He was the vice-chairman of West Surrey and North East Hampshire Health Authority and formerly a Conservative member of Surrey Heath Borough Council where he was Mayor in 1988/89.
He has written for the Guardian, Sunday Times, Daily Telegraph and other newspapers, journals and management periodicals including a regular column in Pharmaceutical Marketing magazine.
He runs the nhsManagers.network which produces an opinionated free newsletter four times a week which is claimed to reach 300,000 NHS managers inboxes.
[2] He was an active opponent of the Health and Social Care Act 2012[3] and during the campaign produced a draft NHS Emergency Powers Act giving an alternative approach to NHS reform.
[5] In March 2014 he was reported as saying, in connection with the care.data controversy that better use of data was vital to improve the quality of care but that politicians had made it more difficult for the public believe their commitments about the future use of the records, because previous ministers’ pledges - such as a promise to have no top-down reorganisation of the NHS - had been broken.