Job summary

Smart General Practice builds "technology that understands practice": AI tools designed by GPs and built by NHS practices to take pressure off general practice. Our mission is to intelligently triage patients and remove the frustrations at the practice front door. We were founded by practising GPs and collaborated with receptionists and administration staff such as Pharmasists to provide our services to real problems.

You will design, build and run production software across the SMART platforms, from AI voice pipelines and triage APIs to the web front ends practices and patients use. You report to the CTO and work alongside the engineers who built and grew the platform to where it is today.

At SFIA Level 4/5 you work autonomously under general direction, own complex features end to end and lead reviews of colleagues' work. As you move to Level 5/6 you take technical responsibility across all stages of development for a product or service, set and monitor engineering standards, and give authoritative guidance to the team and the CTO.

This is a hands-on role in a small, fast-moving team. What you ship reaches real patients and real surgeries, often within the same sprint.

The salary for the role sits between £60,000-£70,000 per annum, depending upon experience.

Main duties of the job

• Estimate and plan work in sprint planning, and deliver against agreed sprint goals
• Build and integrate AI features using LLMs, speech-to-text and text-to-speech, including prompt design, tool calling and evaluation
• Design and maintain secure REST APIs and integrations with GP clinical systems and NHS partners
• Deploy and run services on Microsoft Azure using CI/CD, infrastructure as code, monitoring and alerting
• Resolve live operational issues and bugs in services that patients rely on
• Write clear technical documentation in Confluence and support clinical safety (DCB0129) and information security (ISO 27001, DSPT) evidence
• Apply version control and change control to protect work and keep releases traceable

About us

You will join a small engineering team that reports to the CTO and works side by side with GPs, practice staff and our clinical leadership. Our Chief Medical Officer is also our Clinical Safety Officer, and our COO leads information security, so clinical, security and engineering decisions are made in the same room. The engineers you will work with built SMART Voice, SMART Navigation, SMART Consult and SMART Med Check, and they know every part of the platform.

The atmosphere

We work inside a real GP practice in Bramley, Leeds. When a feature ships, you can walk down the corridor and see receptionists and clinicians using it. It is a startup in pace and a healthcare organisation in purpose: informal, collaborative and direct, with no layers between you and the people who make decisions. We are proud of what we build and share it openly, including speaking about SMART Voice at VapiCon 2026.

How we approach the work

• We ship. SMART Voice went from first build to answering real patient calls in around two months, and practices go live within a week.
• We own it. Engineers take features from design to production and stay with them when they are live.
• We are safe by default. Patient safety and data protection are part of the definition of done, not an afterthought.
• We are honest about capacity. We plan in sprints, track velocity and say no to work that would compromise quality.
• We learn together. Code reviews, pairing and retrospectives are how we raise the bar as a team.

Details

Date posted

14 October 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time

Reference number

A2381-26-0018-SGP

Job locations

16 Highfield Road

Leeds

LS13 2BL

United Kingdom

Job description

Job responsibilities

Our SMART platform includes:

• SMART Voice: AI telephony that answers, triages and logs patient calls, live in NHS GP surgeries
• SMART Navigation: intelligent clinical triage that gets patients to the right person first time, delivered as a secure API to clinical system partners
• SMART Consult: next-generation e-consultations over video and messaging that write back into the patient record
• SMART Med Check: safety-netting that gives patients clear guidance if their symptoms change

The role You will design, build and run production software across the SMART platform, including AI voice pipelines, triage APIs and the web front ends that practices and patients use. You will report to the CTO and work alongside the engineers who built and grew the platform.

At SFIA Level 4 you will work on your own under general direction, own complex features from start to finish, and lead reviews of colleagues work. As you progress to Level 5 you will take technical responsibility for every stage of development on a product, set and monitor engineering standards, and give authoritative guidance to the team.

