Paul joined the NHS in 1986 working in Information Services. In 2003, he won an IM&T leadership award for his work at Nottinghamshire Healthcare NHS Trust.

He has always contributed to the wider development of the organisations he has worked in, beyond his specialist role of informatics.

In May 2008, he was appointed as Director of Business Development and Marketing at Nottinghamshire Healthcare Trust, where he had worked since 2002.

Paul undertook an MBA in 1996 and The King’s Fund's Senior Management Programme in 2000.