Tom started his professional career in General Practice, from there he moved into NHS management and then Public Health Medicine.
Tom has worked at every level of commissioning in the NHS as clinical director for practice based commissioning, director of commissioning for a primary care trust, medical adviser for specialised commissioning and medical adviser for national highly specialised commissioning.
During this time Tom worked with NSCAG, NCG, and AGNSS in the programme evaluating drugs for rare diseases that became the NICE HSCT process.
Tom was director of external relations and then director of research delivery and impact for the NIHR Evaluation, Trials and Studies Co-ordinating Centre. During this time Tom oversaw the delivery of a portfolio of >800 active research projects across 5 of the NIHR programmes.
Tom has worked for a number of pharmaceutical companies supporting the design of research, interpretations of finding and articulation of evidence to facilitate better payer decision-making. Tom has written books and published a range of papers.