© Nuffield Trust Social care and hospital use at the end of life Authors: Martin Bardsley and Theo Georghiou December 2010.

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Presentation transcript:

© Nuffield Trust Social care and hospital use at the end of life Authors: Martin Bardsley and Theo Georghiou December 2010

© Nuffield Trust 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 Linking information flows

© Nuffield Trust One person’s story: Based on anonymised data sets linking health and social care activity

© Nuffield Trust What proportion of people who died accessed any social care service?

© Nuffield Trust Percentage of people receiving local authority-funded social care in months before death, by site

© Nuffield Trust Changes in specific care services, year before death

© Nuffield Trust Change in low intensity SC services, year before death

© Nuffield Trust Differences in social care use by health condition

© Nuffield Trust Approximate cost of services, year before death

© Nuffield Trust Approximate cost per user, year before death

© Nuffield Trust Average cost per person in the last 12 months of life, by diagnostic group

© Nuffield Trust Average inpatient and social care cost per month (£m) in 12 months before death

© Nuffield Trust Average cost per person (£000s) by age group in last 12 months

© Nuffield Trust Inpatient vs social care costs – inverse relationship

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