This study explores the changing characteristics of patients admitted
to Sir Michael Sobell House, Oxford, between 1978-89. These dates repr
esent the period between the first available records and the first com
puterized records. Analysis is between these dales and has been undert
aken to enable future comparison between the early life of the unit wi
th more recent developments. Using secondary sources the following are
as were compared statistically: information related to general charact
eristics such as sex and age; information related to referral such as
the number of referrals; diagnosis on referral and reasons for referra
l; information related to problems presented and place of death. Signi
ficant findings included an increase in referrals and patient survival
, an increase in patients dying at home; a decrease in symptoms presen
ted on referral and fewer referrals for terminal care; and an increase
in referral for rehabilitation, assessment and support. Reasons for t
hese changes are suggested.