What is it about?

There is a 5-times difference in the number of deaths per 1,000 population between local authority areas across the UK. Younger inner city populations have fewer deaths while older retirement or rural areas have higher deaths per 1,000 population. There is also marked differences in the growth in the number of deaths since 2011. End-of-life workload and costs therefore varies considerably.

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Why is it important?

Clearly, in an area with high deaths it is fare easier to save money by investing in community alternatives to acute care than in an area with low deaths. Deaths in all parts of the UK will be increasing for many years to come and the nearness to death effect needs to be an integral part of all demand forecasting.

Perspectives

Deaths, as a measure of end-of-life workload are a neglected area in NHS capacity planning and the NHS resource allocation formula.

Dr Rodney P Jones
Healthcare Analysis & Forecasting

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This page is a summary of: Ignorance isn't bliss: behind the unequal distribution of end-of-life demand and cost, Journal of Paramedic Practice, February 2019, Mark Allen Group, DOI: 10.12968/jpar.2019.11.2.77.
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