He has worked in the NHS and voluntary sector, initially within the HIV field in the 1990s and then for many years managing a community counselling service for older adults. He is also a Senior Tutor on the MSc in Psychodynamic Counselling and Psychotherapy at Birkbeck, University of London. He has a long-standing interest in questions of sexuality and identity, and is a member of the Advisory Group on Sexual and Gender Diversity within the British Psychoanalytic Council, where he also currently serves on the Executive with a portfolio of diversity.