Palliative and end of life care factsheet:
Recent trends in place of death


NHS Cheshire and Merseyside Integrated Care Board

Published January 2026

Background

Place of death statistics describe where people die (hospital, home, care home, hospice and other places) and how that is changing. Patient preference and policy is for people near the end of life to be cared for in their own home or care home and to reduce unwarranted emergency hospital admissions at the end of life.

Key messages

Approximately half of people are at home or in a care home when they die

In England, 50.3% of people were at home or in a care home when they died (12 months from November 2024 to October 2025). Approximately two fifths 41.4% died in a hospital and 5.7% died in a hospice.

In Cheshire and Merseyside 12,845 people died at home or in a care home (47.8%, lower than England), 12,210 people died in hospital (45.4%, higher than England) and 1,244 people died in a hospice (4.6%, lower than England).

More on the number of deaths split by place of death
More on the percentage of deaths split by place of death
More on variation in place of death by age and sex

During the COVID-19 pandemic there were abrupt changes in where people die. More people died at home and this change has continued

Previous analysis showed a marked increase in the percentage of people who die at home during the COVID-19 pandemic. This increase has been maintained over the last three years. In England during the latest 12 months from November 2024 to October 2025, 149,032 people died at home (28.1%).

In Cheshire and Merseyside, 7,402 people died at home in the latest 12 months (27.5%), a median average of 601 per month. This is lower than the percentage in England.

More on the percentage of deaths split by month and place of death

Supporting data: number of deaths

Summary

The tables below describe the number of people who died in each place of death in the latest 12 months and the latest 36 months.

Number of people who died in Cheshire and Merseyside by place of death, 12 months November 2024 to October 2025

Measure Hospital Home Care home Hospice Other places
Total deaths 12,210 7,402 5,443 1,244 591
Mean average deaths per month 1,018 617 454 104 49
Median average deaths per month 1,000 601 441 101 50
Most deaths in one month 1,418 755 644 129 60
Least deaths in one month 842 522 344 80 33

Number of people who died in Cheshire and Merseyside by place of death, 36 months November 2022 to October 2025

Measure Hospital Home Care home Hospice Other places
Mean annual deaths 12,883 7,420 5,445 1,205 608
Mean average deaths per month 1,074 618 454 100 51
Median average deaths per month 1,047 602 441 99 50
Most deaths in one month 1,649 882 679 129 65
Least deaths in one month 842 521 337 80 33

Source

  • Office for National Statistics (ONS) annual mortality extracts (up to 2024)

  • UK Health Security Agency held Mortality & Births Information System data (2025 - provisional data)

Methodology

  • the Mortality & Births Information System (MBIS) used for 2025 is provisional provisional and could be revised. It was deduplicated using MBISID as a unique person identifier

  • throughout this factsheet the month or year a death is reported is determined by the date of registration, there can be a delay between the date a death occurred and the date a death was registered. This is explained by the Office for National Statistics (ONS) in Impact of registration delays on mortality statistics

  • individual deaths are assigned to a ICB according to the postcode of the deceased’s place of residence. Data is summarised into ICBs as configured in December 2024

  • the reported ICB is not necessarily the ICB where a death occurred

  • place of death, and place of residence are recorded in the mortality data. For further information on the methods used for all place of death indicators as classified by ONS death certificate data, see Classification of Place of Death: A technical bulletin

  • coding of sex, ‘Unknown’ is not included where data are broken down by sex, but is included for Persons, terefore the sum of Male and Female might not equal Persons

  • the reported sex for each deceased person is that supplied by the informant to the registrar when the death is registered.

  • percentages are rounded to one digit, consequently they may not total exactly 100%

Monthly trend

These charts and tables below show by month the number of people who died in each place of death over the latest 36 months.

Monthly trend in the number of deaths for Cheshire and Merseyside from November 2022 to October 2025

Monthly number of deaths in hospital for Cheshire and Merseyside from November 2022 to October 2025

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2022 1,149 1,297
2023 1,649 1,100 1,260 1,079 1,095 1,039 940 1,007 964 1,054 1,159 1,039
2024 1,331 1,138 1,074 1,074 1,074 960 1,074 928 917 1,038 1,000 1,083
2025 1,418 1,110 980 1,000 1,013 945 928 842 889 1,002

Monthly number of deaths at home for Cheshire and Merseyside from November 2022 to October 2025

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2022 653 674
2023 882 644 709 580 574 610 548 601 563 597 599 618
2024 697 633 576 613 636 533 639 578 521 581 595 600
2025 755 642 650 660 602 584 594 522 535 663

Monthly number of deaths in a care home for Cheshire and Merseyside from November 2022 to October 2025

