Social care and hospital use at the end of life

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Social care and hospital use at the end of life

Authors: Martin Bardsley and Theo Georghiou

December 2010

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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.

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Linking information flows

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

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

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

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Changes in specific care services, year before death

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Change in low intensity SC services, year before death

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Differences in social care use by health condition

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Approximate cost of services, year before death

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Approximate cost per user, year before death

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

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

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

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Inpatient vs social care costs – inverse relationship

© Nuffield TrustDecember 2010

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