After 23 years as a GP Partner in Northamptonshire Dr Gareth James has now transitioned into combining clinical work with managerial roles across multiple healthcare settings. Recognised as one of the UK’s leading authorities on vasectomy he has performed nearly 3,000 procedures across the Midlands. He has been the Audit lead of the Association of Surgeons in Primary Care (ASPC) since 2007, publishing a number of papers - with many more in the pipeline - which highlight the excellence and benefits to all of Community surgery. The ASPC represents portfolio GP’s (and other clinical staff) who provide surgical services performed under local anaesthetic in the community, focusing mainly on the 3 most common community procedures: Vasectomy, Carpal Tunnel Decompression, and the different levels of Skin surgery  - from simple benign skin excisions to more complex skin cancers reconstructions. In 2023, Dr James became President of the ASPC.