The Second Nature Story

The Challenge

Obesity has become a global epidemic; in the UK, we spend £9 billion a year alone on diseases like type 2 diabetes (that's 10% of the NHS budget). What's shocking is most of this is preventable - through sustained lifestyle and habit change.

Enter Second Nature.

We're here to help people take control of their health. By bringing together behavioural science, technology, and incredible people, our grand mission is to eradicate the global epidemic of chronic lifestyle diseases once and for all.

About Us

• We've positively changed the lives of 300,000+ people through accessible, evidence-based healthcare.
• We're rated 'Excellent' on Trustpilot by over 8,000 of our members.
• We're the UK’s largest digital health provider to the NHS
• We're a leading B2C provider of GLP-1 medication-assisted weight loss programmes, and 1 of 5 NICE-approved providers to deliver these services within the NHS in the future
• Our team members stay with us for an average of 4.3 years

The Role

This is an opportunity to work closely with, and under the clinical oversight of, our Principal Doctor, helping to build a safe, resilient NHS prescribing service as it continues to grow.

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 slight preference for this being a full-time role, but we can be flexible for the right candidate (e.g. part time is also an option).

What You'll Do

• Deliver prescribing support across our BSOP service, including clinical assessments, medication reviews, issuing prescriptions, and responding to prescribing queries in line with agreed protocols.
• Review patient eligibility using the information available to you, including Summary Care Records and GP records, online questionnaires, medical history, and biometric, self-reported and laboratory data.
• 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.
• Support the growth of our Right to Choose pathway by advising on referral triage, reviewing complex cases, and supporting colleagues with clinically sensitive patient communications.
• 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 requirements.
• Exercise sound clinical judgement, managing your own prescribing responsibilities while escalating complex or high-risk cases through the appropriate governance pathways.

Requirements

• Current GMC, NMC or GPhC registration with a licence to practise.
• Independent Prescriber qualification.
• NHS prescribing experience, ideally within a comparable pathway such as weight management, diabetes or another specialist long-term condition service.
• Experience in weight management, including assessing and managing patients prescribed GLP-1 medications.
• Strong clinical experience managing patients with complex comorbidities, particularly cardiovascular disease, diabetes and other obesity-related long-term conditions.
• Confident exercising prescribing accountability while recognising when to escalate complex or high-risk cases.
• Available to work flexibly, providing clinical cover across the week rather than on a single fixed day.
• Excellent IT literacy, with confidence working autonomously across multiple digital systems.
• Enhanced DBS check
• Right to work in the UK
• Expectation to come into the London office once a month for in-person days with the rest of the Clinical & Member Experience team (more than welcome to come to the office more often if you'd prefer)

Nice to haves

• Prior experience in a digital health or NHS-commissioned service
• Knowledge of SystmOne

Benefits

What You Get

• An exciting opportunity to work in one of the UK's most innovative health tech start-ups
• See the real-world impact of your work, helping thousands of people improve their health and wellbeing
• Flexible working hours and autonomy to support your wellbeing
• Remote-friendly working from within the UK.
• A supportive, mission-driven team passionate about transforming public health
• Preference for full time, split evenly across 5 days and the ability to undertake weekend work, if required. Also possible to do part time for the right candidate (e.g. 20-40 hours per week).