Notes:
At each Care Programme Approach Review of a Care Programme Approach Episode within an Adult Mental Health Care Spell, a Health of the Nation Outcome Scale (Working Age Adults) PERSON SCORE should be recorded.

For purposes of the Mental Health Minimum Data Set, HONOS RATING (BEST IN LAST TWELVE MONTHS) is the best rating of all the Health of the Nation Outcome Scales (Working Age Adults) PERSON SCORES recorded in the period of the last twelve months for the PATIENT regardless of which Adult Mental Health Care Spell it was recorded within. Where more than one Health of the Nation Outcome Scale (Working Age Adults) PERSON SCORE has the same best rating, then the first recorded one should be used. The twelve month period should be calculated from the REPORTING PERIOD END DATE of the REPORTING PERIOD.

This is an optional data element in the Mental Health Minimum Data Set and should only be present if a Health of the Nation Outcome Scale (Working Age Adults) PERSON SCORE has been recorded during the calculated twelve month period.

This data element is also known by these names:

Context	Alias
plural	HONOS RATINGS (BEST IN LAST TWELVE MONTHS)