After qualifying as a Physiotherapist at the Royal London Hospital in 1991 Andy worked in a variety of acute, community, intermediate and primary care settings; mainly in the UK but also for 18 months in Honduras and Guatemala.​

Since 1999, his Clinical Informatics work has included the design, development, implementation and assurance of electronic patient records (EPRs) and health IT systems; initially in the EPR team in Salford; from 2006 on the national Summary Care Record (SCR); and from 2016 as a national Clinical Safety Officer.​

Andy previously was Deputy National Clinical Lead for Allied Health Professionals (AHPs), chaired the national SCR design steering group and was a member of the NHS Care Record Service National Clinical Reference Panel.​

He is passionate about the safe and successful implementation and use of health IT systems to improve patient care, and the patient experience of care.