He was also elected in 2007 as the Presiding Bishop of the Episcopal Church in Jerusalem and the Middle East, being reelected in 2012, and finishing his term in 2017.[3] His diocese has subsequently separated from the Episcopal Church in Jerusalem and the Middle East, with permission, and formed the autonomous Episcopal/Anglican Province of Alexandria, consisting of four new dioceses, of which he is also the Primate. He is one of only a small number of Anglican bishops to have served as the Archbishop and Primate of two different ecclesiastical provinces.