Which English primary care organisations make lower use of acute hospital beds?

What is it about?

Given that the bulk of a persons lifetime utilization of acute care occurs in the last year of life and more specifically in the last 22 weeks, the ratio of occupied bed days per death can be used to evaluate which primary care organisations have fundamental lower use of acute beds. The Torbay integrated health and social care organisation can be shown to have 30% lower utilization of acute beds.

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Why is it important?

More recently, Sustainability and Transformation Plans (STPs) have been launched in England as a means of attempting to emulate the success of Torbay. The ratio of bed days per death is not without its limitations and the data for London in this study suffered from the fact that there is net migration out of London at retirement age, i.e. many people leave London to die in popular retirement locations.

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