Imperial College London


Faculty of MedicineDepartment of Surgery & Cancer

Research Postgraduate







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





Alex Carter has been a health economist in the Centre for Health Policy at the Institute of Global Health Innovation, Imperial College London since 2013. He is an associate academic at the Department of Health Policy at the London School of Economics & Political Science, since 2017.

His research focuses on the economic impact of quality improvement programs in the NHS, drawing on economic evaluation methods, management science and operational research. As part of the Imperial NIHR Patient Safety Translational Research Centre (PSTRC), Alex's PhD (part-time) 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, and the evaluation of eHealth and mobile health technologies. Alex leads the first module (of six) on the NHS Digital Academy, called the 'Essentials of Health Systems'. The Academy was commissioned by NHS England to train 300 Chief Informatics Officers and Chief Clinical Informatics Officers in the NHS over three years. Alex also co-leads the 'Health Systems and Policy' and 'Financing Healthcare' modules on the Masters in Health Policy and Masters in Patient Safety at Imperial College and provides several 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

Module 1 lead: NHS Digital Academy (hosted by Imperial College London)

An online programme for NHS informatics professionals. Lead curriculum design and content production.

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 understanding complex health systems, policy evaluation and statistics.

Financing Healthcare

Delivering lectures on cost analysis and pharmaceutical economics and policy.

Invited talks

December 2018

Academic seminar, University of Lausanne, Switzerland

Talk entitled: Health systems in the knowledge economy

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 







Carter AW, Mossialos E, Redhead J, et al., 2021, Clinical negligence cases in the English NHS: uncertainty in evidence as a driver of settlement costs and societal outcomes., Health Econ Policy Law, Pages:1-16

Lim HS, Shaw S, Carter AW, et al., 2021, A clinical and cost-effectiveness analysis of the HeartMate 3 left ventricular assist device for transplant-ineligible patients: A United Kingdom perspective, Journal of Heart and Lung Transplantation, ISSN:1053-2498

Neves AL, Freise L, Laranjo L, et al., 2020, Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis, Bmj Quality and Safety, Vol:29, ISSN:2044-5415, Pages:1019-1032

Dilley J, Camara M, Omar I, et al., 2019, Evaluating the impact of image guidance in the surgical setting: A systematic review, Surgical Endoscopy, Vol:33, ISSN:0930-2794, Pages:2785-2793

Grant Y, Al-Khudairi R, St John E, et al., 2019, Patient-level costs in margin re-excision for breast-conserving surgery, British Journal of Surgery, Vol:106, ISSN:1365-2168, Pages:384-394

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