Dear Readers,
This week on Out of Programme, we’re joined by Dr James Somauroo — a former anaesthetist who nearly raised a £40 million health tech fund before pivoting to build one of the sector’s most respected communications agencies. His journey from the son of a Mauritian nurse who dreamed of consultant status for his child, to realising that his true calling lay in “fixing the system” rather than treating patients, is a masterclass in career reinvention.
🎧 Watch the full episode on YouTube:
You can also listen on: 🎧 Spotify
👨👦 The Immigrant Father’s Dream - James never felt drawn to medicine; his Mauritian nurse father had embedded the idea that becoming a doctor meant security. Only after qualifying did he realise his skills lay elsewhere.
🔄 From Treating Patients to Fixing Systems - Small frustrations sparked James’s pivot: wondering why 29 of 30 hospital printers were broken. He became addicted to fixing systemic problems and seeing the disproportionate results.
🏛️ Learning the Policy Game - The Bruce Keough Fellowship gave James his first taste of life outside clinical practice. He learned how policy levers work — how a recommendation can become a contractual requirement across the NHS.
🤝 A Serendipitous Meeting in Shoreditch - Bumping into Professor Tony Young on a Shoreditch street led to James helping set up the Clinical Entrepreneur Programme. It was a lesson in how opportunities emerge through messy, personal interactions.
💰 The £40 Million Fund That Never Was - After rising to co-director of the Digital Health London Accelerator, James nearly closed a £40 million health tech fund with £24 million verbally committed. Then COVID hit, the investor pulled out, and the collapse forced him to confront what he actually wanted.
💡 The Liberating Realisation - James’s key insight when starting SomX was simple: a business is just an agreement and a bank account. This gave him “utter freedom” to build on his own terms.
James’s episode is proof that:
🧭 Being pushed into a career is different from being pulled toward one — and understanding which force is driving you matters enormously for long-term fulfilment
🎲 Serendipity favours those who increase their surface area for luck — showing up consistently, doing the fundamentals well, and staying open to unexpected encounters
💼 Doctors bring unique value to health tech — particularly in marketing and communications, where clinical credibility and understanding of the system are genuine differentiators
🤝 Building a business with your life partner is possible — when you share values, divide responsibilities clearly, and bootstrap deliberately rather than chasing venture capital
As James says:
“Find what pulls you in, not what pushes you out. Don’t take any port in the storm.”
Applications are open for the BiteLabs Digital Health, AI & Innovation Fellowship — cohorts in both the UK and the US.
BiteLabs is where clinicians build, launch and lead in digital health.
800+ fellows · 200+ advisors · £15M+ raised · Rated 4.9 on Google.
Apply via Out of Programme and you’ll receive:
✅ Extra points on your application
🎯 A 1:1 career coaching session with the BiteLabs team
🤝 A personal session with a BiteLabs founder
🔗 Apply at bitelabs.io
💬 Use referral code: OUTOFPROGRAMME in your application form
💡 Subscribe for more stories of career reinvention:
🗞️ Substack | ▶️ YouTube | 🎧 Spotify | 🍏 Apple Podcasts | 🔗 LinkedIn
If you know someone contemplating their next move — share this episode with them!
Until next time,
Dr Jing Ouyang
👉 Follow me on LinkedIn for a behind-the-scenes look and reflections on Out of Programme.
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