A Consultant Anaesthesist for 24 years, and lead anaesthetist for the south west regional bariatric surgery service since setting it up in 2004. He founded SOBA (Society for Obesity and Bariatric Anaesthesia) in 2009 and was Chairman till 2014.Lectures and teaches regularly on obesity anaesthesia. He is an exponent of total intravenous anaesthesia in the morbidly obese. Non clinical work includes several roles in NHS regional commissioning, NHS national Independent Funding Review Panel, and involvement advising several of start up medtech companies