ADMISSION is building the foundations for new approaches to the recognition and treatment of multiple long-term conditions (MLTC) in hospital that will inform the design of future care, with potential to improve health outcomes for the millions of people with MLTC admitted to hospital each year.

A key part of ADMISSION is our partnership with patients and public with whom we have worked closely, since its inception, to design and develop our research.  The Research Collaborative brings together experts in many disciplines including clinical medicine, data science, epidemiology, biostatistics, social science and genetic epidemiology.  

Work packages

ADMISSION is divided into five scientific work packages, with patient and public involvement and research capacity development underpinning all areas of our work. The objectives of the five scientific work packages are outlined below.

Work Package 1 aims to build an aligned, curated, interoperable data platform containing routinely collected data from hospitalised patients across the acute care pathway, utilising data from Newcastle Hospitals NHS Foundation Trust, the PIONEER Health Data Research Hub for Acute Care, and University College London Hospitals NHS Foundation Trust.

Work Package 2 takes a systematic approach to characterising multiple long-term conditions (MLTC) in people admitted to hospital in the UK using a range of analytic approaches​ using data from the routinely-collected sources curated in WP1, alongside data from large population-based studies including UK Biobank.

Work Package 3 investigates key drivers of inequality in multiple long-term conditions within hospital settings and explores their impacts on healthcare pathways and outcomes. This involves analyses of routinely collected data, complemented by focused qualitative research involving in-depth interviews with a purposive sample of people with recent experience of hospitalisation. 

Work Package 4 focuses on mapping long-term conditions in the context of patient pathways to understand hospital-based health service use, antecedent events and consequences after admission. In WP4 analyses of routinely collected data are complemented by care pathway analyses and interviews with healthcare professionals.

Work Package 5 aims to gain novel insights into the biological mechanisms which underpin groups of long-term conditions commonly seen in people admitted to hospital. This work is being conducted in two phases:
Phase One: Genetic epidemiology approaches in UK Biobank.

Phase Two: Phenotypic confirmation of candidate mechanisms using biobanked samples from SHARE - the Scottish Health Register and Biobank.