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2022 447 506
2023 679 460 497 399 388 401 337 434 428 421 512 488
2024 604 483 427 465 443 391 399 386 407 489 460 489
2025 644 438 449 416 439 443 408 344 410 503

Monthly number of deaths in hospice for Cheshire and Merseyside from November 2022 to October 2025

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2022 95 102
2023 104 103 124 96 87 87 103 109 93 110 96 103
2024 106 87 93 95 106 88 93 95 83 114 100 97
2025 129 102 80 104 97 96 123 111 98 107

Monthly number of deaths in other places for Cheshire and Merseyside from November 2022 to October 2025

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2022 59 65
2023 48 44 64 36 57 62 37 45 42 46 62 41
2024 50 49 56 52 56 41 64 43 53 62 55 55
2025 45 50 57 56 49 43 60 44 33 44

Source

  • Office for National Statistics (ONS) annual mortality extracts (up to 2024)

  • UK Health Security Agency held Mortality & Births Information System data (2025 - provisional data)

Methodology

  • the Mortality & Births Information System (MBIS) used for 2025 is provisional provisional and could be revised. It was deduplicated using MBISID as a unique person identifier

  • throughout this factsheet the month or year a death is reported is determined by the date of registration, there can be a delay between the date a death occurred and the date a death was registered. This is explained by the Office for National Statistics (ONS) in Impact of registration delays on mortality statistics

  • individual deaths are assigned to a ICB according to the postcode of the deceased’s place of residence. Data is summarised into ICBs as configured in December 2024

  • the reported ICB is not necessarily the ICB where a death occurred

  • place of death, and place of residence are recorded in the mortality data. For further information on the methods used for all place of death indicators as classified by ONS death certificate data, see Classification of Place of Death: A technical bulletin

  • coding of sex, ‘Unknown’ is not included where data are broken down by sex, but is included for Persons, terefore the sum of Male and Female might not equal Persons

  • the reported sex for each deceased person is that supplied by the informant to the registrar when the death is registered.

  • percentages are rounded to one digit, consequently they may not total exactly 100%

Supporting data: percentage of deaths

Summary

This chart and table summarise the percentage of deaths in each place of death over the latest 12 months.

Percentage of deaths in each place of death for Cheshire and Merseyside and England, 12 months November 2024 to October 2025.

Percentage of deaths in each place of death for Cheshire and Merseyside and England, 12 months November 2024 to October 2025. The comparison to England is made by calculating 95% confidence intervals for the ICB value and comparing whether they overlap the England value (the reference value). Percentages are rounded to one digit, consequently they may not total exactly 100%.

Place of death Percentage of deaths
ICB		 Percentage of deaths
England		 ICB compared to England
Hospital 45.4 41.4 Higher
Home 27.5 28.1 Lower
Care home 20.2 22.2 Lower
Hospice 4.6 5.7 Lower
Other places 2.2 2.6 Lower

Source

  • Office for National Statistics (ONS) annual mortality extracts (up to 2024)

  • UK Health Security Agency held Mortality & Births Information System data (2025 - provisional data)

Methodology

  • the Mortality & Births Information System (MBIS) used for 2025 is provisional provisional and could be revised. It was deduplicated using MBISID as a unique person identifier

  • throughout this factsheet the month or year a death is reported is determined by the date of registration, there can be a delay between the date a death occurred and the date a death was registered. This is explained by the Office for National Statistics (ONS) in Impact of registration delays on mortality statistics

  • individual deaths are assigned to a ICB according to the postcode of the deceased’s place of residence. Data is summarised into ICBs as configured in December 2024

  • the reported ICB is not necessarily the ICB where a death occurred

  • place of death, and place of residence are recorded in the mortality data. For further information on the methods used for all place of death indicators as classified by ONS death certificate data, see Classification of Place of Death: A technical bulletin

  • coding of sex, ‘Unknown’ is not included where data are broken down by sex, but is included for Persons, terefore the sum of Male and Female might not equal Persons

  • the reported sex for each deceased person is that supplied by the informant to the registrar when the death is registered.

  • percentages are rounded to one digit, consequently they may not total exactly 100%

  • the comparison to England is made by calculating 95% confidence intervals for the ICB value and comparing whether they overlap the England value (the reference value)

  • the Wilson Score method was used to calculate the confidence intervals

  • the Wilson Score method gives very accurate approximate confidence intervals for proportions and odds based on the assumption of a Binomial distribution. It can be used with any data values, even when the denominator is very small and, unlike some methods, it does not fail to give an interval when the numerator count, and therefore the proportion, is zero. The Wilson Score method is the preferred method for calculating confidence intervals for proportions and odds, but it can also be used for rates, as long as the event rate is low (relatively rare events within the population) as the Binomial distribution is a very good approximation to the Poisson distribution when the event rate is low. The method is described in detail in APHO Technical Briefing 3: Commonly used public health statistics and their confidence intervals.

