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Personal profile

Research interests

I am a health economist working in musculoskeletal and surgical cost-effectiveness reserach affecting millions of patients worldwide.  I collaborate with national and international academic institutions and industry to design and deliver large programmes of research. Recent clinical areas I have worked on include orthopaedic surgery of the hip, knee, and ankles; rheumatology; stroke; children with cronic conditions; and evaluation of service delivery.


My interests lie in using evidence synthesis methods and "big data" from national and international sources to inform cost-effectiveness models. I am chief investigator of two NIHR grants using these methods to determine the cost-effectiveness of multiple types of hip and knee implants. I lead or co-lead the economic evaluation components in research infrastructure grants such as the contact for analyses of NJR data and the Bristol NICE Technology Asssesment Group and over 20 other NIHR funded studies. 


I am supervising or co-supervising four PhD students in health economics-related topics, lead the Evidence-Based Practice in Medicine helical theme lead for the undergraduate medical programme MB21, co-lead of the quantitative module of MSc Health Economics and Policy Analysis, and contribute to teaching and organisations in many other MSc and CPD short courses delivered at Bristol and abroad. 


I joined the NIHR Research for Patient Benefit  - Southwest regional advisory panel, advising on grant applications to the funding scheme, and the INFARMED technology appraisal committee expert board (NICE equivalent in Portugal) appraising submissions of medicines for approval in the Portuguese NHS.


I have a PhD in Economics, having studied economic theory and finance in post-graduate programmes in the USA and Portugal. My dissertation looked at economic growth models and tested the (endogenous) influence of population growth on economic growth in 202 countries.

External positions

Health economics expert, INFARMED

2021 → …

Regional Advisory Panel member, NIHR - RFPB

2017 → …

Structured keywords and research groupings

  • PolicyBristolMethodologiesAndDataAnalysis
  • Health Economics
  • Economic evaluation alongside trials
  • Trial methodology
  • Evidence synthesis
  • Cost-effectiveness modelling
  • National Joint Registry


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