Summary
Strategic Issue 1
There are high hospital death rates in Hartlepool above the national average. Home and hospice deaths are below national levels.
What needs to be done
Review of care setting transition and timely hospital discharge through advanced care planning and coordinated care.
In line with national guidance the importance of advanced care planning, coordinated care and timely discharge will reduce unnecessary hospital deaths, reducing strain on hospital systems. Service models are recommended in national guidance to support people to die in their preferred place, often outside of hospital.
Strategic Issue 2
Care home deaths are rising and above national levels. There is a decline in nursing home beds per 100 people aged 75 and over. There is a rising proportion of deaths in care homes where it is not the usual place of residence
What needs to be done
Support local care homes with Palliative / End of Life Care (Elwick Grange, Sheraton Court Care Home and Merlin Manor Care Home) with the increasing demand. Particularly in planning and continuity of care for individuals entering care homes temporarily.
Strategic Issue 3
There are higher mortality rates for under 65s and 65-74 years than national averages.
What needs to be done
There is a need for targeted public health interventions for under 65s and 65-74 year olds and integrated care planning for chronic conditions and earlier palliative care involvement.