In October 2021, Tom took up the position of National Learning Disability and Autism Director with NHS England. Tom works alongside National Mental Health Director Claire Murdoch to lead work on driving up standards of care across the health service and independent sector for people with a learning disability and/or autistic people.

Tom began his career as a mental health nurse and held several senior posts before joining Hertfordshire Partnership Foundation Trust (HPFT) as Chief Executive. At HPFT, he has overseen the development of new models of care, new facilities and the trust’s culture. Under Tom’s leadership, HPFT was rated as ‘outstanding’ by the Care Quality Commission in 2019.