Minesh qualified in 1991 in London and entered general practice in 1996, joining a GP partnership in a total purchasing pilot. He is a GP Partner at Moatfield Surgery in East Grinstead. He took on the Mid-Sussex Primary Care Trust (PCT) lead role to adopt gold standards frameworks for coronary heart disease (CHD) and then diabetes. Minesh then became the Mid-Sussex PCT Professional Executive Committee chairperson. He has been a clinical voice in commissioning and for the last five years has been the Chair of Horsham and Mid-Sussex Clinical Commissioning Group. He led a review of Stroke Services in Sussex and chairs the Sussex Sustainability Transformation Partnership (STP) Clinical Board. Minesh has led the development of the Healthy East Grinstead Partnership Primary Care Home.