Imperial College London

Alex Bottle

Faculty of MedicineSchool of Public Health

Professor of Medical Statistics



+44 (0)20 7594 0913robert.bottle Website




3 Dorset Rise, London EC4Y 8ENCharing Cross HospitalCharing Cross Campus





Many of us rely on our local hospital, but how do we know if it's safe? Or better than the other one down the road? Every year we expect our healthcare system to treat more patients with more problems and to ever higher standards. We clearly need useable information on performance. The NHS benefits from huge but complex databases, and it's my job to help doctors, managers and patients make sense of them.

After secondment to the public inquiry into the crimes of GP Harold Shipman, I devised the statistical methodology behind the flagship information tool of our commercial partners, Dr Foster. With my analysis, this tool correctly identified Mid Staffordshire NHS Trust as having unacceptably high death rates and was a trigger for the national regulator to investigate. My research today continues to measure and monitor the quality of healthcare in hospital and in the community for patients with chronic disease, such as heart failure and COPD, or multimorbidity using databases such as HES and CPRD. My heart failure work was cited in the 2019 NHS Long-term Plan.

Among my teaching roles, I am the Academic Lead for my "Statistical Analysis with R for Public Health" specialisation that's now live on Coursera and is part of Imperial's online Global MPH. I am also on the Programme Board responsible for the degree's delivery. As a consultant since 2016, I train the UK public sector on statistical thinking and data analysis to improve staff effectiveness. 



Ali AM, Loeffler MD, Aylin P, et al., 2021, Timing of Readmissions After Elective Total Hip and Knee Arthroplasty: Does a 30-Day All-Cause Rate Capture Surgically Relevant Readmissions?, Journal of Arthroplasty, Vol:36, ISSN:0883-5403, Pages:728-733

Axson E, Bottle R, Cowie M, et al., 2021, The relationship between heart failure and the risk of acute exacerbation of COPD, Thorax, ISSN:0040-6376

Christen P, D'Aeth J, Lochen A, et al., 2021, The J-IDEA pandemic planner: a framework for implementing hospital provision interventions during the COVID-19 pandemic, Medical Care, ISSN:0025-7079, Pages:1-8

Greenfield G, Blair M, Aylin P, et al., 2021, Characteristics of frequent paediatric users of emergency departments in England: an observational study using routine national data, Emergency Medicine Journal, Vol:38, ISSN:1472-0205, Pages:146-150

Dewa L, Crandell C, Choong E, et al., 2021, CCopeY: a mixed-methods co-produced study on the mental health status and coping strategies of young people during COVID-19 UK lockdown, Journal of Adolescent Health, ISSN:1054-139X

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