Paul trained as an accountant on the NHS training scheme and spent his first 17 years after university working for the NHS in London, Kent and Sussex. Ten of those years were as Finance Director in three provider Trusts spanning acute, community and mental health. He led the merger of the finance functions as the first Finance Director of East Kent Hospitals NHS Trust.
He then worked in the private sector for a further 16 years as a management consultant, working mainly for the health sector, also in education, local government, central government, housing and nuclear power.
Paul returned to the NHS in 2018 as a Chief Finance Officer for eight CCGS in North West London, before joining the six Staffordshire and Stoke-on-Trent CCGs in 2020.