Andrew has been the Regional Director for OHID North West (previously Public Health England) and Regional Director of Public Health for NHS NW since May 2020 and Honorary Professor of Public Health Practice at the University of Manchester. He was previously Centre Director for Public Health England (PHE) in Yorkshire and Humber. He originally trained as a General Practitioner and is now a Public Health specialist with international experience. He worked for seven years in Nepal at all levels of the health system and has taken short term assignments in several other countries. In the UK he has worked as a Director of Public Health from 2007 to 2018 and is a past President of the Association of Directors of Public Health UK (ADPH). He was awarded an OBE for services to public health in the Jubilee Birthday Honours List in 2022.