He started as a Consultant Physician in January 2003 having trained as a Specialist Registrar in Wales. He has set up a regular nurse-led diabetic renal review clinic and is involved in research and projects involving diabetic nephropathy and renal disease. He has also set up various community based diabetes clinics in Birmingham, which are amongst the first in the country. He is involved in both undergraduate and postgraduate MRCP teaching and is an MRCP examiner and College Tutor. He has been the trust Clinical Governance Lead for the last 3 years and has set up local protocols and guidelines in most aspects of metabolic medicine including emergencies in diabetes as well as endocrinology.