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.
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3. Linking information flows
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4. One person’s story: Based on anonymised data sets
linking health and social care activity
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5. What proportion of people who died accessed
any social care service?
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6. Percentage of people receiving local authority-funded
social care in months before death, by site
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7. Changes in specific care services, year before death
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8. Change in low intensity SC services, year before death
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9. Differences in social care use by health condition
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10. Approximate cost of services, year before death
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11. Approximate cost per user, year before death
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12. Average cost per person in the last 12 months of life,
by diagnostic group
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13. Average inpatient and social care cost per month (£m)
in 12 months before death
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14. Average cost per person (£000s) by age group
in last 12 months
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15. Inpatient vs social care costs – inverse relationship
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December 2010 © Nuffield Trust