Database Engineer

As Database Engineer, you’ll design and maintain the robust, scalable databases that power our platform. You’ll ensure real-time ingestion, 99.99% uptime, compliance, and seamless integration with all our services, helping NHS teams work faster and smarter.

Key Responsibilities

• Database Design: Build scalable relational databases (e.g. Azure SQL), optimise performance, and enable high-volume data pipelines.

• Integration: Support full-stack platform integrations including data flows triggered by Power Automate connectors

• Performance & Reliability: Ensure uptime, backup, replication, and disaster recovery.

• Security & Compliance: Enforce role-based access, encryption, and medical device compliance.

• Collaboration: Work closely with engineers, analysts, clinicians, and stakeholders to align with product goals.

• Documentation: Maintain clear schema/process documentation and contribute to long-term scaling strategy.

Requirements

Must-have:

• 5+ years hands-on experience with SQL (SQL Server familiarity a plus)

• Strong proficiency with complex stored procedures incl. writing, debugging, and refactoring

• Proven experience with query optimisation incl. indexing strategies, execution plan analysis, query rewrites

• Experience with database performance tuning incl. partitioning, caching strategies, statistics management

• Experience implementing robust ETL/ELT processes with proper validation, error handling and audit trails

• Understanding of CDC and incremental loading strategies

• Understanding of data retention strategies and key rotation policiesExperience with Azure SQL including backup configuration, failover strategies, and point-in-time recovery

• Strong communicator, proficient in spoken and written English, problem-solver, and collaborator.

• Comfortable working as the primary database specialist on a small team

Nice-to-have:

• Familiarity with Azure Hyperscale database

• Healthcare data security or high-compliance background

• Familiarity with Azure Data Factory, SSIS, or equivalent tooling

• Experience with Azure Key Vault, Transparent Data Encryption (TDE) and Always Encrypted

Benefits

💰 Competitive salary
🏥 Private healthcare for you & your family
🕒 Flexible hours, hybrid model – 2 days in Central London Office location.
🚀 High-impact work in real NHS practices
🔍 Learning, growth & purpose-driven innovation