Key responsibilities (SFIA 9 Programming/software development, PROG)

• Design, build, test, document and restructure complex programs, scripts and integration services
• Help select development methods, tools, techniques and security practices
• Apply agreed standards, tools and security measures to produce well-engineered, secure software
• Review your own work and lead code reviews; use test-driven development, good test coverage and pair programming
• Support and guide other engineers, delegating where appropriate
• Build and integrate AI features using LLMs, speech-to-text and text-to-speech, including prompt design, tool calling and evaluation
• Design and maintain secure REST APIs and integrations with GP clinical systems and NHS partners
• Deploy and run services on Microsoft Azure using CI/CD, infrastructure as code, monitoring and alerting
• Resolve live operational issues and bugs in services that patients rely on
• Estimate and plan work in two-week sprints and deliver against sprint goals
• Write clear technical documentation and support clinical safety and information security evidence
• At Level 5: plan and drive software construction, monitor adherence to standards, and contribute to development policies and guidelines

Our technical environment

• Cloud: Microsoft Azure (App Service, Functions, SQL Server, Communication Services, Entra ID)
• AI: Azure OpenAI, Azure AI Foundry, LLM agents with tool calling, Deepgram and ElevenLabs
• Voice:, Twilio, SIP trunking, SMS
• Back end: Node.js REST APIs, OpenAPI/Swagger, OAuth 2.0 and JWT
• Integrations: GP clinical systems such as EMIS, System One and Medicus, NHSmail
• Tooling: Jira, Confluence, Git, CI/CD, Power BI

Essential

• Commercial software engineering experience at SFIA Level 4, working on your own on complex features
• Strong grounding in the full software development lifecycle (SDLC)
• Hands-on experience building AI-powered features in production
• Proficiency in a modern back-end language, ideally TypeScript/Node.js, C# or Python
• Front-end experience with a modern JavaScript framework
• Designing, building and consuming secure REST APIs
• Building and deploying cloud-based systems, ideally on Microsoft Azure but AWS and GCP is accepted too!
• Automated testing, CI/CD and Git-based workflows
• Experience in an agile team using Jira
• Secure coding practice and experience handling sensitive personal data
• Clear communication with technical and non-technical colleagues, including clinicians
• Full right to work in the UK and able to be onsite in Leeds at least 3 to 4 days a week

Desirable

• Healthcare technology experience, especially the NHS and primary care
• Familiarity with GP clinical systems (EMIS, SystemOne, Medicus) or FHIR
• Knowledge of DCB0129/DCB0160, DSPT, DTAC, UK GDPR and DPA 2018
• Experience in an ISO 27001 or Cyber Essentials environment
• Voice AI, telephony or conversational agent experience
• Infrastructure as code (Bicep, ARM or Terraform)
• Mentoring engineers or leading technical decisions

The team and how we work You will join a small engineering team that works directly with GPs, practice staff and our clinical and security leadership. We are based inside a working GP practice in Bramley, so you will see your work used by receptionists and clinicians. We work in two-week Scrum sprints, ship quickly (SMART Voice went from first build to live patient calls in about two months), own what we build in production, and treat patient safety and data protection as part of the definition of done.

What we offer

• Work that NHS patients and GP surgeries rely on every day
• A clear SFIA 9 progression pathway from Level 4 to Level 5
• Regular 1:1s with the CTO
• Hands-on work with Azure, LLMs, voice AI and NHS integrations
• Real influence over architecture, standards and the product roadmap
• Annual leave and pension

Important information

• We cannot offer visa sponsorship. You must already have the full right to work in the UK.
• We do not work with recruitment agencies and will not accept CVs from recruiters. Direct applications only.
• Working onsite in Leeds at least 3 to 4 days a week is a requirement of the role.
• This role involves systems that handle NHS patient data, so any offer depends on satisfactory references and background checks.

Information submitted during recruitment will be processed in accordance with our Recruitment Privacy Notice.

We are committed to building a diverse and inclusive workforce. We encourage applications from all backgrounds and will make reasonable adjustments throughout the recruitment process for applicants who require them. Selection decisions are based solely on merit, skills, experience and the requirements of the role.

