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 - £90,000Application close date: 11:00am Friday 21st August 2026RequirementsWhat you'll do:Design and build reliable, maintainable features across the frontend, backend and databaseTake ownership of projects from initial idea through to production and supportWork directly with product, marketing and operational colleaguesImprove the architecture, performance, security and reliability of the platformIntegrate with the external partners and services our platform relies on, such as payments, pharmacy and communicationsUse AI tooling to ship faster and better, and help us keep getting more out of itInvestigate production issues and fix their underlying causes, not just the symptomsHelp set pragmatic engineering standards as the team growsShare what you know and help make the whole team betterOur tech stackWe're a TypeScript house, front and back. Today that means:TypeScript everywhereReact and Next.jsNode.jsPostgreSQL and SupabaseREST APIs and third-party service integrationsVercel for hosting, with CI/CDAutomated testing, Sentry and production monitoringAI-assisted development as part of our everyday workflowYou 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 YouYou'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 workWorking in a small team and seeing the direct effect of what you shipSolving problems across the whole stackSimple, well-defined modules and interfaces over unnecessary complexityChipping in across disciplines and helping the wider teamContinually improving the tools, processes and practices around youA fast-moving environment where priorities shift as we learn, and where you help decide the right approach rather than waiting for a full specEssential ExperienceAt least 5 years of professional software development experienceStrong commercial experience with TypeScript and ReactExperience designing and building backend services and APIsSolid knowledge of relational databases and SQLExperience working in a startup, scale-up or other small, fast-moving teamComfortable making sound technical decisions with limited supervisionUseful ExperienceAny of these would be a bonus, but none are required:Next.js and Node.jsPostgreSQL or SupabaseExperience getting real leverage from AI coding tools (e.g. Claude Code, Copilot, Cursor)Healthcare or another regulated industryPayments and subscriptionsThird-party service integrationsCI/CD and cloud deploymentApplication security and data protectionMonitoring, observability and incident investigationBenefitsWe 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.