Technical Leadership for Healthcare Innovation

15 years delivering robust, scalable solutions across NHS organisations and beyond

Lead Developer Technical Architect Enhanced DBS
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Strategic Thinking

Solution architecture, platform design, requirements analysis, and rapid prototyping to validate concepts.

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Healthcare Specialisation

Deep expertise in NHS systems, clinical data standards (HL7, FHIR, OMOP), and healthcare data transformation.

Modern Technology

.NET, cloud platforms (AWS, Azure), and modern data engineering practices.

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Open Source Contribution

Active contributor to open source projects and healthcare data tools, fostering community collaboration and innovation.

Technical Expertise

Development

.NET Core 1.0 - 10.0 C# React TypeScript JavaScript Python ASP.NET Redux REST APIs WebSockets

Data & Analytics

SQL Server 2008-2022 Azure Synapse Azure SQL Data Lake DuckDB OMOP ETL Design HL7 FHIR

Cloud & Infrastructure

AWS Azure Kubernetes Docker Terraform Azure DevOps GitHub Actions CI/CD

Web Technologies

React Vue.js HTML5 CSS3 Responsive Design Accessibility

Delivered Projects

A selection of significant projects delivered for NHS organisations and other clients.

Oxford OMOP Data Mapper - Evolution & Cloud Migration

Oxford University Hospitals NHS Foundation Trust

Continued development of the Oxford OMOP Data Mapper, completing a cloud migration of data processing infrastructure to Azure with DevOps pipelines and new monitoring functionality. Added support for various healthcare data sources and built novel continuous integration pipelines for early warning detection of faulty mapping logic.

Engaged with the wider OMOP community through pull requests and conference presentations. The tool is becoming the de facto standard for converting NHS Trust Secondary Uses Service data to the OMOP standard.

Managed a small development team including business development, customer management, code reviews, mentoring, and project reporting.

.NET 8.0 DuckDB Azure Pipelines Docker R Python Open Source

London Data Service OMOP Function

North East London ICB

Designed and implemented the complete OMOP function for London's primary care medical data covering 17 million patients. Efficiently transformed raw data into the OMOP clinical research database standard using Azure Synapse Analytics, Azure SQL, and Data Lake.

Guided the organisation through the EHDEN accreditation process, achieving accredited data partner status.

Created a novel containerised database unit testing framework for Azure Synapse distributed databases.

Azure Synapse Azure SQL Data Lake T-SQL Dapper Docker tSQLt

Oxford OMOP Data Mapper - Open Source Creation

Oxford University Hospitals NHS Foundation Trust

Authored the open source Oxford OMOP Data Mapper tool for transforming healthcare datasets to the OMOP research database standard. Emphasised documentation and traceability, transforming millions of healthcare records.

.NET 8.0 SQL Server Dapper Jekyll GitHub Pages Mermaid

Multi-Step Content System for Aerospace

Aquila Learning

Retrofitted a configurable multi-step content system for managing processes and maintenance in the aerospace industry.

.NET 8.0 Vue.js 3 EF Core SQL Server

AWS Migration & Modernisation

NHS England (NHS Pathways)

Led the migration of legacy projects to AWS with emphasis on documentation, testing, and governance. Migrated from .NET Framework to .NET Core, packaged products in Docker containers, and implemented blue/green Jenkins continuous delivery pipeline with infrastructure as code using Terraform.

.NET 7.0 React Docker AWS ECR Kubernetes Jenkins Terraform

National Health Data Analytics

NHS Digital (111 Online)

Developed specialist performant queries on very large datasets for a major national system. Independently produced prototypes combining datasets to reveal previously unseen trends. Maintained existing reports and data pipeline.

SQL Server 2019 Azure Data Factories Power BI .NET 6 HL7v3

Call Handler Certification System

NHS Digital (NHS Pathways)

Led a team of five developers to modernise nationally important applications for the 999 patient triage system. Completed a full rewrite and data migration of the 999/111 call handler certification system with Agile delivery and user engagement, complying with latest accessibility and security standards.

SQL Server 2019 .NET Core React Redux OAuth Dapper

Warehouse Stowing Assistant System

Maxilux Systems

Greenfield project to design and build a stowing assistant system deployed to 5 large sites across 3 continents, processing approximately 50,000 packages daily. Also created a manufacturing management system for component tracking overseas.

.NET 6.0 ARM Linux WebSockets AWS ECS Razor Pages

Custom Genome Collection Systems

Leeds Teaching Hospitals

Built custom genome collection systems for clinical use.

XSLT XPath XSLTForms HL7v3

National Organ Donation Preference Service

NHS Digital

Greenfield project to design and build an organ donation preference service, including governance for access to NHS patient lookup services with Smart Card integration.

.NET Core 3.0 Razor Pages Smart Card HSCN HL7v3

Clinical Data Collection Platform

Aire Logic

Migrated, modernised, and extended existing clinical data collection application. Also provided on-call support for critical legacy patient management system at Luton and Dunstable Hospital.

.NET Core 3.1 React TypeScript SQL Server AWS EC2 FHIR

GP Clinical Systems Development

EMIS Health

Worked across multiple areas of the flagship GP product including: secondary care prescribing module, secondary care bed management system, complete rewrite of clinical coding module (used to detect drug interactions on most UK prescriptions), and childhood immunisation system.

.NET Framework WPF SQL Server HL7v3

Our Team

James Cockayne

James Cockayne

Director

15 years of health IT experience in public and private sector. Primary care, secondary care and national programmes.

Jonny Rylands

Jonny Rylands

Lead Technical Architect – Health

Jonny has over 20 years experience working in Health IT. Over that time he has worked in the private, public and third sectors as a developer and technical architect on a national scale.

Get in Touch

Interested in discussing a project or exploring how I can help your organisation?

Contact

07729 483385

Location

Based in Leeds, UK

Clearance

Enhanced DBS