Job description Job responsibilities Our SMART platform includes: SMART Voice: AI telephony that answers, triages and logs patient calls, live in NHS GP surgeriesSMART Navigation: intelligent clinical triage that gets patients to the right person first time, delivered as a secure API to clinical system partnersSMART Consult: next-generation e-consultations over video and messaging that write back into the patient recordSMART Med Check: safety-netting that gives patients clear guidance if their symptoms change The role You will design, build and run production software across the SMART platform, including AI voice pipelines, triage APIs and the web front ends that practices and patients use. You will report to the CTO and work alongside the engineers who built and grew the platform. At SFIA Level 4 you will work on your own under general direction, own complex features from start to finish, and lead reviews of colleagues work. As you progress to Level 5 you will take technical responsibility for every stage of development on a product, set and monitor engineering standards, and give authoritative guidance to the team. Key responsibilities (SFIA 9 Programming/software development, PROG) Design, build, test, document and restructure complex programs, scripts and integration servicesHelp select development methods, tools, techniques and security practicesApply agreed standards, tools and security measures to produce well-engineered, secure softwareReview your own work and lead code reviews; use test-driven development, good test coverage and pair programmingSupport and guide other engineers, delegating where appropriateBuild and integrate AI features using LLMs, speech-to-text and text-to-speech, including prompt design, tool calling and evaluationDesign and maintain secure REST APIs and integrations with GP clinical systems and NHS partnersDeploy and run services on Microsoft Azure using CI/CD, infrastructure as code, monitoring and alertingResolve live operational issues and bugs in services that patients rely onEstimate and plan work in two-week sprints and deliver against sprint goalsWrite clear technical documentation and support clinical safety and information security evidenceAt Level 5: plan and drive software construction, monitor adherence to standards, and contribute to development policies and guidelines Our technical environment Cloud: Microsoft Azure (App Service, Functions, SQL Server, Communication Services, Entra ID)AI: Azure OpenAI, Azure AI Foundry, LLM agents with tool calling, Deepgram and ElevenLabsVoice:, Twilio, SIP trunking, SMSBack end: Node.js REST APIs, OpenAPI/Swagger, OAuth 2.0 and JWTIntegrations: GP clinical systems such as EMIS, System One and Medicus, NHSmailTooling: Jira, Confluence, Git, CI/CD, Power BI Essential Commercial software engineering experience at SFIA Level 4, working on your own on complex featuresStrong grounding in the full software development lifecycle (SDLC)Hands-on experience building AI-powered features in productionProficiency in a modern back-end language, ideally TypeScript/Node.js, C# or PythonFront-end experience with a modern JavaScript frameworkDesigning, building and consuming secure REST APIsBuilding and deploying cloud-based systems, ideally on Microsoft Azure but AWS and GCP is accepted too!Automated testing, CI/CD and Git-based workflowsExperience in an agile team using JiraSecure coding practice and experience handling sensitive personal dataClear communication with technical and non-technical colleagues, including cliniciansFull right to work in the UK and able to be onsite in Leeds at least 3 to 4 days a week Desirable Healthcare technology experience, especially the NHS and primary careFamiliarity with GP clinical systems (EMIS, SystemOne, Medicus) or FHIRKnowledge of DCB0129/DCB0160, DSPT, DTAC, UK GDPR and DPA 2018Experience in an ISO 27001 or Cyber Essentials environmentVoice AI, telephony or conversational agent experienceInfrastructure as code (Bicep, ARM or Terraform)Mentoring engineers or leading technical decisions The team and how we work You will join a small engineering team that works directly with GPs, practice staff and our clinical and security leadership. We are based inside a working GP practice in Bramley, so you will see your work used by receptionists and clinicians. We work in two-week Scrum sprints, ship quickly (SMART Voice went from first build to live patient calls in about two months), own what we build in production, and treat patient safety and data protection as part of the definition of done. What we offer Work that NHS patients and GP surgeries rely on every dayA clear SFIA 9 progression pathway from Level 4 to Level 5Regular 1:1s with the CTOHands-on work with Azure, LLMs, voice AI and NHS integrationsReal influence over architecture, standards and the product roadmapAnnual leave and pension Important information We cannot offer visa sponsorship. You must already have the full right to work in the UK.We do not work with recruitment agencies and will not accept CVs from recruiters. Direct applications only.Working onsite in Leeds at least 3 to 4 days a week is a requirement of the role.This role involves systems that handle NHS patient data, so any offer depends on satisfactory references and background checks.Information submitted during recruitment will be processed in accordance with our Recruitment Privacy Notice.We are committed to building a diverse and inclusive workforce. We encourage applications from all backgrounds and will make reasonable adjustments throughout the recruitment process for applicants who require them. Selection decisions are based solely on merit, skills, experience and the requirements of the role.

