This National End of Life Care Intelligence Network report pulls together data and analysis to provide an important insight into the pattern of death and dying in England. It highlights areas of marked improvement and where further action is needed to improve care.
Despite the majority of people preferring to die in their usual place of residence – whether at home, in a care home or in a hospice, over half (53 per cent) still die in hospital. Unnecessary emergency hospital admissions in the final year of life, delays in discharging people home to die in accordance with their wishes, and inappropriate or unwanted interventions, have a financial as well as a human cost.
The price of an inpatient admission in the last year of life that ends in death is estimated to range from £2,352 – £3,779, whereas the cost of community-based care is estimated at £1,415 – £2,800 per person, per episode. End of life care is rooted within the Department of Health’s quality, innovation, productivity and prevention (QIPP) challenge, as a prime example of how a co-ordinated approach can deliver better quality and more cost-effective care.