Abstract
Aims and methodThe implementation of the Health of the Nation Outcomes Scales for Old Age Psychiatry services (HoNOS66+) in a National Health Service trust is described. Some preliminary data are reported for illustrative purposes.ResultsLessons learnt from this process are identified, and further work needed both on the glossary for the scales and on systems for trapping data is suggested.Clinical implicationsThese remain uncertain. It may be that HoNOS65+ will remain a purely administrative tool.
Highlights
TLheewisMhaemntal &HGeaulyth's iMn etnhteal EHldeearlltyh DTirruescttorcaatreriedof out a strategic review in 1995-1996
C(RItUis Twroairnthingnotitnhge that the course was useful in providing the opportunity for clinicians to understand the background to, and use of, the HoNOS scales, it did not provide a framework for training others, or consider the necessary processes and struc tures for implementation in a clinical service.) The Mental Health in the Elderly Service management agreed that the service would take part in the CRU pilot of HoNOS65+; data used within the directorate would be fed back to theThCeRUf.ive clinicians established a 'HoNOS Development Group', with a lead clinician and administrator for each ward/team
The HoNOS Development Group included a researcher in volved in the development of better methods for measuring activity by mental health services for contracting purposes, who proved crucial in data trapping and analysis
Summary
TLheewisMhaemntal &HGeaulyth's iMn etnhteal EHldeearlltyh DTirruescttorcaatreriedof out a strategic review in 1995-1996. C(RItUis Twroairnthingnotitnhge that the course was useful in providing the opportunity for clinicians to understand the background to, and use of, the HoNOS scales, it did not provide a framework for training others, or consider the necessary processes and struc tures for implementation in a clinical service.) The Mental Health in the Elderly Service management agreed that the service would take part in the CRU pilot of HoNOS65+; data used within the directorate would be fed back to theThCeRUf.ive clinicians established a 'HoNOS Development Group', with a lead clinician and administrator for each ward/team.
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