He has conducted concerts with the English Sinfonia, ViVA, Sinfonia 21, New Music Players, Britten-Pears Orchestra and many others at festivals all over the country including Aldeburgh, Brighton, Bath and York and in London (including Royal Albert Hall, Royal Festival Hall and Barbican). A regular conductor with The Opera Group, one of the country's leading professional touring opera companies, he has conducted Bernstein's Candide, Shostakovitch's The Nose, Peter Maxwell Davies' The Martyrdom of St. Magnus, Walton's The Bear and the premiere of Edward Rushton's The Young Man With the Carnation at the Almeida Opera. He has also conducted opera for the Norfolk and Norwich Festival, Dartington Festival, Solaris Music Theatre and the London College of Music. With the New Music Players, Patrick has made recordings and broadcasts for BBC Radio and conducted several scores to silent film. He has also given concerts in France, Germany, Italy, Dubai, India and the USA.
He teaches at the Royal College of Music and is Head of Conducting at the London College of Music & Media where he directs the Sinfonietta. He is the Music Director of the British Police Symphony Orchestra, City University Symphony Orchestra, the Hertfordshire Schools Symphony Orchestra and, from 2004, the Thursford Christmas Spectacular.