The focus of his career has been improving access for communities affected by marginalization or deprivation to quality primary healthcare. He was a founder of Safetynet in 2007, and Medical Director of Safetynet from 2007-2017, initiating several projects with them including the Mobile Health Unit Service for Rough Sleepers. He founded with Dr Ming Rawat the North Dublin City GP Training programme which is the first programme internationally that trains GP’s to work in communities affected by deprivation or marginalization. He is founding member with Dr Kieran Harkin of GMQ services which provides 12 clinics for homeless people in hostels/drop-in centres. He ran the Mountjoy Street Family Practice since 1997 which also provides 6 clinics to homeless people since 2005. He co-founded the Partnership for Health Equity between the HSE Social Inclusion, NDCGP, ICGP and University of Limerick. He is presently establishing for Safetynet, Curam Healthnet, a new social enterprise that creates new GP practices in areas of deprivation. He was a co-founding member of Northdoc. He received the Fiona Bradley Award; the Time & Tide Award for his work with migrants; the Healthcare professional of the Year Award 2015 and was awarded an Honorary membership of the RCPI. Throughout, he has worked closely with Dr Fiona O Reilly on their mutual passion to rectify health inequities.