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Admissions of inequality: emergency hospital use for children and young people

By: Contributor(s): Publication details: London Nuffield Trust 2017ISBN:
  • 9781910953419
Online resources: Summary: <span style="font-family: UtopiaStd-Regular;"></span><p align="left"><span style="font-size: 10pt;">This briefing looks at the relationship between deprivation and the use of </span><span style="font-size: 10pt;">emergency hospital care by children and young people in England (between </span><span style="font-size: 10pt;">2005/6 and 2015/16). It aims to describe and highlight areas of inequality and </span><span style="font-size: 10pt;">to explore how they have changed over time. As well as looking at the overall </span><span style="font-size: 10pt;">patterns of emergency hospital use, we focus in particular on three common </span><span style="font-size: 10pt;">conditions – asthma, diabetes and epilepsy – where more timely and effective </span><span style="font-size: 10pt;">primary, community or outpatient care could prevent admissions. </span><span style="font-size: 10pt;">We find that while there has been progress in reducing the rate of emergency </span><span style="font-size: 10pt;">admissions for the most deprived children, a stubborn gap remains between </span><span style="font-size: 10pt;">rich and poor: children and young people from the most deprived areas are </span><span style="font-size: 10pt;">consistently more likely both to go to A&amp;E and to need emergency hospital </span><span style="font-size: 10pt;">treatment than children from the least deprived areas. </span><span style="font-size: 10pt;">Encouragingly, in many areas the inequality gap is narrowing. This may be </span><span style="font-size: 10pt;">due, in part, to certain national policy initiatives and quality improvement </span><span style="font-size: 10pt;">work. However, the size and persistence of any gap is a matter of concern. </span><span style="font-size: 10pt;">Indeed, there are areas where the most deprived children are experiencing a </span><span style="font-size: 10pt;">higher rate of emergency admissions than they were a decade ago and where </span><span style="font-size: 10pt;">this inequality gap is growing.</span></p><span style="font-size: 10pt;">&nbsp;</span>
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29 pp.

&lt;span style="font-family: UtopiaStd-Regular;"&gt;&lt;/span&gt;&lt;p align="left"&gt;&lt;span style="font-size: 10pt;"&gt;This briefing looks at the relationship between deprivation and the use of &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;emergency hospital care by children and young people in England (between &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;2005/6 and 2015/16). It aims to describe and highlight areas of inequality and &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;to explore how they have changed over time. As well as looking at the overall &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;patterns of emergency hospital use, we focus in particular on three common &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;conditions – asthma, diabetes and epilepsy – where more timely and effective &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;primary, community or outpatient care could prevent admissions. &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;We find that while there has been progress in reducing the rate of emergency &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;admissions for the most deprived children, a stubborn gap remains between &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;rich and poor: children and young people from the most deprived areas are &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;consistently more likely both to go to A&amp;amp;E and to need emergency hospital &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;treatment than children from the least deprived areas. &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;Encouragingly, in many areas the inequality gap is narrowing. This may be &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;due, in part, to certain national policy initiatives and quality improvement &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;work. However, the size and persistence of any gap is a matter of concern. &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;Indeed, there are areas where the most deprived children are experiencing a &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;higher rate of emergency admissions than they were a decade ago and where &lt;/span&gt;&lt;span style="font-size: 10pt;"&gt;this inequality gap is growing.&lt;/span&gt;&lt;/p&gt;&lt;span style="font-size: 10pt;"&gt;&amp;nbsp;&lt;/span&gt;

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