He was born Michael Thomas McCarthy in Cirencester, Gloucestershire, England, and as Mike Patto first became vocalist and frontman for The Bo Street Runners, who won a TV band competition Ready Steady Win during 1964. He was a member of Timebox, his own band Patto and Dick and the Firemen. In 1974, Patto joined Spooky Tooth as vocalist and keyboard player. He was also a founding member of the rock band Boxer.
^Originally the B-side to the 1981 single "Child in the Storm", where it is dedicated "For Patto" on the picture sleeve. The song was later included on the box set Dear Mr. Fantasy: The Jim Capaldi Story.