He has written over 100 papers and books (85% as lead author), with more than 1,700 citations (source: Google Scholar). He as organised many courses and conferences on standards and interoperability. He is a certified trainer with TAP (Trainer Assessment Program). He has an honorary role at the Institute of Health Informatics, UCL, London. He is a patient leader at the Royal Berkshire Hospital.
He set up R-Outcomes Ltd in Newbury to create a new generation of measures and services for patient-reported outcomes and experience. R-Outcomes has worked across the whole health and social care spectrum in the UK and Internationally, including primary care, secondary care, community care, mental health, domiciliary and social care, voluntary organisations, and care homes.
He is author of Patient-Reported Outcomes and Experience: measure what we want from PROMs and PREMs (Springer April 2022). He is lead author of Principles of Health Interoperability FHIR HL7 and SNOMED CT. The fourth edition, with Grahame Grieve, was published by Springer 2021, including full details of FHIR Release 4.