Annex
TABLES
Table 1
PREVALENCE OF PROBLEMS (PER 1,000,000 POPULATION)
I Higginson. Palliative and Terminal Care
in Health Care Needs Assessment (1997) Ed A Stevens and J Raftery.
Radcliffe Medical Press.
|
| % with symptom in last year of life
| % with symptom in last year of life
|
|
| Symptom | Cancer patients
| Progressive non-malignant disease
|
| Pain | 84 |
67 |
| Trouble with breathing | 47
| 49 |
| Vomiting or nausea | 51
| 27 |
| Sleeplessness | 51
| 36 |
| Mental confusion | 33
| 38 |
| Depression | 38
| 36 |
| Loss of appetite | 71
| 38 |
| Constipation | 47
| 32 |
| Bedsores | 28
| 14 |
| Loss of bladder control | 37
| 33 |
| Loss of bowel control | 25
| 22 |
| Unpleasant smell | 19
| 13 |
|
As per the Cartwright and Seale study, based on random sample
of deaths and using the reports of bereaved carers (Cartwright
A, Changes in life and care in the year before death 1969-1987.
J Pub Hlth Med 1991; 13 (2): 81-7 and Seale C A, Comparison
of hospice and conventional care. Soc Sci Med 1991; 32(2):
147-52).
The study looked at 2,805 patients who died from cancer and
6,864 patients who died from progressive non-malignant disease.
Table 2
ENGLAND AND WALES: DEATHS BY PLACE OF OCCURRENCE AND AGE,
2000
|
| Age | NHS Hospitals
| Non-NHS Hospitals |
Hospices | At home
| Others | Total Deaths
|
|
| (includes: hospices within NHS hospitals, general hospitals, psychiatric hospitals, mental nursing homes, geriatric hospitals and units, nursing homes)
| (includes: mental nursing homes, psychiatric hospitals, private nursing homes, general hospitals, military hospitals etc.)
| (includes: oncology centres, voluntary hospices, palliative care centres, but not hospices within NHS hospitals)
| (includes: usual place of residence, but not communal establishments)
| (includes: aged persons accommodation, schools, homes for disabled, halls of residence, hotels, hostels, prisons, detention centres, public places, persons pronounced DOA at hospital)
| |
| All | 298,956 (56%)
| 56,988 (11%) | 22,895 (4%)
| 101,961 (19%) | 54,864 (10%)
| 535,664 |
| 45-64 | 37,024 (54%)
| 1,796 (3%) | 6,077 (9%)
| 19,660 (29%) | 3,433 (5%)
| 67,990 |
| 65-74 | 60,682 (59%)
| 4,885 (5%) | 6,958 (7%)
| 25,772 (25%) | 4,470 (4%)
| 102,767 |
| 75-84 | 105,182 (60%)
| 18,038 (10%) | 6,891 (4%)
| 32,820 (19%) | 13,505 (8%)
| 176,436 |
| 85 and over | 82,950 (50%)
| 32,053 (19%) | 1,998 (1%)
| 18,208 (11%) | 30,157 (18%)
| 165,366 |
| | |
| | Total deaths aged 45 and over
| 512,559 |
| | |
| | Total deaths aged under 45
| 23,105 |
|
Source: ONS: Mortality Statistics: General—DH1 Series
No 33 2000; tables 17-19.
Table 3a
SUMMARY OF HOSPICE AND SPECIALIST PALLIATIVE CARE SERVICES
IN THE UNITED KINGDOM JANUARY 2004: ADULT INPATIENT UNITS
|
| Area | Units
| Total | Beds
| Total |
|
| NHS
| Vol |
| NHS | Vol
| |
| London | 6 |
11 | 17
| 86 | 323
| 409 |
Midlands and East
of England | 12
| 29 | 41
| 152 | 432
| 584 |
| North | 12 |
50 | 62
| 98 | 741
| 839 |
| South | 12 |
40 | 52
| 154 | 65
| 1,805 |
| England Total | 42
| 130 | 172
| 490 | 2,147
| 2,637 |
| Scotland | 10
| 13 | 23
| 103 | 244
| 347 |
| Wales | 11 |
6 | 17
| 76 | 66
| 142 |
| N Ireland | 1
| 4 | 5
| 4 | 65
| 69 |
| UK Total | 64
| 153 | 217
| 673 | 2,522
| 3,195 |
|
Source: Hospice Information, Hospice Directory 2004
[The voluntary units include 10 Marie Curie Hospices with
244 beds and six Sue Ryder Units with 113 beds. The remainder
are independent local charities, including two services exclusively
for HIV/AIDS with 54 beds].
Table 3b
SUMMARY OF COMMUNITY AND HOSPITAL SPECIALIST SUPPORT SERVICES
IN THE UNITED KINGDOM JANUARY 2004
|
| Area | Home Care
| Hospice at Home |
Day Care | Hospital Support Nurses
| Hospital Support Teams
|
|
| London | 29 |
9 | 17
| 5 | 40
|
| Midlands and East of England | 79
| 28 | 60
| 21 | 53
|
| North | 90 |
21 | 68
| 18 | 70
|
| South | 66 |
23 | 66
| 9 | 57
|
| England Total | 264
| 81 | 211
| 53 | 220
|
| Scotland | 52
| 4 | 223
| 12 | 28
|
| Wales | 30 |
7 | 20
| 4 | 19
|
| N Ireland | 10
| 2 | 4
| 2 | 14
|
| UK Total | 356
| 94 | 258
| 72 | 281
|
|
| Source: Hospice Information, Hospice Directory 2004.
|
Table 3c
SUMMARY OF HOSPICE AND SPECIALIST PALLIATIVE CARE SERVICES
IN THE UNITED KINGDOM JANUARY 2004: CHILDREN'S INPATIENT UNITS
|
| Units
| Beds |
|
| London | 2
| 8 |
| Midlands and East of England | 10
| 83 |
| North | 10
| 69 |
| South | 5 |
41 |
| England Total | 27
| 201 |
| Scotland | 1
| 8 |
| Wales | 1 |
10 |
| N Ireland | 1
| 10 |
| UK Total | 30
| 229 |
|
| Source: Hospice Information, Hospice Directory 2004.
|
|
