Having worked in the fields of HIV/AIDS in London, in the late 1980s, and then in hospice care, he began working in hospital palliative care in 1993. For many years he extended his clinical practice beyond the care of people with cancer. This has led to research and educational opportunities and an influence on national policy. A member of the National Council for Palliative Care for 7 years, Mike is now a national clinical lead for the NHS Improvement (Heart) on supportive and palliative care. Recently, he contributed to the national End of Life Care Strategy.