Monthly trend

The charts and tables below show the monthly percentage of people who have died in each place of months over the latest 36 months.

Monthly trend in the percentage of deaths in each place of death for Cheshire and Merseyside and England from November 2022 to October 2025

Monthly trend in the percentage of deaths in each place of death for Cheshire and Merseyside from November 2022 to October 2025

Percentage of deaths in Hospital

Cheshire and Merseyside

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2022 47.8 49.1
2023 49.0 46.8 47.5 49.3 49.8 47.2 47.8 45.9 46.1 47.3 47.7 45.4
2024 47.7 47.6 48.2 46.7 46.4 47.7 47.3 45.7 46.3 45.4 45.2 46.6
2025 47.4 47.4 44.2 44.7 46.0 44.8 43.9 45.2 45.2 43.2

England

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2022 42.8 43.9
2023 43.8 42.7 43.2 44.1 43.0 43.1 41.6 41.7 42.7 42.1 41.9 42.7
2024 43.8 43.0 42.3 42.9 42.2 42.2 41.6 41.3 42.0 41.2 41.5 42.6
2025 43.0 42.3 41.9 42.0 41.7 41.0 39.1 40.3 40.1 40.3

Percentage of deaths at Home

Cheshire and Merseyside

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2022 27.2 25.5
2023 26.2 27.4 26.7 26.5 26.1 27.7 27.9 27.4 26.9 26.8 24.7 27.0
2024 25.0 26.5 25.9 26.7 27.5 26.5 28.2 28.5 26.3 25.4 26.9 25.8
2025 25.2 27.4 29.3 29.5 27.4 27.7 28.1 28.0 27.2 28.6

England

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2022 28.7 28.0
2023 27.0 28.9 28.7 27.9 28.7 29.0 29.8 29.0 28.2 28.6 28.4 27.7
2024 27.0 27.5 28.5 27.7 28.5 28.5 29.0 28.9 28.6 28.5 28.1 27.3
2025 26.7 27.6 27.8 28.6 28.6 28.5 29.7 28.9 28.5 27.9

Percentage of deaths in a Care home

Cheshire and Merseyside

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2022 18.6 19.1
2023 20.2 19.6 18.7 18.2 17.6 18.2 17.2 19.8 20.5 18.9 21.1 21.3
2024 21.7 20.2 19.2 20.2 19.1 19.4 17.6 19.0 20.5 21.4 20.8 21.0
2025 21.5 18.7 20.3 18.6 20.0 21.0 19.3 18.5 20.9 21.7

England

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2022 21.0 21.1
2023 22.8 21.1 20.6 20.4 20.2 19.7 19.7 20.5 20.9 21.0 21.8 22.2
2024 22.1 22.2 21.3 21.4 21.0 20.9 20.8 20.8 20.6 21.7 22.1 22.2
2025 23.0 22.6 22.3 21.3 21.2 21.8 21.8 21.8 22.6 23.1

Percentage of deaths in a Hospice

Cheshire and Merseyside

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2022 4.0 3.9
2023 3.1 4.4 4.7 4.4 4.0 4.0 5.2 5.0 4.4 4.9 4.0 4.5
2024 3.8 3.6 4.2 4.1 4.6 4.4 4.1 4.7 4.2 5.0 4.5 4.2
2025 4.3 4.4 3.6 4.7 4.4 4.5 5.8 6.0 5.0 4.6

England

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2022 4.9 4.4
2023 4.0 4.8 4.8 5.2 5.2 5.5 6.0 5.9 5.6 5.6 5.2 5.0
2024 4.7 4.9 5.4 5.4 5.5 5.8 5.8 6.1 5.9 5.8 5.6 5.4
2025 4.9 5.0 5.3 5.5 5.8 6.0 6.4 6.2 6.1 6.0

Percentage of deaths in Other places

Cheshire and Merseyside

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2022 2.5 2.5
2023 1.4 1.9 2.4 1.6 2.6 2.8 1.9 2.0 2.0 2.1 2.6 1.8
2024 1.8 2.1 2.5 2.3 2.4 2.0 2.8 2.1 2.7 2.7 2.5 2.4
2025 1.5 2.1 2.6 2.5 2.2 2.0 2.8 2.4 1.7 1.9

England

Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2022 2.6 2.5
2023 2.3 2.5 2.6 2.4 2.9 2.7 2.8 2.8 2.6 2.7 2.7 2.4
2024 2.4 2.5 2.6 2.7 2.7 2.6 2.8 2.8 2.9 2.8 2.7 2.5
2025 2.3 2.5 2.6 2.7 2.6 2.7 2.9 2.8 2.7 2.8

