and Bitel had overseen a period of great change for the race, including amendments to the course in 2005 which saw the cobbled section by the Tower of London replaced with a flat stretch along the Highway.

Dan Tunstall Pedoe was the medical director of the London Marathon for 25 years between the first one in 1981 until 2005. In 2003, Pedoe was shadowed by Sanjay Sharma from St George's Hospital (University of London) who took over the role in its entirety