Nigel is President of the Combined Services Orthopaedic Society (2024-2027) - this is the (civilian) organisation for all British serving and retired military Trauma & Orthopaedic surgeons.

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He chairs the Scientific Advisory Committee for Open Medical - a medical software company providing integrated patient management systems for the NHS.

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He is a founder, past Chair and a Director of Incision Indemnity - providing medical indemnity for surgeons in the UK in private practice.

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He is a trustee of the Hope Cove Independent Lifeboat - a volunteer lifeboat in the village that he grew up in in Devon, England (which also once saved his life).