Founding Product Engineer - Applied AI in London

Let's make the NHS the most advanced healthcare system in the world. The world’s best healthcare, for free. It’s not a new idea, it’s called the NHS. But the largest healthcare provider is fundamentally broken. So we’re on a mission to fix it with technology that actually works.

We love the NHS because it’s accessible to all, free at the point of delivery and employs millions across the UK. But we’ve all read the headlines. It’s under intense pressure with rising costs, GP strikes, budget uncertainty and an ageing population. Which means longer wait times, fewer appointments and lower quality care for the people who need it most. The NHS is beautiful, but broken.

The largest cost (£66bn+) is staff, who spend a ridiculous amount of time on mundane admin. 35% of NHS staff are employed to complete administrative work all day, every day. And that’s where we’re making a difference.

We’re focused on relentlessly automating repetitive processes within the NHS. Our first product, Automated Registrations, is already used by 24% of GP practices in England. With this wedge in the market, we’re now building more powerful tech that unlocks access to healthcare for the entire nation.

Our Principles:

• Care deeply
• Work hard
• Be your word
• Trust in radical truth and transparency
• Do your life’s best work
• Find the fun

Why this role matters: 35% of NHS staff time is spent on admin. That’s the opportunity. Our first product is already used by 26% of GP practices in England, and we’re now scaling a platform that transforms how patients and clinicians interact with healthcare.

As one of our Senior Product Engineers, you’ll own and shape the experiences used every day by patients and clinicians where performance, clarity, and reliability directly impact care.

What we’re looking for: We’re reimagining how technology, data, and AI can empower every team across the business. You’ll help build the platforms, tooling, and guardrails that enable teams to move faster while maintaining the highest standards of quality, security, and reliability.

Some of the challenges you’ll tackle include:

• Designing modern engineering workflows that accelerate delivery, increase autonomy, and improve developer experience across the organisation.
• Building shared tools and platforms that make information accessible, discoverable, and actionable for every team.
• Connecting knowledge across departments, enabling insights from customer conversations, support interactions, product discussions, and operational meetings to be surfaced whenever and wherever they’re needed.
• Creating a unified, queryable data ecosystem that breaks down silos and allows people to ask meaningful questions across the entire business.
• Leveraging AI and automation to uncover opportunities, identify trends, and surface insights before anyone even knows to ask the question.
• Developing systems that amplify the impact of individuals and teams by sharing best practices, highlighting successful approaches, and accelerating the adoption of new ideas across the company.

This is an opportunity to work on foundational technology that influences how the entire organisation collaborates, learns, and delivers value to customers.

Our Tech Stack:

• Fullstack (Backend leaning): React, TypeScript (core focus)
• APIs: Designing and consuming scalable, well-structured services
• Data: Working with production systems and performance considerations
• AI: Integrating modern AI models into real-world healthcare workflows

Experience in scaling product environments or high-stakes domains (health, finance, infra) is a strong advantage.

We’re based inside a GP practice, so you can walk downstairs and see the real-world impact of your work.

Why join our engineering team:

• Build technology that actually matters at national scale
• Solve complex, meaningful problems with real-world constraints
• Work in a high-performing, product-led team
• Have real ownership, real responsibility, and real impact

A bit about us: We’re all NHS staff. We’re inside-outsiders. Trusted with one of the biggest datasets in the world. Our office is within a GP practice. This is our unfair advantage.

We highly prioritise in-person communication and prefer candidates who want to work 4+ days a week in the office. Our anchor days are Mon, Tues and Fri. Homemade breakfast and lunch are on the house every day when you’re in the office, ensuring you’re fuelled for success.

We work in growth cycles. Every 8 weeks we do the same set of activities. 1 week outside of Business-as-Usual to research, strategise, plan our work. 7 weeks to knuckle down and deliver it.

We’re highly collaborative. One of the benefits of a high-trust team is we often work autonomously, but as a team we’re very collaborative by nature.

We’re backed by industry leaders. We’re on the DigitalHealth.London Accelerator, backed by the NHS Clinical Entrepreneur Program, winners of the London Business School Healthtech Challenge, Innovate UK, and Y Combinator (S23).

An opportunity for real upside:

• Paid volunteer days. We offer an additional 2 paid days off per year where you can give back to your mission of choice.
• Every 8 weeks we take a day off to socialise as a team.
• Learning budget of £250 annually and time off to spend it.
• Health and fitness budget of £60 per month.
• An additional 7 days of paid leave is available if you want to take time to learn how to meditate.
• Tooling; You’ll have your choice of operating systems and any additional tools you need to do your best work.
• Generous sick leave policy with additional days that can be taken for mental health leave.
• Parental leave: Post passing probation it is statutory - 6 weeks 90% pay then, SMP for 33 weeks; if you’ve been an employee for a year: 12 weeks 100% pay then, SMP for 27 weeks; and if you have been here for 2 years: 18 weeks 100% pay then, SMP for 21 weeks.
• Fertility leave. We understand how difficult a fertility journey can be. This is why we give an extra 5 days off per year if you or your partner are going through fertility treatment.
• Pension - We operate a standard 3% employer contribution and employees auto-contribute 5% of their salary.
• Local living benefit - A one-off benefit to support living closer to the office.
• If you choose to work late in the office, you can expense dinner after 7pm and an Uber home after 9pm.

And of course, an adventure of a lifetime!

Inclusive & Diverse by Design: We care about building a product that is loved and a culture that is rich in perspectives, experiences, and backgrounds. Our team represents more than ten different cultures. We come together every lunch time for a home cooked meal, rotated among team members!

We want everyone in our team to know that they belong. We are purposeful about this and are proactively building a company that is inclusive of all people.