He was the founding Vice Chair of the National Institute for Health and Clinical Excellence (NICE) and he still chairs the International Decision Support Initiative – the successor to NICE International. Until recently he chaired the Office of Health Economics in London; he remains on its board. Recent honours include Emmett Hall Laureate and Hall Lecturer, Canada (2015), William B. Graham Prize for Health Services Research, USA (2015), International Society for Pharmacoeconomics and Outcomes Research (ISPOR) Avedis Donabedian Outcomes Research Lifetime Achievement Award (2015).