Improving healthcare services at scale

I work as part of a collaboration between LSHTM and the Royal College of Surgeons of England to evaluate and improve the quality of NHS cancer services in England and Wales. The National Cancer Audit Collaborating Centre (NATCAN) currently hosts 10 national cancer audits. I work across these audits on methodological aspects, particularly those related to data science and quality improvement. I also lead the two audits for urological cancers: the National Prostate Cancer Audit (NPCA) and National Kidney Cancer Audit (NKCA).

Innovation in methods and data science

I have a special interest in developing methods to analyse, visualise, and present large healthcare datasets. For example, I maintain a website on the timeliness of cancer diagnosis and treatment in England (here) using R and Quarto. I have published methods for developing high-dimensional models of comorbidities in hospital data, using either statistical or machine learning methods. Other topics include developing approaches to measuring cancer recurrence and causal inference in the context of competing risks.

Clinical epidemiology and real-world data

My research often investigates variation in the structure, processes, and outcomes of health services, particularly for cancer patients. This includes how the organisation of services affects the care that patients receive and the effects of treatments on patient outcomes. I also have a particular interest in prognosis research and prediction modelling. I specialise in the use of national, routinely collected datasets - often called 'electronic health records' or 'real-world data' - for health services research and clinical epidemiology.