ADMISSION is a Research Collaborative funded by UK Research and Innovation (UKRI) and the National Institute for Health Research and Care Research (NIHR) that brings together scientists, clinicians and patients from five UK universities and hospitals (Newcastle University and Newcastle Hospitals NHS Foundation Trust, University of Birmingham (PIONEER – the Health Data Research UK Acute Care Hub), Manchester Metropolitan University, University of Dundee and University College London) to transform understanding of multiple long-term conditions in hospital patients.
Living with multiple long-term conditions (MLTC, also known as multimorbidity), is common among people admitted to hospital. These patients often stay in hospital for longer and their recovery may be slower. However, the way that care is delivered in hospital is not ideal; in a system that was designed for the treatment of single conditions, the care of patients with MLTC can be unsatisfactory, inefficient and costly. To date there has been little research on MLTC in hospital patients, which is crucial to understand how services need to be changed.
Harnessing the power of ‘big data’ from routinely-collected hospital, primary and social care records, along with research studies such as UK Biobank and the Scottish Health Research Register (SHARE), ADMISSION will include innovative data science, use of novel computing and statistical techniques, care pathway analysis, qualitative methods and genetic epidemiology. It will take a systematic approach to characterising MLTC in hospital patients, focusing on burden and occurrence of inequalities, describe the links to care pathways and investigate underlying biological causes.