NHS Telephony Senior Technical Lead

Salary: £6,000 - 18,000 per year

Requirements:

• We require direct, hands-on experience operating a live NHS or emergency telephony system in production.
• Experience with one or more of the following: NHS 999 or 111, GP surgery telephony, NHS triage or crisis contact centres, or emergency services communications.
• Strong knowledge of SIP, RTP, NAT traversal, codecs, and PBX resilience.
• Experience with FreeSWITCH, Asterisk, or similar telephony platforms.
• AWS architecture, security, monitoring, CI/CD, and Terraform knowledge.
• Experience handling healthcare and NHS data appropriately.
• Experience overseeing AI/LLM production-readiness, latency, fallback, and risk review.
• We require NHS or emergency telephony production experience.
• We require the ability to challenge AWS architecture decisions.
• Experience leading multiple specialist contractors simultaneously.
• Jira delivery management experience.
• 5+ years of production engineering experience.
• Useful but not essential: Surgery Connect, Avaya, Genesys, NHS clinical safety, SC Clearance, telecoms carrier background, and NHS IG familiarity.

Responsibilities:

• We own the overall POC architecture.
• We review and challenge telephony, cloud, and AI decisions.
• We manage Jira delivery and acceptance criteria across contractors.
• We sign off monthly deliverables.
• We communicate technical risk to non-technical stakeholders.
• We oversee 3CX, FreeSWITCH on AWS, the NHS PDS FHIR API, LLaMA on SageMaker, AWS Transcribe, ElevenLabs, and CloudWatch audit logging.
• We lead the 3-month delivery plan, including locking architecture, validating telephony, overseeing delivery, reviewing data handling and audit logging, assessing AI model progress, leading the POC demo, reviewing CTI and mock EMIS workflows, and completing final sign-off.

Technologies:

• AI
• API
• AWS
• Asterisk
• CI/CD
• Cloud
• CloudWatch
• Confluence
• Genesys
• GitLab
• JIRA
• LLM
• NAT
• Security
• Terraform
• DevOps

More:

We are a Manchester healthtech startup moving fast with a small team, building inCall, an AI receptionist for NHS GP practices. This is a project-based remote UK engagement with occasional Manchester attendance, self-directed hours, and a daily stand-up at 12:00 GMT/BST using Jira, GitLab, and Confluence. The initial term is three months with possible extension. The role is a technical leadership position focused on architecture oversight rather than hands-on engineering, and it is part of a four-stage NHS AI telephony platform with future stages covering AI triage, clinical routing, and fully autonomous call handling. The hiring process includes an application form, a short intro video, and a group interview, with responses provided within 48 hours at each stage.

last updated 34 week of 2026