Toto is a freelance consultant, facilitating consensus processes, patient and public engagement, and data analysis. Toto currently supports several JLA Priority Setting Partnerships and other projects, in the UK and internationally.

Previously Toto had a 30-year career with the National Health Service in the UK: running clinical trials; clinical work as Medical Physicist; research into non-invasive diagnostics; Patient and Public Engagement; national projects in health informatics and health economics. Toto is supporting the WHO Global Forum on Bioethics in research themed 2023 programme: The ethics of health research priority setting.