Social care and hospital use at the end of life
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This document analyzes social care and hospital use at the end of life using data from 3 PCT/LA areas in England. It looks at 16,479 people who died within a one year period, linking their health and social care records. The analysis finds that over 50% of people accessed social care in their last year of life, with rates varying by location and health condition. Social care use, especially low intensity services, increased significantly in the last few months before death. The average cost of services was highest in the last 3-6 months, with inpatient costs inversely related to social care costs.
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Social care and hospital use at the end of life
- 1. Social care and hospital use at the end of life Authors: Martin Bardsley and Theo Georghiou December 2010 © Nuffield Trust
- 2. Mapping social care use at the end of life Background • Data gathered for predictive modelling of social care admissions • Analysis based on 3 PCT/LA areas • Individual level data over 3+ years • PCT: GP register, Mortality, Hospital records (IP, OP, A&E) • LA: Social care services received • Looked at hospital and social care information on a cohort of 16,479 people who died within a one year period. © Nuffield Trust
- 3. Linking information flows © Nuffield Trust
- 4. One person’s story: Based on anonymised data sets linking health and social care activity © Nuffield Trust
- 5. What proportion of people who died accessed any social care service? © Nuffield Trust
- 6. Percentage of people receiving local authority-funded social care in months before death, by site © Nuffield Trust
- 7. Changes in specific care services, year before death © Nuffield Trust
- 8. Change in low intensity SC services, year before death © Nuffield Trust
- 9. Differences in social care use by health condition © Nuffield Trust
- 10. Approximate cost of services, year before death © Nuffield Trust
- 11. Approximate cost per user, year before death © Nuffield Trust
- 12. Average cost per person in the last 12 months of life, by diagnostic group © Nuffield Trust
- 13. Average inpatient and social care cost per month (£m) in 12 months before death © Nuffield Trust
- 14. Average cost per person (£000s) by age group in last 12 months © Nuffield Trust
- 15. Inpatient vs social care costs – inverse relationship © Nuffield Trust
- 16. www.nuffieldtrust.org.uk Sign-up for our newsletter www.nuffieldtrust.org.uk/newsletter Follow us on Twitter (http://twitter.com/NuffieldTrust) December 2010 © Nuffield Trust