Modelling health and care service pathways in the last year of life before non-sudden death, by GP palliative care registration, using population-scale linked electronic health and administrative records.

In total, 1.8 million transitions were modelled for 267,199 individuals.

Of those, 27.7% of individuals were registered for palliative care.

90.3% of emergency admissions were from home.

Emergency admissions from care homes with and without nursing were 17% (HR 0.83 [95% CI 0.80-0.86]) and 18% (HR 0.82 [95% CI 0.79-0.85]) lower for palliative care registered compared with unregistered residents.