Sakthi started his career as a general medical officer and has worked as a public health doctor since 2002.

He has led and contributed to a wide range of strategic and operational healthcare initiatives including being the improvement advisor to a patient safety node in the North West, developing a region-wide plan to implement the national stroke strategy, instituting a public health strategy in an acute hospitals trust, and pioneering the programme budgeting approach to influence the commissioning of mental health services and devising a prioritisation framework to aid investments in the NHS.

Sakthi is also a NICE Scholar (2010-11) and worked closely with the members of the North West Stroke Alliance to develop a system that enables benchmarking and improvement of stroke services in delivering the NICE quality standards for stroke.

He has been the director of public health and wellbeing in Lancashire since 2013 and has led the transformation of the public health functions within the council.

He is also the senior responsible officer for the population health and digital health programmes of the Lancashire and South Cumbria sustainability and transformation plan footprint in delivering the NHS Five Year Forward View.

His current interests include applying innovative approaches to engage frontline practitioners, policy makers and the public in bringing about a positive change; designing place based systems for health; predictive analytics; and addressing unwarranted variation in quality and outcomes.