Adrian became Chief Executive of Queen Victoria Hospital NHS Foundation Trust on 15 December 2008.

Adrian served for six years as a medical officer in the Royal Navy, completing his training in general practice. On joining the NHS, he gained his MD in epidemiology and became a consultant in public health medicine, holding several senior medical and management positions in health authorities and NHS trusts.

In recent years Adrian has worked in the private sector as Group Medical Director of PPP Healthcare, Managing Director of Carillion Health, and Commercial and Medical Director for Humana Europe.