In 1866 he returned to Lancashire to take up an appointment as assistant physician to the Liverpool Royal Infirmary becoming full surgeon in 1874, later to specialise in diseases of the male genito-urinary system.
[4] In 1889 he returned to London as surgeon to St. Peter's Hospital for Stone and Other Urinary Diseases.
England on 15 April 1869, and in the same year he obtained the licence of the society of apothecaries.
[5] He played an active part in the development of the Ambulance Service in Great Britain, and was also made Knight of Grace of the Order of St. John of Jerusalem.
[4] He ceased active professional work in April 1906, when he resigned his post at St. Peter's hospital.