James Roach is Director of Neighbourhood Healthcare at NHS Hampshire and Isle of Wight ICB, where he leads work on primary care, community pharmacy and the integration of health and care services around local neighbourhoods. He has worked in the NHS for over 20 years, starting his career setting up Southend Clinical Commissioning Group before going on to run Mid Essex CCG and then Wiltshire CCG. He later moved into system integration, leading the West Essex Integrated Care Partnership before joining Hampshire and Isle of Wight. In his current role, James has driven the ICB's Modern Primary Care Access Plan, expanded independent prescribing and clinical services in community pharmacy, and championed the development of integrated neighbourhood teams built on the foundation of primary care networks. His focus is on tackling healthcare inequalities, improving access in underserved and coastal communities such as the Isle of Wight and Portsmouth, and shifting care from hospitals into local communities in line with the NHS's long-term plan.