James is currently employed by the British Olympic Association (BOA) and has the accepted role as Deputy Chef de Mission for Performance Services for Team GB at the Rio 2016 Olympic Games. In addition to this, he has been the Head of Performance Services for Team GB at the inaugural European Games in Baku 2015 and is currently the manager for the Intensive Rehabilitation Unit (IRU) at Bisham Abbey. James completed his Masters in advanced Physiotherapy at University of Queensland in 2000 and has previously held positions such as Head of Medical at Saracens RFC; Consultant Clinical Lead Physiotherapist for UKA; and Consultant contracted Physiotherapist for the RFU to the EPS, where he worked through two Olympic cycles including London 2012, and helped in the preparation for the Rugby World Cup in 2011. He currently sits on the strategic board for the Institute of Sport Exercise & Health (ISEH).