Senior Full Stack Engineer

Medicspot is a startup tackling one of the biggest health challenges of our time: obesity. Almost three quarters of adults aged 45–74 in England are overweight or obese, and the problem continues to grow. We deliver GLP-1 weight-loss programmes that help patients across the UK lose weight sustainably and reduce their risk of obesity-related health conditions.

Medicspot is now part of Doctor Care Anywhere 'DCA' following a recent acquisition. This gives us the backing, scale and resources of a larger organisation while allowing our team to retain the speed, ownership and entrepreneurial culture of a startup. As part of DCA, you'll be working within the Medicspot engineering team, helping to shape the future of our products while benefiting from the support and opportunities of the wider group.

We're a passionate, experienced team that loves building products our patients genuinely value, solving problems at their root, and constantly finding better ways to work.

We're now looking for a Senior Full Stack Engineer to join us as the third member of the Medicspot engineering team.

Salary band depending on expereince: £80,000 - £90,000

Application close date: 11:00am Friday 21st August 2026

What you'll do:

• Design and build reliable, maintainable features across the frontend, backend and database
• Take ownership of projects from initial idea through to production and support
• Work directly with product, marketing and operational colleagues
• Improve the architecture, performance, security and reliability of the platform
• Integrate with the external partners and services our platform relies on, such as payments, pharmacy and communications
• Use AI tooling to ship faster and better, and help us keep getting more out of it
• Investigate production issues and fix their underlying causes, not just the symptoms
• Help set pragmatic engineering standards as the team grows
• Share what you know and help make the whole team better

Our tech stack

We're a TypeScript house, front and back. Today that means:

• TypeScript everywhere
• React and Next.js
• Node.js
• PostgreSQL and Supabase
• REST APIs and third-party service integrations
• Vercel for hosting, with CI/CD
• Automated testing, Sentry and production monitoring
• AI-assisted development as part of our everyday workflow

You don't need to have used every tool on this list - Next.js, Supabase, Vercel and the rest are all learnable on the job. But because we're a small team and you'll need to hit the ground running, we do need you to be strong with TypeScript and React from day one.

About you

You're an experienced full stack engineer who's comfortable moving across product, application and database concerns. You can take a fuzzy, half-defined problem, ask the right questions, and turn it into something real and well-built. You know when a robust abstraction is worth the investment and when a simpler approach is the smarter call.

You care about the quality of what you build, but you also get that good engineering means balancing maintainability, delivery speed, risk and what the user actually needs. You communicate clearly with technical and non-technical people alike, and you're happy taking responsibility for important decisions.

 

You'll probably enjoy it here if you like:

• High autonomy and genuine ownership of your work
• Working in a small team and seeing the direct effect of what you ship
• Solving problems across the whole stack
• Simple, well-defined modules and interfaces over unnecessary complexity
• Chipping in across disciplines and helping the wider team
• Continually improving the tools, processes and practices around you
• A fast-moving environment where priorities shift as we learn, and where you help decide the right approach rather than waiting for a full spec

Essential experience

• At least 5 years of professional software development experience
• Strong commercial experience with TypeScript and React
• Experience designing and building backend services and APIs
• Solid knowledge of relational databases and SQL
• Experience working in a startup, scale-up or other small, fast-moving team
• Comfortable making sound technical decisions with limited supervision

 

Useful experience

Any of these would be a bonus, but none are required:

• Next.js and Node.js
• PostgreSQL or Supabase
• Experience getting real leverage from AI coding tools (e.g. Claude Code, Copilot, Cursor)
• Healthcare or another regulated industry
• Payments and subscriptions
• Third-party service integrations
• CI/CD and cloud deployment
• Application security and data protection
• Monitoring, observability and incident investigation

We understand the importance of health and wellbeing, for our patients and for our team. As a valued member of our business, you’ll be supported, respected, and empowered to grow, with the freedom to make the most of your role and your career. As part of our team, you’ll have access to:

👩‍⚕️ Doctor Care Anywhere subscription: For you and 5 of your loved ones, Get ready to enjoy health consultations on the go!

💰 Company Bonus: We love rewarding our team for their dedication and achievements.

🏝️ 25 Days Holiday + Bank Holidays: You've earned it! Enjoy time off to recharge, explore, and make incredible memories.

🎁 Birthday Day Off: Go and celebrate however you like!

🧘‍♂️ Buy' up to 5 days of additional annual leave (FTE) as part of our focus on health and wellbeing

🌈 Charity Days: Join us in giving back to the community! We're all about making a difference together.

👶 Enhanced Maternity and Paternity Pay: We've got your back with extra support during this special time.

🚴 Bike2Work Scheme: We love an eco-friendly commute!

🌐 Cross-Team Collaboration Opportunities: Join the fun in our autonomous work environment with plenty of chances to collaborate and shine.

🏡 Hybrid Working:  An agile and autonomous hybrid work environment.

🚀 Development Opportunities: Get ready to grow, learn, and make strides in your career!
🌍 30-Day Work Abroad Allowance Take your laptop overseas and work for up to 30 days a year.

Doctor Care Anywhere is an equal opportunity employer. We're committed to creating an inclusive environment for all employees.

Doctor Care Anywhere is committed to safeguarding and promoting the welfare of its patients and expects all Colleagues to share this commitment. This post is subject to satisfactory DBS and reference checks.