Dependable Josh was the kind of paramedic everyone would love to have care for them in an emergency. He was highly trained and intelligent, and his quick thinking and bravery helped save countless lives over the years. Josh was also funny, good humoured and sensitive. However, after enduring more than his fair share of trauma in his personal life, he also felt things deeply, even if it didn't always show.
He was devoted to his wife, Helen, and his daughter and son but their lives were cut short in a house fire. Josh was on duty that day, and was called to the scene to assist. His daughter was the only member of the family to escape from the fire. Josh returned to work within two weeks of the tragedy, but later developed a gambling and drinking addiction which he took two years to overcome.
After this Josh struggled to find love. He married Collette but his marriage collapsed after discovering she was pregnant with a child that had been conceived during an illicit affair.
After being stabbed by a mentally ill patient, Josh became depressed and unable to see a future for himself. After a heart-to-heart with best friend Charlie, Josh realized there was so much he wanted to see outside of Holby, and left the ED to see cricket and culture around the world. Josh did return to the ED but once again departed - this time for India to be with Devika, a woman he had met on his travels.