Senior Software Engineer

How to make free healthcare sustainable?

We automate repetitive processes for healthcare systems. We’re starting with the most famous: the NHS.
  • We love the NHS because it’s accessible to all and free at the point of delivery. It’s a beautiful thing 💙
  • Post-covid the service is under intense pressure, made worse by an ageing population. It will die if the cost of provision isn’t cheaper. The largest cost (£66bn+) is staff.
  • Our staff are spending a crazy amount of time on mundane admin. Literally, 35% of NHS staff are in administrative functions
  • Healthtech-1 automates repetitive processes - liberating staff, improving the patient experience and dramatically reducing the cost of provision. That’s how you make free healthcare sustainable.
  • Our first product launched 20 months ago for 'New Patient Registrations' is now live in over 530 NHS Primary Care Practices. Our second product moves into clinical admin, automating lab report filing for GPs. It launched 5 months ago and we’re growing it now.

Come join our team of engineers, operators and clinical experts building the world’s most productive healthcare system!


Raj presenting at the NHS Innovation Conference 2023

Table of Contents

A dark January afternoon 🌚
A dark January afternoon 🌚
Hiking Yosemite 🏔️
Hiking Yosemite 🏔️
Hiring, Healthtech-1 style 💃🏽
Hiring, Healthtech-1 style 💃🏽

👋 You’re a senior software engineer looking to do your life's best work

  • You have proven consistent success as a Senior Software Engineer (Backend, Product or Fullstack). We’re looking for engineers who can hit the ground running.
  • You’ve built production applications at scale using TypeScript. We rely heavily on TypeScript on both the backend and frontend with MongoDB as our data store.
  • You have experience deploying, scaling and maintaining cloud applications and databases. We work with Azure.
  • You are happy working in a user-centric business. You’re willing to speak to real practice staff and optimise for releasing something impactful for users, quickly.
  • You are comfortable working on critical projects in the face of pressure and uncertainty, both technically and organisationally. You’re happy to tackle problems without a clear definition or solution.
  • You enjoy working collaboratively and place team success over personal success. You’re happy to work closely and openly with colleagues to solve problems together.
  • You are comfortable being pragmatic when trading off speed with technical debt. You’re happy putting something out there when it’s “70% done”. Contrastingly, you’ll also know when something has to be 100% right. In our patient facing context, cutting the wrong corners leads to risk.
  • You lead by example. You seek to empathise with customers, understand internal and external stakeholders, uphold a high quality bar, provide actionable feedback, and level up those around you.

Nice if you have:

  • You worked in a start-up. You’ve worked in many codebases, and know how they scale.
  • You have production experience working with RPA, Intelligent Automation or Bots.
  • You’ve built systems that adhere to NCSC cloud security principles and OWASP Top 10.
The mindset you bring is far more important than your familiarity with our tech stack or tools. If your work experience doesn’t match the above don’t let that dissuade you, we will make room for exceptional talent.
Pete & Raj presenting Healthtech-1 at Digital Health Rewired Conference
Pete & Raj presenting Healthtech-1 at Digital Health Rewired Conference

💪 The work you’ll do is deeply important

  • We are looking for a Senior Fullstack Engineer to help us deliver the next workflow automation products that NHS healthcare workers use and love. ‘Use’ meaning we 10x their productivity and ‘love’ meaning our products are a delight to use. We’re ultimately serving patients - our grandfathers, our mothers, our sisters - this is real impact for people in need.
  • You’ll plan, build and deploy some of our upcoming projects 🚀:
    • solving scaling challenges as we roll our flagship registrations product to every GP in the nation 🇬🇧
    • building new functionality using a suite of national NHS APIs on top of our own automation APIs
    • architecting scalable load-balancing systems for workflow orchestration
    • building resilient automated deployment pipelines
    • upgrading testing pipelines with scenarios
    • developing a world-class healthcare staff facing portal
    • automating the next admin task in primary care
  • Your role will kick off with mastering our overall product architectures, APIs, RPA suite, shadowing other developers and learning the ropes. You’ll immediately have exposure to our processes and documentation, and learn how we work and who we are.
  • You’ll get stuck into building and releasing new products and new features on top of existing products used by NHS staff up and down the country. You’ll ship high impact code, daily!
  • You’ll be relied upon as one of our key technical experts, problem solving ambiguous product, scale and workflow automation challenges within the NHS ecosystem. You’ll help shape our engineering culture with a product focus.
  • Bugs are bugs, and we’re not immune to them either. You’ll be quality focussed, squashing the critical ones as they arise, assisting the customer success team with troubleshooting where necessary.
Raj’s Dad (GP of 35 years) giving the team a lesson on the NHS
Raj’s Dad (GP of 35 years) giving the team a lesson on the NHS

✨You’ll be joining a special bunch of people

We’re assembling a world class team of experienced, product-minded engineers - our early team is made up of people who have spent years writing software for companies like Monzo, Barclays, BBC, VMware and Accurx.

