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

2. © 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.

3. © Nuffield Trust Linking information flows

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

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

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

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

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

9. © Nuffield Trust Differences in social care use by health condition

10. © Nuffield Trust Approximate cost of services, year before death

11. © Nuffield Trust Approximate cost per user, year before death

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

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

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

15. © Nuffield Trust Inpatient vs social care costs – inverse relationship

16. © Nuffield Trust December 2010 www.nuffieldtrust.org.uk Sign-up for our newsletter www.nuffieldtrust.org.uk/newsletter Follow us on Twitter (http://twitter.com/NuffieldTrust) © Nuffield Trust