participating organisations host & chair 3 meetings a year on a rotational basis. 



An update from New Zealand -  The National Centre of Mental Health Research, Information and Workforce Development

The outcomes graph builder has been designed by Te Pou for clinicians who have limited access to IT tools. It is an Excel file which allows you to enter a service user's outcomes data (HoNOS, HoNOS65+, HoNOSCA or HoNOS-Secure) into a rating form, to generate a graph which can be shown to the service user or used in a team discussion when reviewing the service user's care. It graphically presents information for up to three time periods, with the ability to store up to 12 individual collections of information.


Note: This outcomes graph builder (excluding the Excel programme) has been developed by Mental Health Programmes Limited (trading as Te Pou), and should not be copied or used for any purpose other than that of implementing HoNOS tools without the express written consent of Te Pou.



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