Hi everyone.
Ok, so, charge pumps are out really. I'm looking for absolute minimum component count as this is basically a watch and space is already tight.
The AP3015A looks like a really good bet, its definitely the sort of device I'm looking for, covers all the bases although I wouldn't know what the current consumption would be without building a prototype first. The datasheet seems to suggest the quiescent current is about 17uA when the device isn't switching. Believe it or not this is actually more than the present circuit draws, which is based on a Max9117, comparator and driver transistor etc.
The most quiescent current that the SiPM detector would ever draw from the 30-32v bias voltage is in the region of tens to hundreds of nano-amps, radiation detection events trigger pulses in the region of 50uA for very short periods of time, maybe 10-20uS.
The current SiPM has a bias voltage of around 31V, others may be in the region of 40V but I'm not thinking of using those at the minute, I would be happy with a 32V supply.
Thank you everyone for your suggestions.