Dr Boyne Bellew has completed a regional anaesthesia fellowship in Australia and with his regional anaesthesia teaching programme and EDRA diploma helps his patients to achieve improved anaesthesia and pain management with quicker recovery times. However, he is still a generalist at heart and ensures he can anaesthetise and manage all common anaesthetic scenarios and help his colleagues run an efficient patient-centred service. He feels particularly at home doing this in London where the clinical diversity and complexity faced in the NHS is reminiscent of his years working in both rural and urban South Africa. Dr Bellew's fellowship in head and neck anaesthesia ensures he is fluent in the 'bread and butter' of his profession which is helped by his extensive trauma experience. In the past he has worked in South Africa, Australia and the Uk, and this has given him a deeper appreciation of how different health systems work and the complexities and challenges faced in managing healthcare systems in the future.