James qualified from Medical School in Leeds in 2007 before completing training and working as a GP in Yorkshire until 2015 before moving South. He currently works as a GP Partner in Esher, Surrey and as Surrey Downs CCG MSK Clinical Lead since 2016. As part of this work he has developed an MSK themed EMIS Protocol supporting shared decision making, self care management, MSK guidance that produces written patient information leaflets, referral forms and clinical audit data to support Clinicians, Patients and Commissioners in getting the patient to the right place first time.