Tom graduated with First Class Honours from the University of Oxford, followed by receiving the Hobson Mann scholarship and a Distinction in Clinical Medicine. He undertook his core surgical training in Oxford and is now an Academic Clinical Lecturer in Plastic and Reconstructive Surgery at the Welsh Centre for Burns and Plastic Surgery and Swansea University. He undertook a PhD in patient reported outcome measures (PROMs), with his research interests now spanning PROMs and novel technologies across the whole spectrum of plastic surgery. His interest in VBP began in Oxford where he was part of the team who set up the VBP in Surgery seminar series.