We’re looking for a Senior Clinician (e.g. doctor / pharmacist / nurse independent prescriber) to join Second Nature's Clinical & Member Experience team. The salary is benchmarked to NHS Band 8a , and we have a preference for full-time permanent hires where possible (but we're also open to part time). The role is remote/at-home, but you're welcome to come into our London offices (White City) whenever on Mondays and Thursdays.
At Second Nature, we’re on a mission to eradicate obesity and type 2 diabetes by combining science, clinical rigour, and personalised member experiences.
We're now the UK's largest digital-health provider to the NHS, having been running for over 12 years.
After many years of loss making, we've been profitable and sustainable for the last few years, allowing us to make better medium and long-term decisions for the product, internal systems, and our team. It's an exciting and positive time to be joining the company.
As a Senior Clinician, you'll play a key role in the day-to-day clinical delivery of our private, NHS Behavioural Support for Obesity Prescribing (BSOP), and NHS Specialist Weight Management (SWMS) pathways; prescribing, reviewing complex cases, actioning MDT outcomes, and supporting our health coaches.
As a trusted member of the clinical team, you'll help ensure patients receive safe, high-quality care while contributing to the ongoing development and scalability of our services.
This role offers real clinical responsibility, broad variety, and the opportunity to shape how a fast-growing digital health service delivers care.
We have a very high-performing team at Second Nature. We'd describe the culture as a blend of:
People who are smart, kind, and fun
People who take the work seriously, but don't take themselves seriously
People who are very mission driven
People who do what's best for the company
Second Nature is very fast paced, with minimal bureaucracy. It’s chaotic and it feels like there are always fires burning. But things get done quickly. Some personality types thrive in this environment, and some don’t.
If you're excited by working with a team where everybody is genuinely excellent, Second Nature could be a great fit for you.
Summarised in a recent 2026 quote from a team member: "Everyone has a strong work ethic, works really hard and genuinely cares about the work they do. That’s a lovely and inspiring work environment to work in where everyone around you is so passionate about what they do."
What You'll Do
Deliver prescribing support for our private GLP-1 weight-management service (a large proportion of the role)
Deliver prescribing support across our NHS BSOP and tier 3 services, including clinical assessments, medication reviews, issuing prescriptions, and responding to prescribing queries in line with agreed protocols.
Deliver planned monthly follow-ups, monitoring adherence, response and side effects, and working with our Patient Coordinators to manage recall and safety monitoring
Undertake complex patient reviews and comprehensive medication assessments within SWMS, escalating cases to the MDT and consulting with the Principal Doctor where appropriate.
Action MDT outcomes promptly and to a high clinical standard, including liaising with GPs and secondary care clinicians, conducting patient consultations and follow-up calls, and managing sensitive conversations such as medication discontinuation or treatment ineligibility.
Provide clinical leadership within SWMS MDT meetings when the Principal Doctor is unavailable, ensuring continuity of safe and effective decision-making.
Act as a trusted clinical resource for health coaches across all Second Nature services, providing advice, answering clinical queries, and delivering education and training on key topics.
Contribute to the development and continuous improvement of clinical protocols, prescribing guidance, training materials, and audit activities, ensuring compliance with CQC standards and wider regulatory…