He was clinical lead for cardiovascular disease in the National Library for Health and subsequently for NICE Evidence. He is an active researcher with over £8m grant income as lead or co-applicant, and has published over 100 papers. He is a member of the PARAMEDIC and PARAMEDIC2 trialists groups and was delighted when PARAMEDIC was awarded Trial of the Year in 2015 by the Society for Clinical Trials. Tom is Professor Nursing at Kingston University and St George's, University of London.