I qualified from Oxford University and trained mostly at the Royal Postgraduate Medical School, including an MD in pituitary endocrinology, before completing training in Leeds.

I have been a consultant in Harrogate since 1996, establishing it as a nationally recognised centre of excellence for the care of people with diabetes, particularly the use of technologies such as insulin pump therapy and continuous glucose monitoring.

I am an expert advisor to NICE technology appraisals of insulin pump therapy and a member of the guideline writing group for NICE clinical guideline on management of type 1 diabetes in adults. I am the ex National Clinical Lead for Insulin pump therapy for NHS Diabetes, committee member of the Diabetes Technology Network and Association of British Clinical Diabetologists. I established the osteoporosis service in Harrogate as part of a comprehensive endocrinology service and have been endocrinology lead for the Leeds regional gender identity service since 2007. I have held several roles in medical education, currently Head of the Postgraduate school of Medicine for Health Education Yorkshire and the Humber.