Intended as a measure of end of life care services, this is not a direct measure of the quality of care at the individual level. It is actively monitored by Sustainable Transformation Partnerships and Clinical Commissioning Groups that are encouraged to investigate when this measure is high, which could indicate: poor identification of people at risk of death, poor planning and availability of services, poor communication, co-ordination and information sharing.

The number of people with three or more emergency admissions in the last three months or year of life, taken from Hospital Episode Statistics (HES) with linked Office for National Statistics (ONS) mortality data.

The total number of deaths, excluding neonatal deaths. Figures are for deaths of people resident in England and are based on deaths registered rather than deaths occurring each year.

Denominator total numbers of deaths exclude those of neonates (28 days or younger). Excludes any deaths for which the linked mortality data quality marker suggesting the matched Hospital Episode Statistics data includes activity after the date of death.

Sex, age at death (by all ages, under 75 years, 75 years and older), cause of death and where they live (region, social deprivation and rurality). International Classification of Diseases (ICD) categories ARE used to classify the following cause of death: cancer: C00-C97 (excluding C44); dementia: F00-F04, G30-G31; acute heart disease (AHD): I20-I25, I39, I40-I41, I46-I49, I51; chronic obstructive pulmonary disease (COPD): J40-J44; pneumonia: J12-J18; stroke: I60-I69; chronic heart disease (CHD): I05-I11, I13, I31, I34-I36, I38, I42, I50, I70, I95; liver disease: B15-19, K70-77; falls: W00-19.

Produced by Public Health England and based on the following data sources: Hospital Episode Statistics (HES); Linked Hospital Episode Statistics-Office for National Statistics (HES-ONS) mortality extract; Office for National Statistics: Public Health England Annual Births and Mortality Extracts.

Public reporting.

www.gov.uk/government/statistics/palliative-and-end-of-life-care-profiles-december-2023-data-update/palliative-and-end-of-life-care-profile-december-2023-update-statistical-commentary www.gov.uk/government/publications/emergency-admissions-in-the-3-months-before-death/emergency-admissions-in-the-3-months-before-death#methods www.nuffieldtrust.org.uk/resource/end-of-life-care

Unable to locate full specifications. Some details available here: www.gov.uk/government/publications/emergency-admissions-in-the-3-months-before-death/emergency-admissions-in-the-3-months-before-death

www.gov.uk/government/publications/emergency-admissions-in-the-3-months-before-death/emergency-admissions-in-the-3-months-before-death#methods