Nigel initially qualified as a pharmacist working in both community and secondary care positions before returning to University to study medicine. He qualified as a doctor in 1995 and become a consultant in Clinical Pharmacology and Therapeutics in 2003. Additional roles he has taken up includes working on a number of different NICE guidelines as well as being the Clinical Pharmacologist to one of the NICE Health Technology and Appraisal Committees. Nigel is an Honorary Senior Lecturer to University of Leicester and has taught both undergraduate and post graduate prescribing. As such he had a keen interest in prescribing decisions, having written on the subject and is a keen advocate to reduce inappropriate polypharmacy.