Nick took over as Interim Chief Executive of the Buckinghamshire, Oxfordshire and Berkshire West Integrated Care System in July 2023. His substantive post is Chief Executive of Oxford Health NHS Foundation Trust, a position he has held since taking over from Stuart Bell in 2020. As a consultant psychiatrist for more than 20 years specialising in forensic psychiatry, he has held medical and clinical director roles, and a variety of other managerial positions, including as a director of Imperial College Healthcare Partners.