05 · About James
James Saunders · Founder & Principal Consultant
Thirty years in medical devices. Still learning.
I have spent my career at the commercial end of this industry. Building brands, launching products, entering markets, negotiating with distributors and living with the consequences of the decisions. That is what I bring to client work — not a framework, but a reasonably accurate sense of what is going to happen next.
My background is in wound care. That is where I learned the industry — a category where clinical evidence, reimbursement, procurement and the relationship with the clinician all matter at once, and where getting any one of them wrong is enough to stall a good product.
From there the work widened into ostomy, continence, skin health, nutrition and the broader world of single-use medical devices and consumables. Over thirty years that has meant commercial leadership, brand building, product development, international market development and partnerships in more than thirty countries across four continents, for some of the industry's most recognised names and for small businesses with everything still to prove.
Across brands I have launched, transformed or revitalised, that work has generated more than £100m in sales.
I set up Med Dev Services to do that work independently. Independence matters here: no product to push, no parent company's portfolio to favour, and a deliberately limited client list so that the advice stays specific and the confidentiality stays real.
I still find this industry genuinely interesting, which is the honest reason I am still in it. Markets shift, reimbursement rules get rewritten, procurement changes what it will accept as proof. Thirty years buys you pattern recognition. It does not excuse you from paying attention.
James Saunders
James Saunders · Founder & Principal Consultant
30
Years in the industry
£100m+
Sales generated
30+
Countries worked in
The experience
What thirty years actually covers.
Roles have changed. The categories and the commercial questions have stayed remarkably consistent.
- Categories
- Wound care, ostomy, continence, skin health, nutrition and related medical consumables — predominantly single-use devices.
- Commercial leadership
- Brand building, commercial strategy, pricing, portfolio management and team development within manufacturer and brand-owner organisations.
- Product development
- Product sourcing, own-label ranges, new product development, testing and validation, lifecycle management.
- Market development
- Market entry and expansion across more than thirty countries and four continents, with the UK and Europe at the centre.
- Partnerships and distribution
- Distributor identification, appointment and management; OEM and private label; supplier sourcing; commercial negotiation.
- Market access and evidence
- NHS market access, Part IX of the Drug Tariff, value-based procurement, clinical and economic evidence, post-market surveillance.
- Capability development
- Building commercial and product-management capability inside client teams, now formalised as the Med Device Academy.
Working with James
01 · Independent
No product to sell you
Med Dev Services has no portfolio of its own and no parent company's range to favour. The recommendation is the recommendation.
02 · Senior
You deal with me
No account team, no handover to a junior consultant after the pitch. Where a programme needs specialist partners they are named, and you meet them.
03 · Limited
A small client list, on purpose
Fewer clients means genuine focus, real confidentiality and the ability to avoid competitive conflicts rather than manage them.
Expertise is most valuable when it is shared. The goal is better businesses, better-informed teams and, ultimately, better outcomes for the patients who rely on these devices.