For nearly four decades I have been at the centre of financial and structural change in the NHS, advising generations of GPs, consultants, and healthcare professionals through some of the most consequential shifts in the history of British medicine.
I trained as a Chartered Accountant with Stoy Hayward (now BDO), specialising in tax, before joining Ramsay Brown in the mid-1980s. The firm was my father’s. When he passed, I took on the responsibility of leading it and made it my mission to build the firm the medical profession deserved: one defined by genuine specialism, earned trust, and advice that made a real difference to people’s careers and livelihoods. Appointed Partner in 1987, I have led the firm’s development ever since.
My expertise spans NHS contract reform, pension planning, partnership structuring and disputes, and long-term strategic advisory for medical professionals at every stage of their careers. I have advised the NHS Executive, contributed evidence to the Doctors and Dentists Review Body, and sat on national committees for the Department of Health and the British Medical Association. I am a published author and a regular contributor to the healthcare finance press, and have delivered talks across the UK and internationally.
Clients come to me for technical expertise. What they remember, I think, is something different: that I listen carefully and that I understand the pressures they are under. Good advice is built on that kind of attention. It always has been.
As a mentor, I have spent years helping to develop the next generation of advisers within the firm, instilling a culture of curiosity, integrity, and professional pride. That is as important to me as any technical work I have done.
The integration of Ramsay Brown with HW Fisher is the natural next chapter for everything we have built. The specialism and depth remain. The reach and resource are now considerably greater. My commitment is the same as it has always been: expert, honest advice for the people who keep the NHS running.
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