Recent performances include La Città Invisibile, commissioned for the Turin Biennial, which brought together a classical chamber orchestra with groups of Indian, Egyptian, Tibetan and Cuban musicians. He was recently awarded a Fellowship from the Arts Council to support his Artist in Residence at Cittadellarte, an institution dedicated to cross-disciplinary work in Northern Italy. He is a director of the Vietato L'Accesso Festival, in Biella, Italy, a series of events devised with visual artists, architects, environmentalists and local food producers.

His choral pieces include De Angelis, We are Stars and Alleluia, commissioned by professional choir Singscape, and The Secret of the Universe premiered in March 2004, and orchestral works include La Memoria dell'Acqua and Concert01, commissioned by Cittadellarte and Turin Biennial respectively, and Making Waves, a work developed from collaboration with scientists from the Medical Research Council, commissioned for the Creating Sparks Festival, London. Works for chamber forces include Losing my Head, commissioned by Joanna MacGregor, Time gentlemen, please commissioned by the Derry Festival for Ensemble Bash, Funk Loops written for percussion quartet and performed by Drumstruck! at the Queen Elizabeth Hall, Rhythmsticks Festival, Perth Festival (Australia) and Austin Festival (Texas) and Memorial to the Sacred Wind, commissioned for BBC Young Musicians.

Cameron Sinclair has also written several works for mixed ensembles of amateurs and professionals. These include …to infinity and beyond… commissioned by the National Youth Orchestra of Great Britain, Mbira written for the Philharmonia, Salisbury Festival and Farnham Festival and Skyquest commissioned by the OSJ and Sky.

Sinclair recently made his conducting debut at the BBC Proms, directing Nitin Sawhney's Urban Prophecies with Joanna MacGregor, Ensemble Bash and tabla player Aref Durvesh at the Royal Albert Hall and conducted the recent recording of the piece for the Soundcircus label. In December 2004 he won a British Composer's Award for his choral work The Secret of the Universe.