Founding Implementation Lead (NHS)

United States Digital Space LLC

Greater London

Hybrid

GBP 55,000 - 70,000

Full time

3 days ago
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Benefits offered by this job

Salary £55k–£70k + equity potential
33 days holiday
Birthday day off
Team socials & annual retreat
Hybrid work from Shoreditch office

Job summary

United States Digital Space LLC is seeking an founding Implementation Lead to build the Delivery function and run NHS deployments end-to-end. You will orchestrate mobilisation, discovery, go-live and adoption across multiple teams, maturing playbooks, governance packs and a high-trust relationship with clinical and operational partners.

You will own the DPIA and data governance steps, manage risks, and translate learning into product feedback.

Qualifications

  • 4–6 years leading complex implementation, deployment or transformation work.
  • Delivered software into healthcare providers, ideally the NHS.
  • Writes playbooks and turns learnings into repeatable engines.

Responsibilities

  • Own the full implementation lifecycle for each NHS partner, from mobilisation to go-live and embedding BAU.
  • Run multi-team rollouts, coordinate timelines, dependencies and resources to milestones.
  • Lead DPIA, data flow sign-off and information governance for NHS go-live.
  • Identify risks early and prepare mitigations before they impact timelines.
  • Be the face of the company to partners and drive adoption and engagement.
  • Co-design live deployments with product and engineering, feeding back prioritized insights.
  • Build the implementation function with repeatable playbooks and governance packs.

Skills

Implementation lead
Healthcare deployments
NHS knowledge
Stakeholder management
Data literacy

Job description

About the company

Community nursing is one of the most complex operational environments in healthcare, and one of the least well equipped for it. A caseload scattered across an entire geography. Patients in high-rises, care homes, rural cottages, living rooms. Nurses driving between them with a bag, a list that is sometimes still on paper, and no way to signal when the day has stopped being deliverable. Above them, operational leaders trying to understand what is happening in the field from a spreadsheet that was out of date before it was opened.

That is what we are changing at the company.

We believe care belongs in the home, and that the shift away from hospital-based care has already started. Our mission is to expand access to in-person clinical care at home by giving the community workforce technology that makes their days simpler, more manageable and more rewarding. We have built an AI-native ecosystem that handles the scheduling and logistics of community care, and we are working through every non-clinical touchpoint until the admin is gone.

To date, our technology has powered a network of 400+ practitioners to deliver around 40,000 appointments, and our algorithms have been shown to give back up to a third of the working day for clinical care. We are growing fast across the NHS and social care, where services are being asked to hit productivity targets using the tools they already have. We give community teams workforce intelligence through the company Insights, alongside the most capable suite of AI-native productivity tools built specifically for care outside hospital.

The role

As our founding Implementation Lead, you will build the company's Delivery function while running the deployments that function exists to support.

You will own large-scale deployments of the company software inside the NHS and social care. These are the deployments the product learns from and long-term partnerships are built on. In your first two, your work will shape the working day of more than 800 nurses delivering close to a million patient contacts a year.

Delivering a fixed scope on time is the floor. The job is to earn real engagement from clinical and operational teams, turn that engagement into adoption that holds after you leave the room, and route everything you learn back into the product.

A partner said to us recently, "we can't wait for everyone to be ready, they might never be." Readiness follows change rather than preceding it. People get comfortable with something new by trying it, watching it work, and finding that the thing they were worried about was manageable. Getting teams to that point is the craft of this role.

You will lead deployments end to end, from mobilisation and structured discovery through to go-live of dashboards, the Companion App and AI-assisted productivity features, while standing up the playbooks, processes and frameworks that make the next deployment, and the ten after it, considerably better.

