This document outlines current thinking on effective approaches to contextual admissions in UK medical schools. It provides practical guidance on how to identify and support applicants from under-represented backgrounds, with a focus on improving access to medicine for students from lower socio-economic groups. The recommendations are based on research, sector experience and the work of the MSC Selection Alliance.
Summary
This publication presents key considerations and strategies across five areas:
- definitions and principles of widening access and participation
- contextual indicators and data sources
- methods of applying contextual data in admissions
- inclusive communication and transparency
- considerations for graduate applicants and future support
Key findings
- Contextual admissions are most effective when using a combination of individual, school and area-level data.
- Measures such as free school meals, care leaver status, and UCAT bursary eligibility are strong indicators of disadvantage.
- Triangulation of data improves accuracy and reduces the risk of false positives.
- Inclusive messaging and clear information on contextual admissions are essential for encouraging diverse applicants.
- Graduate applicants may require different approaches, as current data may not reflect earlier disadvantage.
Recommendations
- Use multiple, validated contextual indicators to build a fuller picture of applicants’ backgrounds.
- Apply contextual data at various stages of the admissions process, including interview selection, offer-making and eligibility for gateway programmes.
- Ensure transparency by clearly communicating contextual admissions policies on websites and in prospectuses.
- Avoid relying solely on postcode-based measures, especially for graduate applicants.
- Invest in support systems to promote retention and success for students from all backgrounds.
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