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A prominent NHS organization is seeking a Senior Systems Administrator to support critical IT and Operational Technology systems within a large healthcare environment. The role involves administering business-critical systems, ensuring compliance and performance while collaborating with teams and suppliers. Candidates should possess strong experience in systems administration, particularly in Windows Server and cloud environments, and ideally have a background within the NHS. A competitive day rate is offered with the potential for contract extension.
Senior Systems Administrator
Day rate: £260 per day
IR35 status: Inside IR35
Contract: Initial 6 month contract with potential extension
Hours: 37.5 hours per week
A large NHS organisation is seeking an experienced Senior Systems Administrator to support and maintain critical IT and Operational Technology (OT) systems across its Estates and Facilities environment. This is a hands‑on role operating at the intersection of IT infrastructure, security and operational systems within a complex healthcare setting.
You will be responsible for the administration, security and ongoing optimisation of business‑critical systems that support facilities management and hospital operations. Working closely with internal teams and third‑party suppliers, you will ensure systems are reliable, secure, compliant and well documented.
The role sits within a central digital and communications function and plays a key part in supporting essential services across a large acute hospital environment.
Administer and maintain IT and OT systems, ensuring performance, availability and regulatory compliance
Carry out advanced system monitoring across servers, hardware, applications and key processes
Manage IT assets with automated monitoring and reporting
Enforce cybersecurity standards, vulnerability management and security best practice
Support security patching, disaster recovery, business continuity and recovery processes
Manage and support Microsoft 365 services including SharePoint Online and Teams
Oversee identity and access management using Microsoft Entra ID, including MFA and conditional access
Provide networking and infrastructure support covering WiFi, firewalls, VPNs, DNS, DHCP and TCP/IP
Act as an escalation point for 2nd and 3rd line technical issues
Troubleshoot complex issues across hardware, software, cloud and networking environments
Work closely with third‑party suppliers and maintain clear system and configuration documentation
Strong hands‑on experience as a Systems Administrator in a complex enterprise environment
Solid knowledge of Windows Server, cloud‑based systems and supporting infrastructure
Experience working with Microsoft 365 and identity and access management
Good understanding of networking fundamentals
Proven experience supporting secure, highly available systems
Strong documentation, analytical and problem‑solving skills
Ability to work collaboratively with technical and non‑technical stakeholders
Experience working within the NHS or wider public sector is highly desirable
Opportunity to support critical healthcare services
Work within a large‑scale, complex digital environment
Competitive day rate inside IR35
Potential for contract extension
If you are an experienced Senior Systems Administrator with strong infrastructure, security and cloud experience and are comfortable working in regulated environments, this could be a strong next contract.