What you'll do
  • Own the full implementation lifecycle for each NHS partner, from contract mobilisation and governance kick-off through structured discovery, go-live, and into embedded business-as-usual use.
  • Run phased, multi-team rollouts to plan: coordinating activities, timelines, dependencies and resources across cohorts, keeping milestones on track and briefing the right people at the right moment.
  • Own the DPIA support, data flow sign-off and information governance steps that gate NHS go-live, working alongside our Clinical Safety Officer and the Trust's governance leads.
  • Spot the risks and blockers early, whether operational, clinical, technical or political, and have the mitigation ready before it reaches the timeline or the relationship.
Earn engagement and adoption inside the Trust
  • Be the face of the company to the partner: the person who knows the service, knows the product, and is trusted by both the ward and the board.
  • Build relationships at every level, from frontline staff and shift coordinators, to team leads and super-users, to the COO, Divisional Director and project sponsor. You will run the weekly check-ins and the monthly leadership reviews that keep a programme moving.
  • Get to real adoption. Coach teams through new ways of working, watch the usage data, and step in early where engagement dips or a team gets stuck.
  • Arm our champions inside the Trust to make the internal case for wider rollout, translating impact for the people who control budget, sequencing and expansion.
Run the co-design loop between the NHS and product
  • Treat every deployment as live co-design. Surface how community teams actually work, where the product fits, and where it needs to bend to clinical and operational reality.
  • Be the high-fidelity channel between the front line and our Product and Engineering teams, bringing back structured, prioritised feedback that shapes the roadmap.
  • Manage expectations with care where capability is still being built or is pending regulatory approval such as MDR, keeping partners confident and well informed without over-promising.
Build the Implementation function
  • Create the playbooks, deployment frameworks, governance packs, onboarding materials and health frameworks that make NHS implementation repeatable.
  • Codify what works, so each deployment is faster, smoother and lower-risk than the last. This is what gets us to six live Trusts in the next 9 to 12 months.
  • Set the standard as the function grows, and mentor the implementation hires who follow you.
Who you are

You have 4 to 6 years leading complex implementation, deployment or transformation work, from a consulting or start-up background. You have been an engagement, deployment or implementation lead already and have delivered software into healthcare providers, ideally the NHS, and you know what it takes to get clinical teams to genuinely adopt something new. You are comfortable writing your own playbook and turning what you learn into a repeatable engine as we sign more partners.

Beyond that:
  • A builder. You can create process, structure and documentation from scratch while simultaneously running a live, high-stakes programme.
  • A relationship builder and communicator. You enjoy the human side of this work: earning trust, following up, making partners feel looked after. You can hold a room of senior NHS stakeholders, sit alongside frontline staff, and turn complexity into a crisp written narrative.
  • Fluent in the NHS and social care context. You understand clinical safety and information governance in practice (DCB0129, DTAC, DPIA, MDR), and the real difficulty of adopting technology in a stretched public system.
  • Data literate and insight-led. You can interrogate operational and clinical data, understand what sits behind the numbers, and turn analysis into a clear story that helps partners decide and demonstrate impact.
  • Calm under uncertainty. The product is evolving, partners are co-designing it with us, priorities shift. You bring order to that for everyone around you.
  • Commercially aware. You understand that adoption is what turns a contract into a renewal and a reference, and you act on it without being asked.
  • AI fluent. You use AI tools daily, you keep pace with how fast they are moving, and you are excited to put genuinely new capability into the front line of care.
  • Meticulous. An exceptional eye for detail in planning, execution and quality.

Above all, you care about this. The systemic shift of healthcare into the home is happening, and the difference between a pilot and a partnership is usually the person leading it.

Practical requirements
  • You have the right to work in the UK. We are not able to offer visa sponsorship for this role.
  • A full UK driving licence is preferred. This role spends real time on partner sites, often in services that cover a wide geography.
  • We are looking for an immediate start ideally, in September or October. Please tell us your availability in your application.
What we offer
  • Salary of £55,000 to £70,000 depending on experience, with eligibility for equity options at the end of your probation period and a performance based bonus.
  • 33 days' holiday (25 days plus 8 bank holidays).
  • An extra day off for your birthday, or the nearest weekday.
  • Regular socials, team trips, meals and an annual company retreat.
  • Direct ownership of the most important deployments in the company, working closely with our founders and the team building the product.
  • Hybrid working from our Shoreditch office, with regular travel to NHS partner sites.
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