Imperial College London


Faculty of MedicineSchool of Public Health

Honorary Research Fellow



+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, Dewa L, Ma R, et al., 2021, General practitioner and nurse practitioner attitudes towards electronic reminders in primary care: A qualitative analysis, Bmj Open, Vol:11, ISSN:2044-6055

Cecil E, Bottle A, Majeed A, et al., 2021, Factors associated with potentially missed acute deterioration in primary care, British Journal of General Practice, Vol:24/6/21, ISSN:0960-1643, Pages:e547-e554

Ma R, Cecil E, Bottle A, et al., 2020, Impact of a pay-for-performance scheme for long-acting reversible contraceptive (LARC) advice on contraceptive uptake and abortion in British primary care: An interrupted time series study, Plos Medicine, Vol:17, ISSN:1549-1277, Pages:e1003333-e1003333

Ruzangi J, Blair M, Cecil E, et al., 2020, Trends in healthcare use in children aged less than 15 years; a population-based cohort study in England from 2007 to 2017, Bmj Open, Vol:10, ISSN:2044-6055

Cecil E, Bottle R, Vincent C, et al., 2020, What is the relationship between mortality alerts and other indicators of quality of care? A national cross-sectional study, Journal of Health Services Research and Policy, Vol:25, ISSN:1355-8196, Pages:13-21

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