Tom became Chief Executive of Marie Curie Cancer Care in 2000 after 22 years in the international investment banking sector.

Tom chairs The Philanthropy Review, is a member of The Kings Fund General Advisory Council, Chairman of the End of Life Care Implementation Advisory Board, Review Chair for the Palliative Care Funding Review for adults and children in England and a Trustee of Esmee Fairbairn Foundation.

Tom has formerly been Chairman of English Churches Housing Group and the Michael Palin Centre for Stammering Children, a Director of the National Council for Palliative Care and a Special Trustee of Great Ormond Street Hospital.