As an early engineer, this is a unique opportunity to help shape the product, and the way we build it. We’ve laid some good foundations, but we’re still very early in our journey, have a tonne of things we want to build, and a lot to learn along the way!

😌 Loving the doing

⛩ We’re principled. Do your life’s best work, have a co-founders mindset, trust in radical truth and radical transparency, find the fun and provide one less task.

🏎 We move fast. In 22 months: Idea→ MVP → First Paid Practice → Compliance & Security up to scratch → V1 product built → 10/10 Pilot Practices Convert → Founding Engineer Hired → 35 Live Practices → Founding Clinician Hired → 25,000 new patient’s registered → Borough wide contract won → 450k Innovate UK Grant won → 100 LIVE Practices → Backed by Y-combinator.

💪 We love the doing. By doing so we’ve never really working - we’re living to the fullest. Finding joy in creation, friendship in adventure, and meaning in our output.

⚙️ We invest heavily in developer experience. Whether it’s metrics, logging, tracing and error tracking, or development workflow. Either a top of the range MacBook or Windows machine, and budget for other equipment should you need it.

Music, oats and lighting = peace.
Music, oats and lighting = peace.

🎊 We’re TypeScript fans. TS has helped us evolve and adapt our product to our customers quickly. We’re looking to take this to the next level with type safety and more powerful node services.

✏️ We believe code isn’t everything. We value thoughtful proposals, clear documentation, tests and commit messages and try to be kind to “future us”. We’re also pragmatic - sometimes we need to make tradeoffs here, and we trust each other to use our experience to make them wisely.

💙 We’re all NHS staff. We’re inside-outsiders. Trusted with one of the biggest datasets in the world.

🏥 We work next to our users. Our office is inside a GP practice, and it makes us better at what we do. Got a question? Pop down the corridor. Want to learn how your work affects real user? Pop downstairs. This is our unfair advantage.

🌀 We work in growth cycles. Every 6 weeks we do the same set of activities. 1 week outside of Business-as-Usual to research, strategise, plan our work. 5 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. Two heads are often better than one, and we frequently lean on each other to solve problems together.

🤜🏽 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 and the prestigious Innovate UK, and Y Combinator

🚀And an opportunity for real upside

  • Salary range between £70k - £95k
  • A considerable equity package, as a core team member.
    • We’re still a young startup, so if you take less cash, you’ll get more equity.

✨ Other Benefits

  • If you’re in the office, lunch is on the house! 🙌🏽
    • We work 4 days in the office and 1 day remotely
  • Any equipment to help you do your life’s best work!
  • Annual learning budget 📚
  • All NHS Staff benefits - don’t underestimate this 😂
  • Once a year we’ll holiday together. We’ve been skiing in Val d’Isere ⛷, hiking in Yosemite ⛰️ and practice pitching in sunny Birmingham ☀️
  • Our holiday policy is “Take what you need”. Breaks are important for mental resets and spending quality time with the people we love.

🌈 We’re diverse by default

  • We care about building a product that’s loved and a culture that is rich in perspectives, experiences, and backgrounds.
  • We don’t care about race, religion, colour, national origin, sex, sexual orientation, gender identity, age or disability. It comes naturally to you - the founders are British Chinese and British Indian.
  • If we’re a match, we’ll do what it takes to make working together a dream.
👵🏽 Grandma’s cooking, served at the office (inside a GP practice)!
👵🏽 Grandma’s cooking, served at the office (inside a GP practice)!

💙 You’re interested, apply now →

We’re a growing startup that likes to really get to know new people so our process is short but intensive. If you’re interested please submit this quick form to get started.

Like what you’re reading, but not ready to apply? Drop us your email below

Every 6 weeks, Raj will write you a radically transparent update email. We hope by sharing our wins and losses with you as they happen (the gloss ✨ and the grit 😩), we can bring you a unique and honest insight into the incredible company we're building 🚀