Source

  • Office for National Statistics (ONS) annual mortality extracts (up to 2024)

  • UK Health Security Agency held Mortality & Births Information System data (2025 - provisional data)

Methodology

  • the Mortality & Births Information System (MBIS) used for 2025 is provisional provisional and could be revised. It was deduplicated using MBISID as a unique person identifier

  • throughout this factsheet the month or year a death is reported is determined by the date of registration, there can be a delay between the date a death occurred and the date a death was registered. This is explained by the Office for National Statistics (ONS) in Impact of registration delays on mortality statistics

  • individual deaths are assigned to a ICB according to the postcode of the deceased’s place of residence. Data is summarised into ICBs as configured in December 2024

  • the reported ICB is not necessarily the ICB where a death occurred

  • place of death, and place of residence are recorded in the mortality data. For further information on the methods used for all place of death indicators as classified by ONS death certificate data, see Classification of Place of Death: A technical bulletin

  • coding of sex, ‘Unknown’ is not included where data are broken down by sex, but is included for Persons, terefore the sum of Male and Female might not equal Persons

  • the reported sex for each deceased person is that supplied by the informant to the registrar when the death is registered.

  • percentages are rounded to one digit, consequently they may not total exactly 100%

Monthly trend by age

The charts and tables show for people under 75 years and people 75 years or older, the monthly percentage of people who have died in each place of death over the latest 36 months.

Monthly trend in the percentage of people who died aged under 75 years in each place of death for Cheshire and Merseyside and England, November 2022 to October 2025

Monthly trend in the percentage of people who died aged 75 years or older in each place of death for Cheshire and Merseyside and England, November 2022 to October 2025

Monthly trend in the percentage of people who died aged under 75 years in hospital for Cheshire and Merseyside and England from November 2022 to October 2025

Area Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
ICB 2022 48.4 49.9
ICB 2023 52.3 47.2 46.3 49.7 48.8 44.4 48.2 47.8 49.9 49.8 52.4 48.4
ICB 2024 48.4 49.8 47.5 48.0 47.7 49.8 47.3 47.0 48.2 47.3 47.7 49.2
ICB 2025 50.4 44.8 45.5 44.3 48.7 46.0 45.8 47.6 46.8 46.9
England 2022 45.0 46.2
England 2023 47.7 44.6 44.1 45.6 44.2 44.0 42.9 43.1 45.3 44.4 44.6 45.8
England 2024 46.4 44.6 44.7 44.8 44.3 44.7 44.0 43.5 44.2 43.9 44.0 46.1
England 2025 46.5 44.8 44.1 44.3 44.3 43.8 42.0 42.9 43.9 43.3


Monthly trend in the percentage of people who died aged 75 years or older in hospital for Cheshire and Merseyside and England from November 2022 to October 2025

Area Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
ICB 2022 47.5 48.6
ICB 2023 47.6 46.6 48.1 49.0 50.3 48.7 47.6 44.8 44.3 46.1 45.5 43.8
ICB 2024 47.5 46.5 48.6 46.0 45.7 46.7 47.4 45.1 45.3 44.5 44.1 45.4
ICB 2025 46.1 48.6 43.6 44.9 44.8 44.2 42.9 44.0 44.5 41.4
England 2022 41.8 43.0
England 2023 42.3 41.9 42.8 43.5 42.4 42.7 41.0 41.0 41.5 41.0 40.7 41.4
England 2024 42.7 42.2 41.2 42.0 41.3 41.1 40.5 40.3 40.9 40.0 40.4 41.2
England 2025 41.6 41.3 41.0 40.9 40.6 39.8 37.8 39.0 38.4 39.0

Monthly trend in the percentage of people who died aged under 75 years at home for Cheshire and Merseyside and England from November 2022 to October 2025

Area Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
ICB 2022 35.3 33.1
ICB 2023 34.0 37.2 35.0 33.8 34.3 37.5 35.4 34.8 35.2 32.9 30.7 35.4
ICB 2024 35.1 34.5 33.6 35.8 35.3 32.7 36.3 36.4 34.4 34.8 34.3 34.1
ICB 2025 33.8 37.3 39.4 38.9 34.0 37.3 35.5 33.7 35.0 35.7
England 2022 35.9 35.2
England 2023 34.5 36.4 36.7 35.2 35.7 36.5 36.3 35.7 34.8 34.9 35.2 35.0
England 2024 34.8 35.7 35.3 34.8 35.2 34.7 36.0 35.0 35.1 35.1 35.1 34.1
England 2025 34.2 34.9 36.0 35.2 34.8 35.1 35.8 35.3 33.7 34.4


