°®ÍþÄÌapp

Close

Dr Thomas Cowling

Associate Professor

United Kingdom

I'm an Associate Professor specialising in health services research, clinical epidemiology, and health data science.

I re-joined the Department of Health Services Research and Policy in 2023 after two years in the Department of Non-communicable Disease Epidemiology (Faculty of Epidemiology and Population Health). This role was based in the Electronic Health Records (EHR) Research Group and involved work on COVID-19 projects as part of the OpenSAFELY collaboration with the Bennett Institute at the University of Oxford.

During my first period in the Department of Health Services Research and Policy, I completed a Medical Research Council (MRC) Skills Development Fellowship (2018-2021). This fellowship focused on measures of patient morbidity and the prognosis of cancer patients, using national cancer and hospital data. I also worked on national audits for colorectal and prostate cancer with the Royal College of Surgeons of England.

I joined LSHTM in 2017 from Imperial College London where I completed degrees in Biomedical Sciences (BSc), Public Health (MPH), and Health Services Research (PhD). My PhD investigated access to general practice services nationally and was funded by a National Institute for Health Research (NIHR) Doctoral Research Fellowship.

Affiliations

Department of Health Services Research and Policy
Faculty of Public Health and Policy

°®ÍþÄÌapp

Centre for Data and Statistical Science for Health

Teaching

Current and prospective students are very welcome to contact me.

 

MSc Health Data Science

  • I am part of the Programme Committee that leads this MSc and also sit on the Exam Board
  • I organise and teach on the Data Challenge module and am a personal tutor and project supervisor

 

MSc Public Health

 

PhD supervision

 

Current students

  • Raghav Varma - Determinants of variation in the quality of care for kidney cancer in England
  • Emily Mayne - Methods for monitoring healthcare provider performance in national cancer audits
  • Farizeh Jashek-Ahmed - Measuring recurrence of head and neck cancer in electronic health records
  • Arjun Nathan - Presentation and development of malignant ureteric obstruction in prostate cancer

 

PhDs awarded

  • Caroline Chesang (2025) - Estimating effects of treatment on death from prostate cancer and other causes
  • Jemma Boyle (2022) - Utilisation and outcomes of multimodal treatment in the management of colorectal cancer
  • Matthew Parry (2021) - Access to and outcomes from radiotherapy strategies for locally advanced prostate cancer
  • David Wallace (2021) - Liver transplantation as treatment for hepatocellular carcinoma

Research

°®ÍþÄÌapp 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  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  and

 

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 () using . I have published methods for developing high-dimensional models of comorbidities in hospital data, using either or methods. Other topics include developing approaches to and .

 

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.

Research Area
Health inequalities
Statistical methods
Health care policy
Health services research
Electronic health records
Data science
Health outcomes
Modelling

Selected Publications

COWLING, T;
2025
AGGARWAL, A; CROMWELL, D; Nossiter, J; VAN DER MEULEN, J; WALKER, K; NATCAN audit teams,;
2025
Lancet Oncol
DODKINS, J; Cook, A; Mayne, E; Parry, M; Nossiter, J; Payne, H; COWLING, TE; Tree, A; AGGARWAL, A; Clarke, N; VAN DER MEULEN, J;
2025
BMJ oncology
CHESANG, C; SHARPLES, LD; Gray, CM; Nossiter, J; VAN DER MEULEN, J; COWLING, TE; KEOGH, RH;
2025
Journal of Clinical Epidemiology
ALMILAJI, O; SHARPLES, L; AGGARWAL, A; CROMWELL, D; Horgan, K; Braun, M; Arnott, R; Nossiter, J; Kuryba, A; LEWIN, A; Rous, B; COWLING, T; Meulen, JV D; WALKER, K;
2025
BMC cancer
DODKINS, J; Cook, A; MAYNE, E; Parry, M; PARRY, MG; Boyle, J; Nossiter, J; COWLING, TE; Tree, A; Clarke, N; VAN DER MEULEN, J; AGGARWAL, A;
2025
European journal of cancer (Oxford, England : 1990)
HAN, L; MAYNE, E; DODKINS, J; Sullivan, R; Cook, A; PARRY, M; Nossiter, J; COWLING, TE; Tree, A; Clarke, N; VAN DER MEULEN, J; AGGARWAL, A;
2024
Cancer medicine
Fonseca, M; MacKenna, B; Mehrkar, A; OpenSAFELY Collaborative,; Walters, CE; Hickman, G; Pearson, J; Fisher, L; Inglesby, P; Bacon, S; Davy, S; Hulme, W; GOLDACRE, B; Koffman, O; Bakhai, M;
2024
JMIR public health and surveillance
Taylor, K; Eastwood, S; Walker, V; Cezard, G; Knight, R; Al Arab, M; Wei, Y; Horne, EM F; Teece, L; FORBES, H; Walker, A; Fisher, L; Massey, J; Hopcroft, LE M; Palmer, T; Cuitun Coronado, J; Ip, S; Davy, S; Dillingham, I; Morton, C; Greaves, F; Macleod, J; GOLDACRE, B; Wood, A; Chaturvedi, N; ... OpenSAFELY collaborative,
2024
The lancet. Diabetes & endocrinology
Identifying distant metastases at diagnosis in routinely collected data: a national cohort study of colorectal cancer patients
ALMILAJI, O; SHARPLES, L; AGGARWAL, A; CROMWELL, D; Horgan, K; Braun, M; Arnott, R; Nossiter, J; LEWIN, A; Rous, B; COWLING, T; VAN DER MEULEN, J; WALKER, K;
2024
CRUK Data-driven cancer research conference