After retiring from the public service in December 2010, Hugh worked with Genio from January 2011 to October 2015, where he helped facilitate the development of a problem-solving focus to removing the barriers to increasing individualised supports. Hugh has worked in personal social services for nearly 40 years. He began his career in health as a community welfare officer and moved into senior management in 1998 as Community Services General Manager. In 2000 Hugh joined the management team of the South Western Area Health Board as Assistant CEO, and was subsequently appointed Deputy CEO in 2003. Hugh joined the HSE in 2005 as Hospital Network Manager. He later worked as Local Health Manager for Wicklow with lead responsibility for disability services, and after that took on the role of Assistant National Director for Dublin mid-Leinster. In 2009 Hugh left the HSE to become CEO of the Mental Health Commission.