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Caring for older patients with complex needs: how does England compare with 11 OECD countries?
- Authors:
- KNIGHT Hannah, et al
- Publisher:
- Health Foundation
- Publication year:
- 2021
- Pagination:
- 19
- Place of publication:
- London
This long read sets out to examine the results for England of the first piece of research by the International Collaborative on Costs, Outcomes and Needs in Care (ICCONIC), which aims to advance international comparisons research by using patient-level data. The research focused on patients aged 65 and older admitted to hospital for hip fracture surgery and patients aged 65–90 hospitalised with heart failure and with a comorbidity of diabetes. Based on pre-pandemic data, the analysis is further evidence that the NHS in England remains a relatively low-cost health care system. The findings support previously stated concerns that the mortality rate in England among older patients with high needs is higher than average among comparable countries. England is performing relatively well in acute care according to the measures available (time to surgery and readmission rates), which suggests further scrutiny and investment may be needed to improve the availability and quality of post-acute care. The results also highlight potential opportunities to improve productivity – and free up additional capacity for tackling the backlog from the pandemic – by reducing length of stay in acute care for hip fractures. Hip fracture patients in England spend on average 21.7 days in hospital after their surgery, the highest of all 11 countries. It was not possible to adjust statistically for differences in comorbidities between countries, but we compared the number of comorbidities. England was towards the middle, so while case-mix adjustment may have reduced some of the differences we saw, it is unlikely to have eliminated them. With integrated care systems (ICSs) to be established as statutory bodies from April 2022, there is a clear opportunity to make a step change in terms of linking up patient data and using the insights generated to reduce delays in discharge and improve quality of care and patient experience. (Edited publisher abstract)
Europe's ageing demography: an ILC-UK 2014 EU factpack
- Author:
- CREIGHTON Helen
- Publisher:
- International Longevity Centre UK
- Publication year:
- 2014
- Pagination:
- 20
- Place of publication:
- London
A snapshot of what it means to be old in Europe today and the demographic changes Europe will experience over the next half century. This factpack sets out the evidence on a number of areas including health and life expectancy, with men born in Western Europe today expected to live for 67.5 years in good health. It also includes a focus feature on pensioner poverty with evidence showing that over 70 per cent of Bulgarian pensioners living in material deprivation. And it looks at the employment and retirement prospects of older workers, where it finds that on average, only 1 in 2 55-64 year olds are employed across the region. The factpack also investigates the costs of ageing, comparing spending on pensions, health and long term care across Europe. Here it finds that while Denmark spends over €5,000 euros per person on social protection in old age, Latvia, Romania and Croatia spend only one tenth of this. (Edited publisher abstract)
Adult social care spending efficiency tool
- Author:
- GREAT BRITAIN. Department of Health
- Publisher:
- Great Britain. Department of Health
- Publication year:
- 2014
- Place of publication:
- London
This tool identifies statistical neighbours – or similar areas – for adult social care delivery for older people and working age adults with learning disabilities. These are the two largest groups who receive adult social care. The comparable indicators include spending per head, quality of services and access to services. The tool provides a basis for comparing spending and outcomes between councils and helps directors of adult social services and local authority financial leads to find new opportunities for improving adult social care efficiency. It is for use by councils to assess their own performance, and to identify where different approaches in comparable local authorities may provide examples to learn from. It is not meant to be used to make judgements about the relative performance of councils in delivering adult social care services, nor can it provide answers as to what the ‘correct’ price is for care. (Edited publisher abstract)