In 1988, Sands started his career as a consultant for the management consulting firm, McKinsey in its London office. He held positions of increasing responsibilities in the firm, and in 1996 he became a partner, and later in 2000 rose to position of a director.
Standard Chartered, 2002–2015
In 2002, Standard Chartered PLC, a client of McKinsey, hired Sands as its Group Finance Director. Four years later in 2006, he was chosen as its Group Chief Executive Officer. Between 2002 and 2008, the headcount of Standard Chartered nearly doubled to 70,000 and by 2009, more than 90% of its profits came from fast-growing emerging markets mainly in Asia. Standard Chartered had weathered the economic downturn far better than most of its competitors and announced its seventh successive year of record profits in 2009. The British bank rescue plan, which was copied around the world, was based on a blueprint devised by Sands. Standard Chartered itself did not take "any taxpayer money or used any central bank liquidity schemes". Also during his time at the bank, Sands was harshly criticized after Standard Chartered paid New York State $340 million in 2012 to settle claims it laundered money for Iran. In February 2015, amidst growing shareholder calls for his resignation, Sands announced that he would be stepping down as CEO, effective June 2015. At the time of the announcement, the Wall Street Journal noted that Sands, having served at the helm of Standard Chartered for nine years, was among the "longest-serving chiefs of a major Western bank." On 26 February 2015, it was announced that his successor would be Bill Winters, former co-CEO of JP Morgan's investment banking business. After leaving Standard Chartered, Sands was a senior fellow at the Mossavar-Rahmani Center for Business and Government of the Harvard John F. Kennedy School of Government and became the lead non-executive board member of the Department of Health in the United Kingdom. In 2016, he also chaired the International Commission on a Global Health Risk Framework for the Future under the auspices of the National Academy of Medicine.
In 2017, Sands was one of the candidates to succeed Mark Dybul as executive director of the Global Fund to Fight AIDS, Tuberculosis and Malaria. He withdrew his candidacy for personal reasons just three days before the selection committee meeting; shortly after, he asked the committee to reinstate his candidacy. In November 2017, Sands was appointed to lead the GFATM and started in the role in early 2018.
Other activities
Sands has served on various boards and commissions, including as:
Sands is married to the writer Betsy Tobin, and they have four children. They live in Highbury in north London, and have a second home in Monmouthshire.