Monthly trend in the percentage of people who died aged 75 years or older at home for Cheshire and Merseyside and England from November 2022 to October 2025

Area Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
ICB 2022 23.3 21.7
ICB 2023 22.7 22.5 22.7 22.7 21.7 22.7 24.0 23.3 22.8 24.0 21.8 22.5
ICB 2024 20.8 22.6 22.1 21.8 23.2 23.6 24.0 24.4 22.3 20.7 23.5 22.0
ICB 2025 21.5 22.7 24.6 24.8 24.2 23.0 24.1 25.1 23.7 25.2
England 2022 25.4 25.1
England 2023 24.1 25.6 25.2 24.7 25.4 25.4 26.6 25.8 25.1 25.7 25.5 24.7
England 2024 23.9 24.0 25.5 24.6 25.5 25.6 25.8 26.0 25.6 25.5 25.1 24.5
England 2025 23.8 24.6 24.4 25.7 26.0 25.6 26.9 26.1 26.3 25.1

Monthly trend in the percentage of people who died aged under 75 years in a care home for Cheshire and Merseyside and England from November 2022 to October 2025

Area Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
ICB 2022 4.9 5.5
ICB 2023 5.5 5.0 5.2 4.8 4.3 4.8 4.1 5.6 3.7 4.9 4.4 5.2
ICB 2024 6.1 4.7 5.8 5.5 3.8 5.3 3.9 3.9 6.1 5.3 5.2 4.1
ICB 2025 5.5 5.7 4.7 4.9 6.3 4.6 3.3 5.4 5.6 5.7
England 2022 5.4 5.6
England 2023 5.8 5.6 5.3 5.4 5.5 5.3 5.4 5.8 5.5 5.7 5.6 5.7
England 2024 6.0 5.7 5.5 5.7 5.5 5.7 5.2 5.8 5.4 5.7 5.6 5.6
England 2025 5.9 6.2 5.5 5.9 5.9 6.2 5.9 6.1 6.7 6.1


Monthly trend in the percentage of people who died aged 75 years or older in a care home for Cheshire and Merseyside and England from November 2022 to October 2025

Area Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
ICB 2022 25.1 25.8
ICB 2023 26.8 26.8 25.3 25.2 24.7 25.2 24.0 27.5 28.9 25.4 29.0 29.8
ICB 2024 28.2 27.8 25.7 28.0 27.4 25.9 24.6 26.8 27.6 29.6 28.0 28.9
ICB 2025 28.6 25.0 27.5 25.5 26.5 29.0 27.9 25.1 27.8 29.4
England 2022 28.1 27.5
England 2023 29.4 27.8 27.3 27.1 27.0 26.5 26.8 27.7 28.1 28.0 28.9 29.0
England 2024 28.7 29.2 28.2 28.2 28.0 27.9 28.0 27.8 27.7 28.9 29.3 29.1
England 2025 29.8 29.2 29.4 28.1 27.9 28.8 29.1 28.9 29.4 30.2

Monthly trend in the percentage of people who died aged under 75 years in a hospice for Cheshire and Merseyside and England from November 2022 to October 2025

Area Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
ICB 2022 6.2 6.9
ICB 2023 5.3 6.7 8.1 8.0 7.2 6.5 8.6 8.0 6.4 8.3 6.7 7.2
ICB 2024 7.0 6.4 7.4 6.0 8.0 7.7 6.4 8.0 6.3 7.8 7.6 7.7
ICB 2025 7.2 7.4 5.7 7.1 6.2 7.9 9.1 8.7 9.0 7.9
England 2022 8.3 7.7
England 2023 7.2 8.0 8.3 8.7 8.5 8.5 9.4 9.1 8.9 9.1 8.7 8.2
England 2024 7.8 8.3 8.7 8.9 9.2 9.3 8.9 9.5 9.1 9.3 9.1 8.9
England 2025 8.3 8.4 8.9 8.8 9.3 9.1 10.0 9.8 10.0 9.8


Monthly trend in the percentage of people who died aged 75 years or older in a hospice for Cheshire and Merseyside and England from November 2022 to October 2025

Area Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
ICB 2022 2.9 2.4
ICB 2023 2.1 3.2 3.0 2.5 2.2 2.6 3.5 3.3 3.4 3.4 2.7 3.1
ICB 2024 2.4 2.3 2.6 3.1 2.7 2.8 2.9 3.0 3.2 3.6 3.1 2.5
ICB 2025 3.0 2.9 2.6 3.4 3.6 2.9 4.1 4.5 3.2 3.0
England 2022 3.4 3.0
England 2023 2.8 3.4 3.3 3.6 3.7 4.0 4.4 4.4 4.1 4.0 3.6 3.7
England 2024 3.4 3.4 3.9 3.8 3.9 4.2 4.4 4.6 4.3 4.2 4.1 3.9
England 2025 3.5 3.6 3.8 4.0 4.3 4.6 4.8 4.6 4.5 4.4

