He consults for a number of companies, charities, schools and organisations on travel health related matters. His background as an Emergency Department charge nurse and Nurse Practitioner led him to the field of Expedition and Wilderness Medicine, where he also works as an expedition medic and leader for various schools, charities, television production teams and private companies. James has over 14 years experience in training in expedition medicine. He teaches on the Diploma in Mountain Medicine, the Diploma in Travel Medicine and for the Royal Geographical Society. In addition to mountain leadership qualifications, he has diplomas in Travel Medicine, Tropical Nursing and a degree in Emergency Care. He is the Honorary Secretary for the British Global and Travel Health Association and member of the Medical Cell for the Royal Geographical Society.