I trained in medicine at St George’s Hospital Medical School, London, U.K., obtaining BSc in medical science and physiology in 1979 and qualifying MB, BS in 1982.  I then trained further in general medicine, and specialised in Rheumatology from 1986. 

I held an ARC research grant and was awarded a doctorate (M.D.) for research into bone cell biology in 1992 under supervision of Professor Tim Chambers in London and achieved specialist recognition in Rheumatology and General (Internal) Medicine in 1995

I was appointed Consultant Rheumatologist to Great Western Hospital Swindon in 1995 and awarded fellowship of both the Royal Colleges of Physicians of Ireland and London in 1998.  I am also a fellow of the Royal Society of Medicine and member of the British Society for Rheumatology.

During my career I have held the posts of Royal College of Physicians college tutor for the hospital, and regional speciality advisor for the Oxford region. 

Within the trust I have been clinical director for acute medicine and then for non- acute medicine as well as being clinical lead for rheumatology from 1999 to 2021. 

I have also been Director of Research for the trust and vice-chairman and a Divisional Director of the West of England Comprehensive Local Research Network. 

I practice in all aspects of clinical rheumatology and hold private clinics at the Ridgeway Hospital, Wroughton; the Nuffield Hospital, Cheltenham and the Winfield Hospital, Gloucester.

My NHS clinic is a specialist bone health clinic in Swindon.

As well as teaching and supervision in the department I have research interests into mechanisms of assessment of bone health.