I met James when we set up the first disfigurement support unit within the NHS - The Outlook service at Frenchay hospital, Bristol. The aim was to pilot and evaluate psychological methods with disfigurement. James was a wonderful person to work with, he was truely inspirational and engaging. He was great at building conections at all levels and in communicating a vision that we all wanted to support. His focus on coping and development as a human being was amazing. Through my job in Outlook I learned so much, not only about this new and exciting clinical field, but also about the collaboration across clinical services, research and user groups. It is thanks to James that the unit survived long after its pilot period and and that the issue of disfigurement today has become integrated in main stream services.