Case Number 6617
Request Date 14/03/2019
Completion Date 17/04/2019

 

Details of the Request

  1. In the year of 2018, how many patients admitted to the hospitals within your trust over the age of 75 were placed on palliative care?
  2. In the year of 2018, how many patients admitted to the hospitals within your trust over the age of 75 that were placed on palliative care passed away?
  3. In the year of 2018, patients admitted to the hospitals within your trust over the age of 75 that were placed on palliative care who passed away – what were the original admissions/diagnosis' of these patients?
  4. When did your trust stop using the Liverpool Care Pathway guidelines?
  5. In the year of 2018, how many patients admitted to the hospitals within your trust over the age of 75 were placed on an end of life care plan, that followed the guidelines of NICE?
  6. Does your trust use palliative sedation on patients over the age of 75?
  7. Did your trust receive financial incentive for placing patients on the Liverpool Care Pathway from 1990 to 2013?
  8. How much financial incentive did your trust receive for placing patients on the Liverpool Care Pathway from 1990 to 2013?

 

Details of the Response

1. In the year of 2018, how many patients admitted to the hospitals within your trust over the age of 75 were placed on palliative care?

709 patients admitted aged over 75 – admitted patients diagnosed with ICD10 Z515

 

2. In the year of 2018, how many patients admitted to the hospitals within your trust over the age of 75 that were placed on palliative care passed away?

412 died in hospital

 

3. In the year of 2018, patients admitted to the hospitals within your trust over the age of 75 that were placed on palliative care who passed away – what were the original admissions/diagnosis' of these patients?

Original Admissions Diagnosis Total
Abdominal aortic aneurysm, ruptured 1
Acute ischaemic heart disease, unspecified 1
Acute myeloblastic leukaemia [AML] 3
Acute myocardial infarction, unspecified 2
Acute pancreatitis, unspecified 3
Acute renal failure, unspecified 13
Acute subendocardial myocardial infarction 2
Alcoholic cirrhosis of liver 1
Alzheimer's disease, unspecified 1
Anaemia, unspecified 1
Aortic (valve) stenosis 1
Bronchopneumonia, unspecified 11
Calculus of gallbladder with acute cholecystitis 2
Cellulitis of other parts of limb 1
Cerebral infarction due to thrombosis of cerebral arteries 3
Cerebral infarction, unspecified 9
Cerebrl infarct due unspec occlusion or stenos cerebrl arts 22
Cholangitis 1
Chronic kidney disease, stage 5 1
Chronic lymphocytic leukaemia of B-cell type 1
Chronic obstruct pulmonary dis with acute lower resp infec 4
Chronic obstructive pulmonary disease, unspecified 1
Congestive heart failure 18
Constipation 1
Crohn's disease of small intestine 1
Diverticular dis of intest part unspec with perf and absces 1
Diverticular dis of large intestine with perf and abscess 1
Embolism and thrombosis of arteries of lower extremities 2
Embolism and thrombosis of arteries of upper extremities 1
Grand mal status epilepticus 1
Hyperosmolality and hypernatraemia 1
Hypertensive heart disease with (congestive) heart failure 1
Infect and inflammatory reaction due to internal joint pros 1
Intracerebral haemorrhage in cerebellum 1
Intracerebral haemorrhage in hemisphere, subcortical 1
Intracerebral haemorrhage in hemisphere, unspecified 6
Intracerebral haemorrhage, intraventricular 2
Intracerebral haemorrhage, multiple localized 1
Intracerebral haemorrhage, unspecified 3
Intracranial haemorrhage (nontraumatic), unspecified 2
Left ventricular failure 4
Lobar pneumonia, unspecified 40
Malignant neoplasm of Ampulla of Vater 1
Malignant neoplasm of ascending colon 1
Malignant neoplasm of breast, unspecified 1
Malignant neoplasm of bronchus or lung, unspec 2
Malignant neoplasm of caecum 1
Malignant neoplasm of cerebrum, overlapping lesion of brain 2
Malignant neoplasm of colon, unspecified 1
Malignant neoplasm of head of pancreas 2
Malignant neoplasm of lower third of oesophagus 1
Malignant neoplasm of middle lobe, bronchus or lung 1
Malignant neoplasm of oesophagus unspecified 4
Malignant neoplasm of pancreas, unspecified 2
Malignant neoplasm of prostate 1
Malignant neoplasm of sacrum and coccyx 1
Malignant neoplasm of sigmoid colon 1
Malignant neoplasm of trachea 1
Malignant neoplasm overlapping lesion of colon 1
Malignant neoplasm, primary site unknown, so stated 1
Malignant neoplasm, primary site unspecified 2
Malignant neoplasms of independent (primary) multiple sites 1
Mantle cell lymphoma 1
Mesothelioma of pleura 1
Motor neuron disease 1
Multiple myeloma 1
Non-insulin-depend diabetes mellitus with other spec comp 1
Non-insulin-dependent diabetes mellitus with ketoacidosis 1
Open wound of eyelid and periocular area 1
Other acute pancreatitis 1
Other and unspecified convulsions 1
Other and unspecified intestinal obstruction 4
Other cerebral infarction 2
Other intracerebral haemorrhage 1
Other malignant neoplasms of skin of trunk 1
Other specified degenerative diseases of nervous system 1
Other specified disorders of bladder 1
Perforation of intestine (nontraumatic) 6
Pleural effusion, not elsewhere classified 1
Pneumonia, unspecified 48
Pneumonitis due to food and vomit 43
Pneumonitis due to other solids and liquids 1
Pulmonary embolism without mention of acute cor pulmonale 1
Secondary malignant neoplasm of bone and bone marrow 1
Secondary malignant neoplasm of brain & cerebral meninges 2
Secondary malignant neoplasm of liver and intrahepatic bile duct 1
Secondary malignant neoplasm of retroperitoneum & peritoneum 1
Sepsis due to other Gram-negative organisms 4
Sepsis due to other specified staphylococcus 1
Sepsis due to Staphylococcus aureus 1
Septicaemia, unspecified 22
Solitary plasmacytoma 1
Stroke, not specified as haemorrhage or infarction 4
Subarachnoid haemorrhage, unspecified 1
Subdural haemorrhage (acute)(nontraumatic) 2
Traumatic subarachnoid haemorrhage 1
Unspecified acute lower respiratory infection 2
Urinary tract infection, site not specified 16
Vascular dementia, unspecified 1
Vascular disorder of intestine, unspecified 2
Volume depletion 1
#N/A 27
Grand Total 412

 

4. When did your trust stop using the Liverpool Care Pathway guidelines?

The Trust stopped using the Liverpool Care Pathway in 2012

 

5. In the year of 2018, how many patients admitted to the hospitals within your trust over the age of 75 were placed on an end of life care plan, that followed the guidelines of NICE?

Please note: the Trust does not distinguish the over 75 year group from patients in total who were recognised as dying and provided with individualised care in the last hours and days of life

April 2018 to December – data has been collected on the recognition of dying and the delivery of individualised care in line with NG31:

  • 499 = recognised as dying
  • 293 = individualised care

 

6. Does your trust use palliative sedation on patients over the age of 75?

Anticipatory prescribing guidance within the Trust outlines the use of medication in supporting and assisting the management of the symptoms of terminal agitation and distress (anticipatory prescribing is outlined as medication used when dying has been recognised).

 

7. Did your trust receive financial incentive for placing patients on the Liverpool Care Pathway from 1990 to 2013?

No

 

8. How much financial incentive did your trust receive for placing patients on the Liverpool Care Pathway from 1990 to 2013?

None