Following BioInnovate, James returned to clinical medicine. Between 2012-2016 he trained as a Specialist Registrar in Radiology in Beaumont Hospital, Dublin and since July 2017 was promoted to Consultant Muscloskeletal Radiologist where he currently resides in Oxford University Hospital. He continues to identify unmet clinical needs in the NHS and utilises the Oxford BioDesign program to support continued innovation in the field.