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Theo Georghiou: Health and social care at the end of life

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In this audio slideshow, Theo Georghiou, Senior Research Analyst at the Nuffield Trust, describes the key findings of a Nuffield Trust study commissioned by the National End of Life Care Intelligence Network, looking at the use of local authority-funded social care by individuals at the end of life. The study used innovative data linkage techniques developed by the Nuffield Trust to create what is thought to be the largest linked health and social care dataset in England.

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Theo Georghiou: Health and social care at the end of life

  1. 1. © Nuffield Trust Health and social care at the end of life Theo Georghiou, Senior Research Analyst, Nuffield Trust October 2012 In partnership with
  2. 2. © Nuffield Trust The study: care at the end of life • National strategy in England aims to provide people with high-quality services driven by own preferences • Improving coordination of care across all sectors is important • Hampered by lack of information about how people currently use different care services • Data linkage techniques have been developed to look at individuals’ use of social care and health care services • Study aimed to answer some basic questions about use of local authority-funded social care near the end of life
  3. 3. © Nuffield Trust The data
  4. 4. © Nuffield Trust Final year of life: How many people use a social care service?
  5. 5. © Nuffield Trust Final year of life: How many people use a social care service, by age group?
  6. 6. © Nuffield Trust Final year: How does social care use change?
  7. 7. © Nuffield Trust Final year: How does social care use change?
  8. 8. © Nuffield Trust Final year social care use: variation by deprivation
  9. 9. © Nuffield Trust Final year social care use: Variation by diagnostic history
  10. 10. © Nuffield Trust Final year costs: How does social care use compare to hospital use?
  11. 11. © Nuffield Trust Final year costs by age
  12. 12. © Nuffield Trust Final year hospital costs by social care use
  13. 13. © Nuffield Trust Concluding observations • Local authority-funded social care plays a large role in the care of those near the end of life • There appears to be a large amount of variation in social care use • Social care use appears to increase only modestly during the final year, when compared to hospital use • Higher use of social care services is associated with lower use of hospital care
  14. 14. © Nuffield Trust www.nuffieldtrust.org.uk Sign-up for our newsletter www.nuffieldtrust.org.uk/newsletter Follow us on Twitter http://twitter.com/NuffieldTrust © Nuffield Trust

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