Percentage of Deaths With Three or More Emergency Admissions in Last Three Months of Life

Identifying Attributes

Care Settings
Care Transitions
Country
England
Publishing Organisation
National Health Service (NHS) England: NHS Oversight Framework
Type of Quality Indicator
Outcome
IOM Quality Dimension
Effectiveness
Domain
Hospitalisation

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
No
Risk Adjustments

None

Stratifications

Data Attributes

Type of Data Collection
Administrative data
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
Annually
Frequency of Data Collection in Days
365
Reporting Methods

UK Government Official Statistics: Office for Health Improvement and Disparities.

Reporting Frequency
Annually
Reporting Frequency in Days
365
Indicator Has Recommended Targets
No

Source and Reference Attributes

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

Quality Indicator Confirmed to be Part of a Program Used to Monitor Quality and Safety of Care Among Older People at a Population-Level between 2012-2022
Yes
Assessed by the Australian Consortium for Aged Care Collaborators as Generally Containing Good Properties (Importance and Scientific Acceptability)
No
Australian Consortium for Aged Care Endorsed
No
Identified by PHARMA-Care Project
No
Upload Date
12 March 2025