Nigel is extensively involved in global Trauma, healthcare and surgical education.

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He is the Medical Director and on the board of Trustees of the Primary Trauma Care Foundation - teaching principles of early Trauma care in low resource settings worldwide.

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Nigel sits on the Trauma committee - "GACI": Global Alliance for Care of the Injured at the World Health Organisation.

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He is on the Faculty Advisory Board for the Faculty of Remote, Rural & Humanitarian Health at the Royal Collage of Surgeons of Edinburgh.

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Nigel is a member of SELF - the Surgical Educators Learners Forum: designing surgical training globally for the future.

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He is also a member of the Oxford University Global Surgery group and the Wessex Global Health network.