Monthly trend in the percentage of people who died aged under 75 years in other places for Cheshire and Merseyside and England from November 2022 to October 2025

Area Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
ICB 2022 5.2 4.5
ICB 2023 2.9 4.0 5.5 3.7 5.4 6.8 3.7 3.8 4.7 4.1 5.8 3.8
ICB 2024 3.4 4.6 5.8 4.6 5.2 4.6 6.1 4.8 4.9 4.8 5.2 4.9
ICB 2025 3.2 4.9 4.8 4.8 4.8 4.2 6.4 4.6 3.6 3.8
England 2022 5.5 5.3
England 2023 4.8 5.4 5.6 5.1 6.1 5.7 5.9 6.2 5.6 5.7 5.9 5.2
England 2024 4.9 5.5 5.7 5.8 5.9 5.7 5.9 6.2 6.2 5.9 6.2 5.2
England 2025 5.0 5.7 5.4 5.8 5.7 5.8 6.3 5.8 5.7 6.4


Monthly trend in the percentage of people who died aged 75 years or older in other places for Cheshire and Merseyside and England from November 2022 to October 2025

Area Year Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
ICB 2022 1.2 1.5
ICB 2023 0.8 0.8 0.9 0.6 1.1 0.8 0.9 1.1 0.6 1.1 1.0 0.7
ICB 2024 1.1 0.8 0.9 1.0 0.9 0.9 1.1 0.7 1.6 1.7 1.3 1.2
ICB 2025 0.8 0.8 1.5 1.3 1.0 1.0 0.9 1.2 0.8 1.0
England 2022 1.3 1.3
England 2023 1.3 1.3 1.3 1.2 1.4 1.3 1.3 1.2 1.2 1.3 1.3 1.2
England 2024 1.3 1.1 1.2 1.3 1.3 1.2 1.3 1.3 1.4 1.4 1.1 1.3
England 2025 1.2 1.2 1.3 1.3 1.3 1.2 1.4 1.4 1.4 1.3

Source

  • Office for National Statistics (ONS) annual mortality extracts (up to 2024)

  • UK Health Security Agency held Mortality & Births Information System data (2025 - provisional data)

Methodology

  • the Mortality & Births Information System (MBIS) used for 2025 is provisional provisional and could be revised. It was deduplicated using MBISID as a unique person identifier

  • throughout this factsheet the month or year a death is reported is determined by the date of registration, there can be a delay between the date a death occurred and the date a death was registered. This is explained by the Office for National Statistics (ONS) in Impact of registration delays on mortality statistics

  • individual deaths are assigned to a ICB according to the postcode of the deceased’s place of residence. Data is summarised into ICBs as configured in December 2024

  • the reported ICB is not necessarily the ICB where a death occurred

  • place of death, and place of residence are recorded in the mortality data. For further information on the methods used for all place of death indicators as classified by ONS death certificate data, see Classification of Place of Death: A technical bulletin

  • coding of sex, ‘Unknown’ is not included where data are broken down by sex, but is included for Persons, terefore the sum of Male and Female might not equal Persons

  • the reported sex for each deceased person is that supplied by the informant to the registrar when the death is registered.

  • percentages are rounded to one digit, consequently they may not total exactly 100%

Effect of age and sex

These charts and tables show the percentage of deaths in each place of death by age and by sex over the latest 12 months.

Percentage of deaths in each place of death by age and by sex for Cheshire and Merseyside and England, 12 months November 2024 to October 2025. The comparison to England is made by calculating 95% confidence intervals for the ICB value and comparing whether they overlap the England value (the reference value).

Percentage of deaths in each place of death by age and by sex for Cheshire and Merseyside and England, 12 months November 2024 to October 2025. The comparison to England is made by calculating 95% confidence intervals for the ICB value and comparing whether they overlap the England value (the reference value).

