Peter was CEO of the Central & North West London NHS Trust for 12 years and the CEO of the RCN for 9 years. During his time at the RCN membership rose from 390,000 to 435,000 and the College won numerous awards including being in the Sunday Times Top 100 companies to work for. Among many initiatives Peter was a member of the Crown Commission that devised the policy for Non-Medical prescribing which led to the implementation of nurse prescribing Since leaving the RCN he has worked as an Independent Healthcare Consultant in the UK and internationally