Variations in place of death in England: inequalities or appropriate consequences of age, gender and cause of death?

Author:
NATIONAL END OF LIFE CARE INTELLIGENCE NETWORK
Publisher:
National End of Life Care Intelligence Network
Publication year:
2010
Place of publication:
Leicester

Place of death can be a critical contributor to the quality of death but its contribution is complex, as it is not simply the nature of the physical building but how this impacts upon the desires of the patient, in particular in relation to their psychological, physical, social and spiritual comfort, the opportunities for adequate control of distressing symptoms, and the possibility for family and friends to be present during the final days and hours. This report summarises how many people die per year nationally, regionally and at Local Authority level, and the pattern of death by age, gender, socioeconomic deprivation, cause and place of death. It examines how all these factors interact. The report reveals big variations in the percentage of deaths that occur in hospital – both between the English regions and at a local authority level. It also shows that people on low incomes are more likely to die in hospital, with 62% of deaths amongst people in the most deprived quintile of the population occurring in hospital. Amongst the most affluent fifth of the population the figure is 55%. The report cautions however that these inequalities might reflect a greater incidence of diseases requiring hospital care at the terminal stage amongst people in lower socio-economic groups.

Subject terms:
hospitals, local authorities, older people, death, demographics, end of life care;
Location(s):
England
Link:
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