Joseph had always been an anglophile since his youth and in 1990 he rather spontaneously moved to London, which he considered “the centre of the civilized world”. Concerned about his American twang, he even took elocution lessons to get a proper English accent. Between 1990 and 1993 he trained to be a registered mental health nurse at the North London College of Health Studies. As part of his training, he had to live and work in Bangor, North Wales for a year. Wales did not really suit him; he found the life there too “provincial” and so would travel on alternate weekends to Chester or London for a more “cosmopolitan” existence. But all the hard work paid off, and he was very proud to finally become a UK citizen and “subject of her Majesty”. Joseph would often go out on the town, to parties or to clubs with his friends, Maurice and Abraham, and they surely have many stories about him (many of which cannot be shared publicly!). One of the crowd that he would also go out with was a young nurse, Joy Caratativo. Then for several years he lived with his friend, Douglas, in Plimsoll Road, Highbury, close to the old Arsenal football ground. Joseph enjoyed a domesticated existence, and at the weekends, the two would often visit sites of English heritage and grand stately homes. In 1994 he had become a staff nurse for the Ellis Ward of the John Conolly Unit at Ealing Hospital run by the West London Mental Health NHS Trust. From 1995 he was appointed a Clinical Team Leader there and for a few years was Acting Ward Manager of the Unit's Beverley Ward (a 16-bedded psychiatric acute admission ward providing 24-hour in-patient care), where he supervised some 18 nurses and nursing assistants. Two of his colleagues from work, Yin Yap and Joy Gallagher, became close friends and confidants. For some years, he had attended a Catholic church in north London (actually one which Tony Blair attended), but during this period he lost his faith, though he said that he continued to find some affiliation with St. Francis of Assisi. In 1998 he moved out from Plimsoll Road, and bought his own flat overlooking Finsbury Park in north London. In the late 1990s he was attacked at work by a patient, who mistook him for someone else, and was quite seriously injured. Living alone, he found more time for study and in the year 2000 he completed a postgraduate certificate in health and social policy at the University of North London. He also joined the YMCA gym, where he would regularly see David Walliams before he became famous, and would often travel to visit friends in Jersey, Switzerland and California.