Palliative and End of Life Population Based Needs Assessment
This Population Based Needs Assessments (PBNA) aims to assess the palliative care needs of the Cheshire and Merseyside population, map and assess the service components to meet these needs and make recommendations for filling any service gaps.
The PBNA has been developed by the Cheshire and Merseyside PEOLC Programme Board to help local clinicians, managers, commissioners, service providers and policy makers to improve PEOLC in the future by supporting local strategic and commissioning discussions, promoting equitable access, and supporting the implementation of Fit for the Future: the 10 Year Plan for Health.
On this page
Key Messages:
- The number of people who die each year is expected to rise from around 27,000 in 2024 to 34,000 by 2035
- Most people die from long term health conditions such as cancer, dementia, heart failure, or liver disease, and rates for these diseases are expected to rise.
- There are significant differences in life expectancy, outcomes and experience dependent on deprivation, ethnicity, disability and learning disability.
- Rates for identifying people likely to be end of life and agreeing Advance Care Plans are below ambition. Rates vary greatly from locality to locality and practice to practice.
- The proportion of people dying in hospital is higher than the national average – and the gap is getting wider. Cheshire and Merseyside is the 7th highest ICB (out of 42) for this key metric.
- Unplanned hospital activity in the last 12, 6 and 3 months of life is higher than the national average, put simply too many people attend A&E and are admitted unnecessarily. Each year Cheshire and Merseyside ICB spends at least £300m on unplanned hospital care for people in their last 12 months of life.