A graduate of the University of Bristol and Lecturer in Surgery at the University of Sheffield he returned to Bristol as Senior Registrar. There he was founding President of the Association of Surgeons in Training in 1976. After holding the Travelling Fellowship of The James IV Association of Surgeons Inc. he was appointed Consultant Surgeon to the Royal Surrey County Hospital, Guildford in 1979 and to Kings, Guys and St Thomas’ in 1997.
He has been Hunterian Professor at the Royal College of Surgeons of England, Visiting Professor in Texas and Oregon and President of the Section of Surgery of The Royal Society of Medicine. Editorial work has included the British Journal of Surgery and the Yearbook of Vascular Surgery. He has served on the Intercollegiate Board in General Surgery, been Chairman of the Specialist Advisory Committee and Chairman of the Federation of Surgical Specialty Associations.
He was President of the Association of Surgeons of GB & Ireland in 1997-98 and part of the Working Group at the GMC assessing surgeons’ performance both in 1998 and since 2004. He has served as Surgical Adviser to the Intensive Support Team of the Modernisation Agency and the Performance Support Team of the Department of Health. He was a Council Member of the Royal College of Surgeons of England 2000-07 where he had particular responsibility for workforce and patient safety issues. He served as a non-executive director of the National Clinical Assessment Authority from 2001-05 and has worked in the assessment of performance for the GMC, the NCAA and professional associations. With experts from other industries he is currently developing teaching methods to improve non-technical skills in surgery, based on a joint research programme at Great Ormond Street Hospital and at King’s College Hospital. He is surgical adviser to the National Clinical Advisory Team of the NHS and a member of the campaign team of the NPSA. He has also been an external adviser to the Healthcare Commission and to the Parliamentary Health Committee.