Category Group Percentage
ICB		 Percentage
England		 ICB compare
to England
Age Under 75 years 47.0 44.2 Higher
Age 75 to 84 years 49.0 44.9 Higher
Age 85 years and older 41.2 36.6 Higher
Sex Female 44.1 39.3 Higher
Sex Male 46.7 43.4 Higher
Category Group Percentage
ICB		 Percentage
England		 ICB compare
to England
Age Under 75 years 35.7 34.9 Similar
Age 75 to 84 years 27.5 28.3 Similar
Age 85 years and older 20.5 23.0 Lower
Sex Female 24.4 25.5 Lower
Sex Male 30.6 30.6 Similar
Category Group Percentage
ICB		 Percentage
England		 ICB compare
to England
Age Under 75 years 5.1 6.0 Lower
Age 75 to 84 years 17.8 19.2 Lower
Age 85 years and older 35.2 36.5 Lower
Sex Female 25.0 27.6 Lower
Sex Male 15.5 17.0 Lower
Category Group Percentage
ICB		 Percentage
England		 ICB compare
to England
Age Under 75 years 7.6 9.2 Lower
Age 75 to 84 years 4.5 6.0 Lower
Age 85 years and older 2.1 2.7 Lower
Sex Female 4.9 5.8 Lower
Sex Male 4.4 5.5 Lower
Category Group Percentage
ICB		 Percentage
England		 ICB compare
to England
Age Under 75 years 4.6 5.7 Lower
Age 75 to 84 years 1.1 1.5 Lower
Age 85 years and older 1.0 1.1 Similar
Sex Female 1.6 1.8 Similar
Sex Male 2.8 3.4 Lower

Source

  • Office for National Statistics (ONS) annual mortality extracts (up to 2024)

  • UK Health Security Agency held Mortality & Births Information System data (2025 - provisional data)

Methodology

  • the Mortality & Births Information System (MBIS) used for 2025 is provisional provisional and could be revised. It was deduplicated using MBISID as a unique person identifier

  • throughout this factsheet the month or year a death is reported is determined by the date of registration, there can be a delay between the date a death occurred and the date a death was registered. This is explained by the Office for National Statistics (ONS) in Impact of registration delays on mortality statistics

  • individual deaths are assigned to a ICB according to the postcode of the deceased’s place of residence. Data is summarised into ICBs as configured in December 2024

  • the reported ICB is not necessarily the ICB where a death occurred

  • place of death, and place of residence are recorded in the mortality data. For further information on the methods used for all place of death indicators as classified by ONS death certificate data, see Classification of Place of Death: A technical bulletin

  • coding of sex, ‘Unknown’ is not included where data are broken down by sex, but is included for Persons, terefore the sum of Male and Female might not equal Persons

  • the reported sex for each deceased person is that supplied by the informant to the registrar when the death is registered.

  • percentages are rounded to one digit, consequently they may not total exactly 100%

  • the comparison to England is made by calculating 95% confidence intervals for the ICB value and comparing whether they overlap the England value (the reference value)

  • the Wilson Score method was used to calculate the confidence intervals

  • the Wilson Score method gives very accurate approximate confidence intervals for proportions and odds based on the assumption of a Binomial distribution. It can be used with any data values, even when the denominator is very small and, unlike some methods, it does not fail to give an interval when the numerator count, and therefore the proportion, is zero. The Wilson Score method is the preferred method for calculating confidence intervals for proportions and odds, but it can also be used for rates, as long as the event rate is low (relatively rare events within the population) as the Binomial distribution is a very good approximation to the Poisson distribution when the event rate is low. The method is described in detail in APHO Technical Briefing 3: Commonly used public health statistics and their confidence intervals.

ICB sub-location

These charts and tables show the percentage of deaths in each place of death by ICB sub-location during the latest 12 months.

Percentage of deaths in each place of death for ICB sub-locations within Cheshire and Merseyside, the region and England, November 2024 to October 2025

Chart reference Sub-ICB location Closest matching former CCG
a Cheshire and Merseyside ICB - 01F Halton
b Cheshire and Merseyside ICB - 01J Knowsley
c Cheshire and Merseyside ICB - 01T South Sefton
d Cheshire and Merseyside ICB - 01V Southport and Formby
e Cheshire and Merseyside ICB - 01X St Helens
f Cheshire and Merseyside ICB - 02E Warrington
g Cheshire and Merseyside ICB - 12F Wirral
h Cheshire and Merseyside ICB - 27D Cheshire
i Cheshire and Merseyside ICB - 99A Liverpool

Percentage of deaths in each place of death for ICB sub-locations within Cheshire and Merseyside, the region and England, November 2024 to October 2025

