An important component of good personalised care is to ensure that advance-planning and coordination of care at the end of life occurs as a shared decision-making process between an individual and their care providers. Data suggest there is still some way to go to implementing joint decision-making at the end of life well1,2,3,4.

The PHE/TCST Partnership created an online dashboard and data workbook to describe metrics related to hospital use and cancer treatment in the last 90 days of life, for people diagnosed with cancer in London, where cancer was listed as the underlying cause of death.
The metrics described are:

• Location of death
• Occurrence of 3 or more emergency admissions to hospital
• Length of stay in hospital
• Whether the patient received one or more of radiotherapy, chemotherapy or surgery

These are described for different population groups in London to understand where variation is occurring.

Further supplementary materials can be found in this workbook. The dashboard is accessed by clicking on the image, which will take you to a new site. It is best viewed in full-screen mode, which you can do by clicking on the icon at the bottom right of the dashboard.

1. Macmillan-commissioned YouGov Plc. survey to UK adults with a cancer diagnosis (2017) YouGov Plc.
2. Deaths Registered in England and Wales 2018, Office for National Statistics.
3. National Survey of Bereaved People (VOICES): England, 2015 Office for National Statistics.
4. Emergency Admission Data briefing (2018) Marie Curie