Product Engineer (Mid-Level)

London, United Kingdom · LondonFull Stack Engineer£40k–£80kPosted Apr 30, 2026
Product Engineer (Mid-Level) LocationLondon (Shoreditch)Employment TypeFull timeLocation TypeHybridDepartmentProduct & TechnologyEngineeringCompensationMid-Level£40K – £80K • Offers Equity📍London/ Hybrid £40,000 - £80,000 + share options up to £30,000 + Benefits💬 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.The teamOur engineers have sat in GP waiting rooms. They've watched practice managers juggle three systems at once to send a single message to a patient. They build for that person.What sets our Product Engineers apart is that they own the problem, not just the code. They shape what gets built and how - working with Product, Design and Clinical from the earliest stages - and they stay with the systems they build as they evolve. They bring engineering judgment into product decisions, and product thinking into engineering ones.Our stack is primarily C# on the backend, TypeScript and React on the frontend, running on Azure. ML/AI work uses Python. We don't expect you to know all of it - we expect you to follow a problem wherever it leads.What you'll be doingOwning features end-to-end: from refining the problem with clinicians and product managers through to architecture, implementation, rollout, and long-term evolutionEngaging directly with NHS GPs, practice staff and patients to build a genuine understanding of the problems you're solving — research sessions, visiting practicesDesigning architecture and API boundaries with the broader system in mind, not just the immediate surfaceHolding 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 contextMaking the architectural calls that keep our codebase sustainable — improving system health alongside shipping features, not instead of itPushing back constructively when something is wrong, and committing fully when a decision has been madeWhat experience you need to be successfulComfortable 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-endProven ability to reason about systems - breaking ambiguous problems into tractable pieces, spotting trade-offs and second-order effects before they become incidentsComfortable with ambiguity and early-stage problem definition; you shape the work rather than wait for a finished specYou 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 constraintsCuriosity about AI tools and how they change the way you work, with the judgment to know when to rely on them and when not toWhat we’re looking for to demonstrate as a Product Engineer at Accurx You start from the user problem, not the technology. You 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.You can break ambiguous problems into tractable pieces and see how those pieces connect across boundaries. You spot seams, trade-offs, and second-order...

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