joint strategic needs assessment foundation profile - JSNA

Interative Hull Atlas: www.hullpublichealth.org/Pages/hull_atlas.htm More information: www.jsnaonline.org and www.hullpublichealth.org
7.8.5 Deaths at Home
The location of the death is recorded on death certificates, so it is possible to examine
the percentage of deaths that occurred at home. Each type of establishment in England
is assigned a code with the type of establishments ranging from hospitals, mental
nursing homes, private nursing homes, residential homes, home for the disabled or
blind, children‟s‟ homes, prisons, hospices, etc. If the death occurred at person‟s home
then the location is coded „H‟ and if the death occurred elsewhere, such as on a road, in
a park, shopping centre, etc it is coded as „E‟. The Compendium provides information
on the percentage of deaths occurring at home (based on having coded as „H‟), which
does not include deaths at other establishments that might be considered to be the
home of the individual such as residential homes, children‟s‟ homes, etc. Table 89
gives the percentage of deaths registered during 2006-2008 which occurred at home
coded as „H‟ for Hull and comparator areas (see section 3.3.3 on page 44 for more on
comparator areas). The percentage of deaths occurring at home is significantly higher
for men compared to women presumably because men tend to die earlier and they are
more likely to have someone at home to look after them. Overall, 18.0% of deaths occur
at home in Hull which is joint lowest of the comparators listed (with the highest
percentage for Sunderland 22.3%). There will be a number of influential factors such as
the knowledge and information available about dying at home, influences of medical
professionals, the type of care that might be received at home, the suitability of the
home, etc. It is possible that due to knowledge and suitability of the home, patients may
be less willing to want to die at home in more deprived areas. However, whilst
Sunderland is less deprived than Hull the differences are not substantial, with Hull rated
as 11 th (bottom 7%) out of the 152 PCTs in England and Sunderland rated 29 th (bottom
19%) in terms of the Index of Multiple Deprivation 2007.
Table 89: Percentage of deaths occurring at home, 2006-2008
Area Total Deaths occurring at home 2006-2008, % (95% CI)
deaths Men Women Persons
England 1,413,908 22.8 (22.7, 22.9) 16.4 (16.3, 16.5) 19.5 (19.4, 19.5)
Hull 7,600 21.2 (20.0, 22.6) 14.9 (13.8, 16.1) 18.0 (17.2, 18.9)
Y&H SHA 150,406 22.8 (22.5, 23.1) 15.9 (15.7, 16.2) 19.2 (19.0, 19.4)
Indust Hinterlands 115,966 23.7 (23.3, 24.0) 17.5 (17.2, 17.8) 20.4 (20.2, 20.7)
Wolverhampton 7,600 21.8 (20.5, 23.2) 15.3 (14.2, 16.4) 18.5 (17.7, 19.4)
Salford 7,293 20.7 (19.4, 22.1) 15.8 (14.7, 17.0) 18.1 (17.3, 19.0)
Derby 6,783 22.0 (20.6, 23.5) 15.9 (14.7, 17.2) 18.9 (18.0, 19.9)
Stoke-on-Trent 7,861 20.6 (19.4, 21.9) 15.6 (14.5, 16.7) 18.0 (17.2, 18.9)
Coventry 8,522 23.5 (22.2, 24.8) 17.5 (16.4, 18.7) 20.5 (19.6, 21.3)
Plymouth 7,028 27.5 (26.0, 29.0) 16.3 (15.1, 17.5) 21.6 (20.6, 22.6)
Sandwell 9,371 22.5 (21.4, 23.8) 16.4 (15.4, 17.5) 19.4 (18.7, 20.3)
Middlesbrough 4,195 23.6 (21.8, 25.6) 19.5 (17.9, 21.2) 21.5 (20.2, 22.7)
Sunderland 8,857 25.8 (24.6, 27.2) 19.0 (17.8, 20.1) 22.3 (21.5, 23.2)
Leicester 7,591 22.9 (21.6, 24.3) 16.8 (15.6, 18.0) 19.8 (18.9, 20.7)
Average above 10 75,101 23.1 (22.6, 23.5) 16.7 (16.4, 17.1) 19.8 (19.5, 20.1)
NE Lincolnshire 5,097 23.8 (22.2, 25.5) 15.7 (14.3, 17.1) 19.6 (18.5, 20.7)
Joint Strategic Needs Assessment Foundation Profile – Hull Health Profile: Release 3. March 2011. 228