As a soloist, Sam has appeared with the Royal Philharmonic Orchestra, Orquesta Sinfónica de Castilla y León, and the Gürzenich-Orchester Köln. He has appeared both as a solo recitalist and with his duo partner Colin Currie at numerous venues in the UK and worldwide.
As a chamber musician he performs regularly with violinist Viktoria Mullova and appears on her recital disc Through the Looking Glass. He is a member of the contemporary group Between The Notes, with which he has travelled to Asia, Europe and Australia. He has also appeared as a soloist at the BBC Proms in a programme of music by Steve Reich. In May 2012 Sam was appointed Co-Principal Percussion of the London Symphony Orchestra.