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Activity

(The figures below relate to the period 01/04/17 to 31/03/18 unless otherwise stated)

Referrals

Goldline received 3060 referrals in 2017/18 representing just over 0.5% of the population. 58% were female, 42%
were male.

Age range

number

percentage

80+

1,882

62%

70-79

625

20%

60-69

320

10%

50-59

163

5%

40-49

48

2%

30-39

17

1%

20-29

5

0%

10-19

0

0%

Ethnicity

number

percentage

White British

2,327

76%

Other ethnic group

276

9%

Asian incl. Mixed

166

5%

Black/African/Caribbean incl. Mixed

11

0%

Unknown

280

9%

Recognition that patients may be approaching the end of life is the first step to offering care coordination and discussion regarding individual preferences. Clinicians have been offered training in difficult conversations to support this. Assuming that 25% of deaths occur unexpectedly (Ref. Predicting Death, Estimating the proportion of deaths that are ‘unexpected’ National End of Life Care Intelligence Network), 61% of ‘expected’ deaths were referred to Goldline.

 

CCG

% predictable deaths

on Goldline caseload

% all deaths on Goldline

caseload

AWC CCG

76%

56%

Bradford City CCG

44%

33%

Bradford Districts CCG

55%

41%

Totals

61%

46%

Call Volumes

Calls to Goldline have grown significantly over the years. The service now handles over 1000 calls per month. 69% are received during the evening, at night or weekends, and 80% are regarding patients in the last 3 months of life.

Last year 12,118 calls were made for 2,119 individual patients, an average of 6 calls per user. Of those who died in the year (n=2,368) the median time on the Goldline caseload was 76 days (approximately 11 weeks).

Number-of-calls-per-month

Number-of-calls-per-month-2

Onward referral

Goldline co-ordinates well with other services, but is able to deal with 38% of calls without an onward referral. 62% of calls were referred on to other services. 97% of patients remain in their place of residence following a call to Goldline.

Onward referral

Number of calls

%

No onward referral

4,574

38%

District Nurse

4,450

37%

OOH GP

1,414

12%

In Hours GP

1,083

9%

Palliative Care CNS

271

2%

Multiple referrals

218

2%

ACCT/CCCT (outreach team)

37

< 1%

Community Matron

45

< 1%

Palliative Care Consultant

18

< 1%

Social services

8

< 1%

Total

12,118

 

A dedicated 24/7 telephone service for people with a serious illness who are in their last year of life, and the people looking after them. Care is provided by a team of experienced nurses who are on hand to give advice, support and guidance to help people die with dignity in the place of their choosing (usually at home).

Find out more

A highly-specialist Health in Justice service providing consultant-led secondary care support via telemedicine to prisoners residing in Prisons and Youth Offender Institutions (YOI) across the country. This service is currently available in more than 30 secure centres across the country.

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The Hub team provides access to advice and support for residents in over 500 residential and nursing homes across the country, as well as individual patients with a variety of long-term conditions. The team has full access to individuals’ care records, allowing them to give comprehensive clinical assessments, guidance on condition management, and ongoing monitoring.

Find out more