You will design and scale the core infrastructure behind an AI voice platform that answers patient calls instantly across 100+ GP practices. By building real-time event-driven systems and integrating with clinical databases like EMIS, you will directly solve the NHS phone queue crisis, improving healthcare access for thousands of patients.
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Borehamwood, United KingdomUp to £80k
Backend Software Engineer at award-winning UK healthcare AI startup
The NHS is drowning in phone calls, and this award-winning healthcare AI startup is solving the crisis. They've built AI voice agents that handle hundreds of concurrent patient interactions in 200+ languages—eliminating wait times for over 100 GP practices. They are looking for a heavy-hitting Backend Engineer with 5+ years of Node.js experience to own the core infrastructure scaling this impact. With £80k salary, visa sponsorship for UK-based candidates, and a mission that directly improves patient access, this is a rare chance to build high-concurrency systems that matter. Work on real-time telephony, AWS architecture, and deep clinical integrations.
Overview
Role overview
Company
InTouchNow
Award-winning UK healthcare AI startup automating NHS patient access
Responsibilities
What you will do
- Architect and scale real-time backend services using Node.js to manage high-concurrency voice AI workflows and streaming data.
- Build robust integrations with critical NHS clinical systems like EMIS and SystmOne to automate appointment bookings and triage.
- Optimize system performance and latency for telephony-based AI responses to ensure a natural, seamless patient experience.
Candidate profile
Who this is a fit for
- Has 5+ years of experience building scalable production backend systems specifically with Node.js and distributed architectures.
- Possesses deep knowledge of event-driven systems, WebSockets, or real-time streaming within AWS environments.
- Demonstrates a strong ability to own systems end-to-end and solve complex integration challenges in regulated or high-stakes industries.
What makes it remarkable
Why this role is remarkable
- Impact millions of lives by eliminating NHS phone queues with AI voice agents that handle hundreds of concurrent interactions in 200+ languages.
- Join a rapidly scaling, award-winning company (Best Provider of Digital Healthcare Services 2026) that is already deeply embedded in NHS workflows.
- Own the core backend architecture during a high-growth phase, with full visa sponsorship available for UK-based candidates.
Jack & Jill
How Jack & Jill work together
I get to know what you’re great at, then find roles you’d never find yourself.Ok, I'll go first. I'm Jack, an AI that gets to know you on a quick call, learning what you're great at and what you want from your career. Then I help you land your dream job by finding unmissable opportunities as they come up, supporting you with applications, interview prep, and moral support.
I recruit from Jack’s network and make the intro when I spot a great match.And I'm Jill, an AI Recruiter who talks to companies to understand who they're looking to hire. Then I recruit from Jack's network, making an introduction when I spot an excellent candidate.
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