Percentage of Deaths With Three or More Emergency Admissions in Last Three Months of Life
Identifying Attributes
Care Settings
Country
Publishing Organisation
Type of Quality Indicator
IOM Quality Dimension
Domain
Defining Attributes
Definition
Percentage of deaths with three or more emergency admissions in last three months of life.
Numerator
Number of people who died who had 3 or more emergency admissions in the 90 days prior to death (where deaths are registered in a specified year).
Denominator
Number of deaths registered in the specified year.
Exclusions
No exclusion for type of death, other than to exclude neonatal deaths. This is because if there are repeated emergency admissions for any one patient, it should trigger a closer look at patient management and/or identification of the need for end of life care.
Use of Risk Adjustment
Risk Adjustments
None
Stratifications
Data Attributes
Type of Data Collection
Data Collection Methods
The Office for National Statistics mortality data is linked to Health Episode Statistics (HES) by matching person identifiable data in the ONS mortality dataset with patient identifiers in HES. F.
Frequency of Data Collection
Frequency of Data Collection in Days
Reporting Methods
UK Government Official Statistics: Office for Health Improvement and Disparities.
Reporting Frequency
Reporting Frequency in Days
Indicator Has Recommended Targets
Source and Reference Attributes
Evidence Source
NHS Oversight Framework for 2019/20 www.england.nhs.uk/publication/nhs-oversight-framework-for-2019-20/ NHS Oversight and Assessment www.england.nhs.uk/commissioning/regulation/ccg-assess/ Reported at www.gov.uk/government/statistics/palliative-and-end-of-life-care-profiles-july-2022-data-update/indicator-update-people-with-3-or-more-emergency-admissions-in-the-last-3-months-of-life-england-2015-to-2020
Technical Specifications
NHS Oversight Framework 2019/20 annex 3: CCG metrics technical annex pg 119 www.england.nhs.uk/wp-content/uploads/2020/01/NHSOF-CCG-Measures-Technical-Annex-1920-v1.5.pdf