Accurx Product Engineer
London/Hybrid location
£115,000 – £135,000 salary + £50,000 share options
Overview
Accurx is where conversations happen with and about patients. For decades, the NHS has struggled with fragmented systems that make simple tasks feel impossible. We’re changing that by building a single, system-wide platform that connects everyone through communication.
What started as a way for GPs to text a patient has now evolved into an all-in-one digital toolkit used by 98% of GP practices. Our platform now powers Total Triage to manage patient demand, and Self-Book, which lets patients schedule their own appointments in seconds. We’ve automated routine care with Patient Questionnaires for long-term conditions, while Accumail finally allows staff-to-staff communication to happen instantly across different care settings. We’re now pushing the boundaries of the consultation itself with Accurx Scribe, our AI-powered note-taker that drafts medical notes in real-time.
What you’re going to do
Own features end-to-end: from refining the problem with clinicians and product managers through to architecture, implementation, rollout, and long-term evolution
Engage directly with NHS GPs, practice staff and patients to build a genuine understanding of the problems you’re solving — research sessions, visiting practices
Design architecture and API boundaries with the broader system in mind, not just the immediate surface
Hold the quality bar for what you ship: not just that the code works, but that the product is reliable, intuitive and safe in a clinical context
Make architectural calls that keep our codebase sustainable — improving system health alongside shipping features, not instead of it
Pushed back constructively when something is wrong, and commit fully when a decision has been made
What experience you need
Comfortable building production software across the stack – you might be strongest in backend or frontend, but you can follow a problem across both to own a feature end-to-end
Proven ability to reason about systems – breaking ambiguous problems into tractable pieces, spotting trade-offs and second-order effects before they become incidents
Comfortable with ambiguity and early-stage problem definition; you shape the work rather than wait for a finished spec
Treat engineering quality as part of the job – managing technical debt pragmatically, reviewing AI-generated output critically, and pushing for the right architectural decisions under real constraints
Curiosity about AI tools and how they change the way you work, with the judgment to know when to rely on them and when not
What we’re looking for
Start from the user problem, not the technology. Know what to build, what not to build, and why. In the AI era, that also means knowing what to delegate, what needs human judgment, and what shouldn’t exist at all.
Break ambiguous problems into tractable pieces and see how those pieces connect across boundaries. Spot seams, trade-offs, and second-order effects – thinking both from big to small and small to big.
Pick up unfamiliar code, systems, and assess AI-generated output. Spot flaws before being told, and understand why something is wrong.
Have strong expertise in at least one area and can use it to build, debug, and improve real systems effectively. Know what “great” looks like in your domain and reliably get there.
Own outcomes, not just tasks. Influence across teams, navigate disagreement to reach the right answer, own mistakes, and push hard for the wins that matter.
Actively experiment with AI tools to push the boundaries of what’s possible today, with scepticism to avoid overhyping what they can do.
Learn and experiment with AI tools consistently, pushing the boundary of what’s possible today, with healthy scepticism that keeps you from overhyping what they can do.
What’s in it for me?
You’ll be joining an established but fast-growing Tech for Good movement, led by our Principles and mission to fix healthcare communication.
£115,000 – £135,000 salary + £50,000 share options
Benefits to suit you: adjust your healthcare cover, your pension or life insurance, whatever stage you’re at in life
Flexible working: We are an office-first culture and ask that you’re in our Shoreditch office 3 days a week, with core hours of 10am – 4pm
Time off: You’ll get 28 days of holiday (plus bank holidays) and up to 4 weeks to work from anywhere per year
Family matters: We offer enhanced parental leave, fertility support and parental loss support
We have our very own Chef! Free healthy breakfasts, snacks and lunches will be provided, with the occasional sweet treat!
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