> Markdown version of [/jobs/ext/1492550-full-stack-engineer](https://www.wearedevelopers.com/jobs/ext/1492550-full-stack-engineer). Every page supports `.md` or `Accept: text/markdown`. Links point to the HTML versions so they work for humans too. Agent guide: [/agents.md](https://www.wearedevelopers.com/agents.md). --- # Full Stack Engineer - **Company:** Acurable Limited - **Location:** London, UK - **Experience:** Expert - **Salary:** £55,000.0 - £65,000.0 - **Contract:** Permanent contract - **Skills:** JavaScript (Programming Language), Application Programming Interfaces (APIs), Software Quality, Software Architecture, Next.js, Message Oriented Middleware, Software Engineering, Systems Integration, TypeScript, Web Applications, Cloud Platform System, ReactJS, Electronic Medical Records, Backend, Solid Principles, Graphql, Software Coding, Restful APIs, Data Pipelines, Microservices - **Published:** July 30, 2026 - **Apply:** https://www.totaljobs.com/job/full-stack-engineer/acurable-limited-job107767511 ## About the Role We are open to candidates at mid or senior level. If you are an experienced engineer who is tired of large-team politics, wants real ownership and real influence, and is drawn more by the work than by chasing maximum market rate - this role was written with you in mind too. What we offer in return is genuine autonomy, a small team where your decisions land, and work that has direct clinical impact., We are looking for someone with at least three years of commercial experience building and shipping fullstack applications in production environments., We are not looking for the most experienced engineer in the room. We are looking for the right one - whether that is someone three years into their career or someone fifteen years in who wants to work somewhere their experience actually shapes things. You will thrive here if: - You have solid, hands-on experience with TypeScript and modern JavaScript (ES2016+), and you care about writing code that other people can understand and maintain - You have practical knowledge of React or Next.js and are comfortable working across the stack - front end, back end, APIs, and everything in between - You have practical experience applying sound software design principles - you make considered architectural decisions and can justify them - You write tests as a matter of course - Jest or similar - and you care about code quality without needing a long list of specific tools - You have worked with RESTful APIs and are familiar with GraphQL and asynchronous messaging patterns - You can ramp up quickly in an unfamiliar or lightly-documented codebase, and you are comfortable operating with a high degree of autonomy and ambiguity - You have startup or small-team experience, or a clear reason to believe you would thrive in one - You are not afraid of a regulated environment - if anything, you find it interesting that software can have real clinical consequences - You are happy to mentor and pair with junior engineers as they grow, and you see that as part of doing good work, not a distraction from it - You are curious, self-directed, and comfortable saying "I don't know" followed quickly by "but I'll find out" - You want to stay somewhere long enough to see the things you build actually matter This role is probably not right for you if: - You need a large team around you to feel productive - You are looking for a role where the scope is narrow and the expectations are fixed - You are primarily motivated by finding the highest-paying position available ## Description You will join our Platform Team, reporting to our Platform Team Lead, and work across our entire cloud platform - backend services, APIs, data pipelines, and the clinician-facing web application through which NHS clinicians manage diagnostic pathways, review automated results, and coordinate patient care. This is a genuinely fullstack role: you will move across layers depending on what needs building. You should also be comfortable picking up infrastructure and deployment work as part of a small, high-ownership team., We are expanding into new markets, building new products, and integrating with health systems across the UK and Europe. The scope here is broad and will grow. We are a small engineering team, which means no one is siloed, no one is just closing tickets, and no one is invisible. You will report to our Platform Team Lead, who reports directly to leadership. We are a flat team. If you have an opinion, it will be heard. What You Will Work On - Our cloud platform - the backend services, APIs, and data pipelines that power end-to-end diagnostic pathways running at national scale across NHS Trusts - The clinician-facing web application through which NHS clinicians manage OSA pathways, review results, and coordinate patient care - Integrations with NHS systems, electronic health records, and third-party clinical platforms - New products and features as we expand into paediatric diagnostics, new respiratory conditions, and international markets - RESTful and GraphQL APIs, microservices architecture, and event-driven messaging systems - Infrastructure, deployment, and on-call support as needed - this is a small team and the role is not limited to product work alone - Software development under IEC 62304 - you will learn what it means to build software that is part of a regulated medical device, and it will make you a more rigorous engineer ## Related Videos - [GraphQL + Apollo + Next.js: A Lovely Trio](https://www.wearedevelopers.com/videos/311-graphql-apollo-next-js-a-lovely-trio) - [Watch Tests Go Brrrr! : Getting Started with Cypress in ReactJS](https://www.wearedevelopers.com/videos/282-watch-tests-go-brrrr-getting-started-with-cypress-in-reactjs) - [Putting the Graph In GraphQL With The Neo4j GraphQL Library](https://www.wearedevelopers.com/videos/257-putting-the-graph-in-graphql-with-the-neo4j-graphql-library) - [Navigating the Future of Junior Developers in Tech](https://www.wearedevelopers.com/videos/1280-navigating-the-future-of-junior-developers-in-tech) - [Why Your Best Mediors Never Become Seniors (And How to Fix It)](https://www.wearedevelopers.com/videos/2108-why-your-best-mediors-never-become-seniors-and-how-to-fix-it) - [From Zero to Hero: NextJS 13 and Tailwind CSS for Beginners](https://www.wearedevelopers.com/videos/766-from-zero-to-hero-nextjs-13-and-tailwind-css-for-beginners) ## Related Articles - [Fullstack Developer Salary UK](https://www.wearedevelopers.com/magazine/251-fullstack-developer-salary-uk) - [Find a Developer Job: 12 Best Job Sites For Developers](https://www.wearedevelopers.com/magazine/165-find-a-developer-job-12-best-job-sites-for-developers) - [Fully Remote Software Engineer Jobs](https://www.wearedevelopers.com/magazine/447-fully-remote-software-engineer-jobs) - [The 12 Best Jobs for Software Engineers](https://www.wearedevelopers.com/magazine/401-the-12-best-jobs-for-software-engineers) - [Where To Find Software Engineering Jobs](https://www.wearedevelopers.com/magazine/396-where-to-find-software-engineering-jobs) - [Is Software Engineering Over-Saturated?](https://www.wearedevelopers.com/magazine/418-is-software-engineering-over-saturated)