Richard trained at Trinity Hall, Cambridge and the London Hospital Medical College. After training posts, he undertook research at Bart, examining the impact of chronic kidney disease on calcium signalling. He was appointed Consultant Renal Physician at Derby City Hospital in 1996, initially as a single handed nephrologists.
Over the last 20 years, he has continued an interest in the cardiovascular consequences of kidney disease but has a broad range of research and improvement interests. At Derby, he is a member of the Renal Risk in Derby project and the Acute Renal Risk in Derby study (RRID and ARRID). He has led local work to improve vascular access outcomes, infection risk in dialysis and the uptake of home therapies.
Nationally, he continues to publish chapters of the national UK Renal Registry annual report, led the national Renal Audits and, as National Clinical Director (Renal), established the Think Kidneys programme to improve outcomes related to Acute Kidney Injury and Patient Participation in CKD. He is chair of the Leadership Development programme for the Kidney Quality Improvement Partnership.
Other roles include chairing the steering committees of several NIHR and Health Foundation projects, is a Q member and is country co investigator for the Dialysis Outcomes and Practice Patterns Study (DOPPS). He has been President of the British Renal Society and is now Clinical Co-chair for Specialised Commissioning (Internal Medicine NHS England.