Vish is led the creation of Our Health Partnership, an uniquely decentralised GP partnership that gets the best out of both localism and scale. OHP supports and strengthens the 37 practices, serving 350,000 patients, gets maximum impact from OHP's 10 PCNS by creating teams and networks across them, and acts as an integrator at Place.

Vish's interest is influencing the future of care which he does through the NHS Assembly and as advisor to the NHS Confederation's Primary Care Network and to show the GP Partnership model can evolve and thereby contribute more and more to the development of ICSs

Vish received an MBE for services to General Practice in 2018