His work in NHS, 1983-1990, included posts as Head of Acute Mental Health Psychology Services Bolton Health Authority and Principal Clinical Psychologist Portsmouth & S.E. Hants Health authority. Paul has been the Director of The Skills Development Service Ltd since 1990. He is the Lead Developer of numerous bespoke training and consultancy packages currently including Motivational Interviewing Training for Oxford PCT, a Clinical Supervision Programme for Royal Sussex University Hospitals Trust and Psychological Coping Skills For Post Stroke Depression (PSD) for NHS Cardiac and Stroke Network (Lancashire and Cumbria).