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After qualifying from Liverpool in 1980, Paul worked in the Community Dental Services in Nottingham for two years before switching to the general practice based on the University Campus. During his 6 year stay he acquired an MCDH from Birmingham University and the DDPH from the Royal College. He subsequently moved to take up a lecturing position at the Royal London, where he gained his PhD. He moved to Kings College as a Research Fellow in 1997 and, in 2000 to UCLH as Consultant and Honorary Senior Lecturer.

During this time he was also awarded both a Fellowship by the Faculty of General Dental Practice where he currently acts as Course Director for their Dental Leadership and Management programme and National Research Co-ordinator and by the Faculty of Dental Surgery.

He has published widely on health issues and is co-author of an undergraduate text book. His work has included involvement with the Clinical Standards Advisory Group, ‘Options for Change’ and ‘Workforce Review’ as well as the National Audit Office and Office of Fair Trading working parties. He has acted as advisor to a number of international governments and organisations on developing dental care delivery systems. He has worked with both the Department of Health and British Dental Association and held attachments to the Kings Fund. He recently advised the Parliamentary Health Committee on their inquiry into NHS Dentistry under the new GDS and PDS contracts.