Person Specification

Qualifications

Essential

• We value what you can do over where you learned it. Equivalent professional experience will be considered in place of formal qualifications, especially where you can show production systems you have built.
• Essential
• GCSEs (or equivalent) at grade 4/C or above in Maths and English
• One of the following, or equivalent professional experience:
• A degree in Computer Science, Software Engineering, Artificial Intelligence, Data Science, Mathematics, Physics, Engineering or a related subject
• A Level 4 Software Developer apprenticeship, or a Level 6 Digital and Technology Solutions degree apprenticeship
• An HNC or HND in Computing or Software Development
• Demonstrable experience operating at SFIA Level 4 or above in a commercial software engineering environment.

Desirable

• Desirable: education
• A Masters degree in Artificial Intelligence, Machine Learning, Computer Science, Data Science or a related subject
• A degree in a computing, mathematical or engineering subject
• A Level 3 qualification in a computing subject (A Level, BTEC Extended Diploma or a T Level in Digital Production, Design and Development)
• Desirable: vocational and professional certifications
• Microsoft Certified: Azure Developer Associate (AZ-204)
• Microsoft Certified: Azure AI Engineer Associate (AI-102)
• Microsoft Azure Fundamentals (AZ-900) or Azure AI Fundamentals (AI-900)
• An agile or Scrum certification, such as Professional Scrum Developer (PSD), Professional Scrum Master (PSM I) or Certified ScrumMaster (CSM)
• Security awareness or secure development training, such as ISO 27001 Foundation, CompTIA Security+ or OWASP secure coding
• Professional membership of BCS, The Chartered Institute for IT, or working towards Chartered IT Professional (CITP)
• Healthcare-specific training, such as NHS Data Security Awareness or clinical safety (DCB0129/DCB0160) training
• Provided on joining
• NHS Data Security Awareness training and our ISO 27001 and clinical safety induction, if you have not already completed them
• Support and funding towards relevant Microsoft Azure certifications as part of your SFIA development plan

Person Specification Qualifications Essential We value what you can do over where you learned it. Equivalent professional experience will be considered in place of formal qualifications, especially where you can show production systems you have built. Essential GCSEs (or equivalent) at grade 4/C or above in Maths and English One of the following, or equivalent professional experience: A degree in Computer Science, Software Engineering, Artificial Intelligence, Data Science, Mathematics, Physics, Engineering or a related subject A Level 4 Software Developer apprenticeship, or a Level 6 Digital and Technology Solutions degree apprenticeship An HNC or HND in Computing or Software Development Demonstrable experience operating at SFIA Level 4 or above in a commercial software engineering environment. Desirable Desirable: education A Masters degree in Artificial Intelligence, Machine Learning, Computer Science, Data Science or a related subject A degree in a computing, mathematical or engineering subject A Level 3 qualification in a computing subject (A Level, BTEC Extended Diploma or a T Level in Digital Production, Design and Development) Desirable: vocational and professional certifications Microsoft Certified: Azure Developer Associate (AZ-204) Microsoft Certified: Azure AI Engineer Associate (AI-102) Microsoft Azure Fundamentals (AZ-900) or Azure AI Fundamentals (AI-900) An agile or Scrum certification, such as Professional Scrum Developer (PSD), Professional Scrum Master (PSM I) or Certified ScrumMaster (CSM) Security awareness or secure development training, such as ISO 27001 Foundation, CompTIA Security+ or OWASP secure coding Professional membership of BCS, The Chartered Institute for IT, or working towards Chartered IT Professional (CITP) Healthcare-specific training, such as NHS Data Security Awareness or clinical safety (DCB0129/DCB0160) training Provided on joining NHS Data Security Awareness training and our ISO 27001 and clinical safety induction, if you have not already completed them Support and funding towards relevant Microsoft Azure certifications as part of your SFIA development plan

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Employer details

Employer name

Fuller and Forbes Partnership

Address

16 Highfield Road

Leeds

LS13 2BL

United Kingdom

Employer's website

http://bramleyonline.co.uk/ (Opens in a new tab)

Employer details

Employer name

Fuller and Forbes Partnership

Address

16 Highfield Road

Leeds

LS13 2BL

United Kingdom

Employer's website

http://bramleyonline.co.uk/ (Opens in a new tab)