Imperial College London


Faculty of MedicineDepartment of Surgery & Cancer

Health Economist







Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus





Alex Carter is a health economist in the Centre for Health Policy at the Institute of Global Health Innovation, Imperial College London. 

His research focuses on the economic impact of quality improvement programs in the NHS and draws on methods used for the economic evaluation of health care programs, management and operational research methods. As part of the patient safety program, Alex's PhD aims to assess the economic impact of a nationwide patient safety initiative, the National Reporting and Learning System (or NRLS). His PhD is supervised by Professor the Lord Ara Darzi and Professor Elias Mossialos (LSE/Imperial).

Alex's other academic interests include pharmaceutical economics and policy, the evaluation of eHealth and mobile health technologies, and the economic impact of surgical checklists used in care. Alex also co-leads the 'Health Systems and Policy' and 'Financing Healthcare' modules on the Masters in Health Policy and lectures on both. He also teaches quantitative analysis methods to undergraduate medical students at the Faculty of Medicine at Imperial College. 

Prior to joining the Centre, Alex worked in the United States and Europe as a consultant in the pharmaceutical industry and completed his Master's degree in health policy and economics at the London School of Economics and Political Science. He holds a Master's degree in Applied Physiology from King's College London.

Academic reviews

NIHR Health Services & Delivery Research (HS&DR) and Health Technology Assessment (HTA) reviewer of mixed-method evaluations, economic evaluation, HTA, policy evaluation

Editorial board - Journal of Hospital Total Quality Management

Teaching roles

Deputy academic director (with Professor Elias Mossialos): Advanced Hospital Quality Management in the Big Data Era

A program designed for China's leading hospital executive officers. This two week module provides training on health systems financing and care provision. We explain methods of 'big' data collection and analysis, and use case studies to demonstrate how evidence can be implemented for clinical and non-clinical quality improvement in hospital care delivery.

Module co-leader (with Professor Elias Mossialos): Masters in Health Policy, Imperial College London

Health Systems and Policy

Delivering lectures on policy evaluation and understanding statistics.

Financing Healthcare

Delivering lectures on cost analysis and pharmaceutical economics and policy.

Selected invited talks and media

December 2016

National Consultative Meeting for Finalization of 5-year IHR-GHSA Roadmap, Islamabad, Pakistan

Talk entitled: Health investment, planning and costing process

November 2016

Strategic partnership for country planning workshop for post Joint External Evaluation (JEE) activities, Dar es Salaam, Tanzania

Talk entitled: A rapid review of planning and costing tools for Joint External Evaluations & Progress against the International Health Regulation (2005)

September 2016

The 2016 Summit on China Hospital Development, Hangzhou, China

Talk entitled: Patient centred care integration in the big data era: models and methods for technological and sociological reform

June 2016

Royal Society of Medicine (London): President's Day 2016: Making  surgery safer through teams, training and technology

Talk entitled: What is the cost of surgical error? An economist's perspective

December 2015

Health Economics Global Congress (London) - pharmaceutical industry

Talk entitled: The System’s Outlook: The Global Business in a State of  Flux and How to Meet These Challenges with Effective Strategies in the  Near to MediumTerm?

September 2015

NIHR Centre for Patient Safety & Service Quality (CPSSQ) annual  conference (London)

Talk entitled Economic Analysis in Patient Safety

November 2014

Monocle Radio, The Globalist (episode 793)

Series on big ideas shaping the world:healthcare innovation 







Bhatti Y, Prime M, Harris M, et al., The Search for the Holy Grail -- Frugal Innovation in Healthcare from Developing Countries for Reverse Innovation to Developed Countries, Bmj Innovations, ISSN:2055-642X

Carter AW, Mandavia R, Mayer E, et al., 2017, Systematic review of economic analyses in patient safety: a protocol designed to measure development in the scope and quality of evidence, Bmj Open, Vol:7, ISSN:2044-6055

Orlovic M, Carter AW, Marti J, et al., 2017, Estimating the incidence and the economic burden of third and fourth-degree obstetric tears in the English NHS: an observational study using propensity score matching, Bmj Open, Vol:7, ISSN:2044-6055

Bhatti Y, Taylor A, Harris M, et al., 2017, Global Lessons In Frugal Innovation To Improve Health Care Delivery In The United States, Health Affairs, Vol:36, ISSN:0278-2715, Pages:1912-1919

Mandavia R, Carter AW, Haram N, et al., 2017, An evaluation of the quality of evidence available to inform current bone conducting hearing device national policy, Clinical Otolaryngology, Vol:42, ISSN:1749-4478, Pages:1000-1024

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