Hugh is Director of Policy at the Health Foundation. He leads the Foundation's works to analyse, understand, and inform NHS and social care policy England. This includes a mix of research and analysis on national NHS reforms, the performance of the health and care system, and policies on primary care and reducing health inequalities.

Before he joined the Health Foundation, Hugh was a Harkness Fellow in Health Care Policy and Practice at the University of California, San Francisco, and Berkeley. Hugh's research in the US focused on health system approaches to addressing patients' social and economic needs, like unstable housing and food insecurity. Before that, Hugh worked at The King's Fund as Senior Policy Adviser to the Chief Executive, where he published research and policy analysis on a range of topics, including national NHS reforms, integration of health and social care services, and opportunities for health systems to improve population health. He also provided policy advice to the NHS and government. Hugh has also worked as a management consultant at PwC, working on health policy and improvement, and on Sir John Oldham's Independent Commission on Whole Person Care.