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James Grabham
Director

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Driving clinical pathways & Operational improvement using SMART objectives across healthcare, pharmaceuticals, and the public sector.
A senior operations and clinical leader with over 30 years’ experience delivering organisational change in healthcare, local government, and the private sector.
James specialises in helping organisations design and implement operational and clinical change programmes that improve performance, reduce costs, and enhance service delivery. His work has supported NHS trusts, local councils, and pharmaceutical institutions to achieve measurable outcomes — including multi-million-pound cost improvements, accelerated digital adoption, and enhanced patient and customer experience.

Areas of Expertise

  • Clinical pathway development & redesign

  • Operational management & Business process redesign

  • Cost Improvement Programmes

  • Digital Transformation & Service Redesign

  • Operating Model Development

  • Programme & Project Management

  • Performance management

  • Broad clinical practice (Emergency/Intensive care/Community care)

Career Highlights

  • NHS QEP Programme: identifying and establishing delivery programme for trust that supports a reduction in cost of more than £12M in first year.

  • Commissioner Contract Management: Established and delivered a capacity and delivery model to support contract management discussions and future investment plans in support of 18-week outpatient access programme.

  • Workforce development and turnaround: established and documented workforce modelling to support agreed safe staffing levels and associated funding requirements. (Identified circa £2M in funding and ensured signed off by commissioners). Resolution of backlog and issues arising from mismanaged complaints process, set up governance programme to support incident review including independent reporting for critical failures.

Education

  • Education

  • MBA – [University of West London]

  • PRINCE2 Practitioner

  • Six Sigma (Lean) Black Belt Certification

  • Post grad dip in Advanced Clinical Care (Melbourne University)

  • Degree in Applied Science - Nursing (Edith Cowan University)

  • Diploma in Applied Science - Nursing (University of Canberra)

Outside of Work

James is passionate about heath care development, and enjoys gardening, travel, and community engagement via local community facilities (village hall, community fetes etc).

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