A consultant since 2001 I have developed a variety of services for the NHS and these are reflected in my private practice. Developed and led the Hepatology service at Basildon hospital Clinical lead for Endoscopy form 2005-2015 Group Clinical Director of Endoscopy (Basildon, Broomfield and Southend Hospitals) 2020- Developed and led the South Essex Bowel cancer screening service 2007-2016 Run a Tertiary referral service for complex colonoscopy cases serving the East of England. Developed an acute pancreatology service NHS transforming the care of acute pancreatitis at Basildon Hospital.