Imperial College London


Faculty of MedicineSchool of Public Health

Research Associate



+44 (0)20 7594 1838e.cecil Website




328Reynolds BuildingCharing Cross Campus





Dr Elizabeth Cecil is a research associate based within the Department of Primary care and Public Health at Imperial and working with Professor Paul Aylin.

Elizabeth completed her PhD at Imperial in May 2017, under the supervision of Professor Sonia Saxena, which explored the determinants of unplanned admissions in children and particularly investigated the relationship between primary care quality and health service use with unplanned admissions in children. Her research has been widely cited, and used as evidence in the Health Select Committee’s Primary Care inquiry (2015/16).

Elizabeth initially joined the department as a health service researcher in October 2010, having completed an MSc in Medical Statistics at the London School of Hygiene and Tropical Medicine. She has a BSc in Biochemistry and a background in data management. She has managed, extracted, linked and analysed large databases including Hospital Episode Statistics, Clinical Practice Research Datalink (CPRD) and Secondary Users Service data.

Elizabeth’s key interests lie in health service quality within primary care. She currently manages two projects with the Imperial NIHR Patient Safety Translational Centre (  The first project is on developing indicators for failure in recognising clinical deterioration in primary care. She is using primary care linked to hospital admissions data to describe patient factors, primary care investigations, referrals and health-seeking behaviour in deteriorating patients that present in primary care prior to an unplanned hospital admission. The identified risk factors and indicators of deterioration, will help to develop tools that can be applied routinely, on real-time clinical data in patient/clinical management systems to detect deteriorating patients. The second project is to evaluate GPs attitudes to reminders in electronic patient records. Previous research has indicated that the many alerts or reminders generated in health management systems are ignored often due to un-user friendly formats and time constraints. Using semi-structured interviews, Elizabeth is exploring the opinions of GPs and practice nurses who access electronic patient records at the point of care. In collaboration with translational partners, her research will help to support the development of more effective reminders in primary care.

Previous Projects with Imperial

  • Evaluation of a national surveillance system for mortality alerts: a mixed-methods study (NIHR Health Services and Delivery Research)
  • Improving primary care quality for children
  • Integrated Care Pilot (NW London) evaluation
  • London Polysystem Evaluation



Cecil E, Bottle A, Esmail A, et al., 2018, Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis., Bmj Qual Saf, Vol:27, Pages:965-973

Cecil E, Wilkinson S, Bottle A, et al., 2018, National hospital mortality surveillance system: a descriptive analysis., Bmj Qual Saf, Vol:27, Pages:974-981

Honeyford K, Cecil E, Lo M, et al., 2018, The weekend effect: does hospital mortality differ by day of the week? A systematic review and meta-analysis, Bmc Health Services Research, Vol:18, ISSN:1472-6963

Alexakis C, Saxena S, Chhaya V, et al., 2018, Smoking Status at Diagnosis and Subsequent Smoking Cessation: Associations With Corticosteroid Use and Intestinal Resection in Crohn's Disease., Am J Gastroenterol, Vol:113, Pages:1689-1700

Cecil E, Bottle A, Ma R, et al., 2018, Impact of preventive primary care on children's unplanned hospital admissions: a population-based birth cohort study of UK children 2000-2013, Bmc Medicine, Vol:16, ISSN:1741-7015

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