Nigel is a Trustee of Stoke Mandeville Spinal Research charity, and a former consultant orthopaedic and spinal surgeon at Stoke Mandeville Hospital. He was Clinical Director of the National Spinal Injuries Centre Stoke Mandeville for 5 years before his retirement from the NHS in 2018. This gave him the opportunity for closer involvement in the development of spinal cord injury services locally and nationally and he served as a member, then chair, of the Spinal Cord Injury committee of the NHS England Spinal Services Group concerned with service organisation, specification and commissioning.