Geography Area name Chart
reference		 Hospital Home Care home Hospice Other places
Country England 41.4 28.1 22.2 5.7 2.6
Region North West 44.0 27.8 20.3 5.6 2.2
ICB sub-location Cheshire and Merseyside ICB - 01F
(Halton)		 a 51.4 28.4 10.6 7.1 2.5
ICB sub-location Cheshire and Merseyside ICB - 01J
(Knowsley)		 b 48.3 31.2 13.2 4.6 2.7
ICB sub-location Cheshire and Merseyside ICB - 01T
(South Sefton)		 c 46.0 29.5 13.0 8.4 3.1
ICB sub-location Cheshire and Merseyside ICB - 01V
(Southport and Formby)		 d 37.9 20.7 33.3 6.3 1.8
ICB sub-location Cheshire and Merseyside ICB - 01X
(St Helens)		 e 47.8 29.9 16.3 3.5 2.5
ICB sub-location Cheshire and Merseyside ICB - 02E
(Warrington)		 f 44.0 25.1 23.7 5.2 2.1
ICB sub-location Cheshire and Merseyside ICB - 12F
(Wirral)		 g 48.6 26.3 20.5 2.8 1.8
ICB sub-location Cheshire and Merseyside ICB - 27D
(Cheshire)		 h 40.8 26.2 26.4 4.7 1.9
ICB sub-location Cheshire and Merseyside ICB - 99A
(Liverpool)		 i 50.4 31.1 12.4 3.4 2.6

Source

  • Office for National Statistics (ONS) annual mortality extracts (up to 2024)

  • UK Health Security Agency held Mortality & Births Information System data (2025 - provisional data)

Methodology

  • the Mortality & Births Information System (MBIS) used for 2025 is provisional provisional and could be revised. It was deduplicated using MBISID as a unique person identifier

  • throughout this factsheet the month or year a death is reported is determined by the date of registration, there can be a delay between the date a death occurred and the date a death was registered. This is explained by the Office for National Statistics (ONS) in Impact of registration delays on mortality statistics

  • individual deaths are assigned to a ICB according to the postcode of the deceased’s place of residence. Data is summarised into ICBs as configured in December 2024

  • the reported ICB is not necessarily the ICB where a death occurred

  • place of death, and place of residence are recorded in the mortality data. For further information on the methods used for all place of death indicators as classified by ONS death certificate data, see Classification of Place of Death: A technical bulletin

  • coding of sex, ‘Unknown’ is not included where data are broken down by sex, but is included for Persons, terefore the sum of Male and Female might not equal Persons

  • the reported sex for each deceased person is that supplied by the informant to the registrar when the death is registered.

  • percentages are rounded to one digit, consequently they may not total exactly 100%

  • some ICB sub-locations are not co-terminus with former Clinical Commissioning Groups (CCGs)

Local considerations

Commissioners and service providers should review the data presented in this factsheet alongside several other data and intelligence tools and reports. They should also consider using locally produced data on specialist palliative care and social care services. We have provided information on the main supporting resources in this section.

When interpreting data on end of life care in the community commissioners and service providers should consider:

  • how do these levels of identification compare with the demographic and disease profiles in each place?

  • does the data reveal inequity of identification based on age, diagnosis, ethnicity, deprivation or other factors?

  • can the levels of identification and offer of personalised care and support planning be improved?

  • what lessons can be shared by those places with high levels of identification and conversations offered?

  • is there adequate support for unpaid carers involved in looking after the person at home?

When interpreting data on end of life care in care homes commissioners and service providers should consider:

  • is generalist and specialist palliative care provision for care homes adequate, in and out of hours?

  • does this meet the needs set out in the Enhanced Health in Care Homes framework?

  • is there adequate provision for education, training and support for care home staff?

  • are arrangements for rapid access to medicines and equipment, including syringe drivers sufficient?

When interpreting data on end of life care in hospitals commissioners and service providers should consider:

  • do hospitals have adequate arrangements for recognising when someone is likely to be in the last year of life and also when someone is imminently dying?

  • how do hospitals ensure that all their clinical and support staff have adequate training to support people near the end of their lives?

  • is there access to specialist palliative care advice any time of day or night?

  • what arrangements do hospitals have for ensuring high quality PEoLC for the person, including care after death, and for those important to them and for bereavement?

Local indicators on place of death on the Palliative and End of Life Care Profiles. These include breakdowns by different age groups and can be found in the place of death topic section.

The Patterns of Care Factsheet describes patterns of care near the end of life related to four major conditions: cancer, cardiovascular disease, dementia and respiratory disease. It also includes experimental statistics describing: the number of people who died, their cause of death, demographic characteristics, hospital admissions, length of stay in hospital and place of death.

The Care Home Factsheets for ICBs describe data on the current provision and future need for end of life care in care homes. They also provide contextual data on care home beds, staff capacity, and training of care home staff.

Sources of place of death data in Scotland, Wales and Northern Ireland are described in Coherence of end of life care statistics in the UK

Data download

The data used to produce these factsheets is available as a spreadsheet.

Contact us

For enquiries or feedback, email neolcin@dhsc.gov.uk