I have been a Consultant Rheumatologist at Hereford County Hospital since 1996. I qualified from Imperial College, London (Westminster Medical School) in 1986. I trained as a Senior Registrar at the Westminister and Chelsea, Charing Cross and St Mary's Hospitals in London. Prior to this I worked as a research registrar at St George's Hospital, London working on the mechanisms of inflammatory arthritis in infectious disease. I am the recent previous Chair of the Royal College of Physicians speciality specific examination board for Rheumatology and a member of the Royal College of Physicians specialty question writing group for Rheumatology.