With regard to work package 2, we proposed to develop psychometrically and practically acceptable instruments and test them in practice to understand predictors of and barriers to recovery. Through measurement innovation we intended to create tools and the culture that could sustain (indeed welcome) constant evaluation of service structure and interventions. We considered this fundamental to guide service planning. However, this was partly resolved with the gradual adoption during the programme of the HoNOS¹⁰ by our NHS trust. As stated in our application, this simple tool was already employed in Scandinavia and Australia, but not in the UK. Its eventual adoption by the NHS significantly reduced the importance and viability of this element in our research plan. Furthermore, HoNOS seem to possess satisfactory sensitivity and validity to be used in routine assessment within early-intervention programmes.¹⁰ The HoNOS have become the basis of PbR for mental health (as HoNOS-PBR) nationally, and our trust was in line with others by adopting them. We were disappointed not to be able to produce a psychometrically sophisticated tool for use in clincal practice but delighted that the services are using a recognised tool.