Andrew is a Consultant in Trauma and Orthopaedics at the Princess Elizabeth Orthopaedic Centre, NIHR Research Lead for Orthopaedics South West, Honorary Clinical Professor, College of Medicine, University of Exeter, and Clinical Director of Orthopaedics, Rheumatology and Pain at the Royal Devon University Healthcare NHS Foundation Trust.

In 2022 Andrew was awarded a RDUH Trust Award for Excellence in Practice 2022 for his leadership roles, while in 2018 he established a regional network of care, forming the basis of a national NHS care programme. In 2022 Andrew was conferred the President’s Award 2022 by the British Association of Surgery for the Knee for leading the Revision Knee Working Group. Outputs from this include 3 national standards, 30 publications and a Guide to Good Practice that have changed how care for patients is delivered in the NHS and are forming the basis for all NHS Low Volume High Complexity Care pathways. He chairs the national NHS steering group delivering this change. He is an Associate Investigator for an international, multicentre, adaptive platform trial and a global trial steering committee member since 2023.