Heat-related deaths in social care in England: can the Care Quality Commission ratings system be used to identify care homes that would benefit most from heat adaptation measures?

Background The health impacts of rising temperatures in care home settings are of growing concern. We seek to characterise the risk of heat-related mortality in nursing and residential care home settings in England and to assess potential modification of heat effects by Care Quality Commission (CQC)...

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Publicado en:Age & Ageing Vol. 55; no. 4; pp. 1 - 8
Autores principales: Hajat, Shakoor, Hussein, Shereen, Li, Keyi, Kovats, Sari, Davies, Michael, Mavrogianni, Anna, Gupta, Rajat
Formato: Artículo
Publicado: Oxford University Press / USA Apr2026
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Acceso en línea:Ver este registro en EBSCOhost
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        atl: Heat-related deaths in social care in England: can the Care Quality Commission ratings system be used to identify care homes that would benefit most from heat adaptation measures?
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          Hajat, Shakoor
          Hussein, Shereen
          Li, Keyi
          Kovats, Sari
          Davies, Michael
          Mavrogianni, Anna
          Gupta, Rajat
        affil:
          Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK
          The Bartlett Faculty of the Built Environment, University College London, London, UK
          Oxford Institute for Sustainable Development, Oxford Brookes University, Oxford, UK
      su:
        England
        Care Quality Commission
        Home care services
        Climate change
        Population geography
        Nursing care facilities
        Poisson distribution
        Research funding
        Physiological effects of heat
        Time series analysis
        Descriptive statistics
        Heat exhaustion
        Confidence intervals
        Residential care
        Regression analysis
      sug:
        subj:
          Home care services
          Climate change
          Population geography
          Nursing care facilities
          England
          Care Quality Commission
          Home Health Care Services
          Offices of All Other Miscellaneous Health Practitioners
          Offices of all other health practitioners
          Services for the Elderly and Persons with Disabilities
          Nursing Care Facilities (Skilled Nursing Facilities)
          Community care facilities for the elderly
          Other Residential Care Facilities
          Poisson distribution
          Research funding
          Physiological effects of heat
          Time series analysis
          Descriptive statistics
          Heat exhaustion
          Confidence intervals
          Residential care
          Regression analysis
      keyword:
        body temperature
        care home residents
        climate change
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        excess mortality
        extreme heat
        heat (physical force)
        heat stress
        heat stress disorders
        https://dx.doi.org/10.1093/ageing/afag100
        inLanguage:en
        internship and residency
        medical residencies
        mortality
        nursing home resident
        nursing homes
        older people
        publisher:Oxford University Press
        quality of care
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42036123/
        temperature
        thermotolerance
        body temperature
        care home residents
        climate change
        copyrightHolder:British Geriatrics Society
        copyrightYear:2026
        excess mortality
        extreme heat
        heat (physical force)
        heat stress
        heat stress disorders
        https://dx.doi.org/10.1093/ageing/afag100
        inLanguage:en
        internship and residency
        medical residencies
        mortality
        nursing home resident
        nursing homes
        older people
        publisher:Oxford University Press
        quality of care
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42036123/
        temperature
        thermotolerance
      ab: Background The health impacts of rising temperatures in care home settings are of growing concern. We seek to characterise the risk of heat-related mortality in nursing and residential care home settings in England and to assess potential modification of heat effects by Care Quality Commission (CQC) ratings. Methods Heat episode analysis was used to assess excess mortality during the heatwave of 16–20 July 2022. Daily time-series regression analysis employing Distributed Lag Non-linear Models was used to assess short-term associations between daily mean temperature and daily number of deaths in care home residents during 2022–24, adjusting for season and day-of-week effects. Results Nursing home deaths increased by 34.1% (95% CI 21.1, 48.2) and residential care home deaths by 13.0% (0.1, 27.0) during the July 2022 heatwave. During 2022–24, the relative risk of death on a day of 25°C compared to a day of 16°C was 2.09 (95% CI 1.68, 2.60) among nursing home residents and 1.56 (1.24, 1.96) in residential care homes. There was a gradient of increasing heat-related mortality risk associated with poorer CQC rating, although almost all CQC categories were associated with raised risks. Heat-related mortality risk in care homes was greatest in the West Midlands and London regions. Conclusions Our findings indicate a growing need for heat stress to be recognised as an important risk factor for care home residents. Urgent and wide-scale improvements in heat adaptation strategies are needed in care homes across England to help improve the resilience of the social care system to climate change.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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