 He was the first Chief Executive of the NHS Confederation, and previously Director of the National Association of Health Authorities and Trusts (NAHAT) from its formation in 1990.Before that he was Director of its predecessor organisation, the National Association of Health Authorities (NAHA) from 1984 to 1990.In the 1993 Birthday Honours, he was appointed to the Order of the British Empire as an Officer (OBE) for "services to the NHS".