Around 90 cancer patients in Amber Valley are denied their last wish to die at home each year, according to new figures.
A study by Macmillan Cancer Support showed that almost three quarters of patients in England who die in hospital beds wanted to do so at home.
A spokesman for Macmillan said there were 306 cancer deaths in Amber Valley during 2012 - 130 of which were in hospital.
The charity revealed the figures as it launched its Time to Choose report, which sets out recommendations for cancer patients.
It also called on the Government to make social care free for everyone in the last weeks of life before the end of this Parliament in 2015.
Ciarán Devane, chief executive of Macmillan Cancer Support, said: “This is putting an unnecessary strain on our A&E departments because people are not getting access to social care for themselves or for their carers which would enable them to be cared for in the comfort of their own home.
“It’s simply not good enough to pay lip service to this issue – we need to see action. If the Government wants the NHS to deliver world-class care at the end of life in the UK, it needs to start by giving people a real choice about where they die.”