ELEVÉTION HEALTH
ELEVÉTION HEALTH (95% Telehealth)— Founding Clinician Partner (UK)
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Founding Medical Director (Head Physician) — Elevation Health UK
CQC Compliance, Clinical Governance and Regulatory Accountability are a Mandatory Part of This Founder Role. If You Cannot Execute That From Day 1, Do Not Apply.
If Longevity, Hormone Optimisation and Performance-Forward Medicine Are Not in Your Wheelhouse, Do Not Apply.
We Need One Person Who Is Both. A Clinician Who Is Rigorous on Compliance But Uninterested in Longevity Medicine Is the Wrong Fit. So Is a Longevity Enthusiast Who Treats Governance as Somebody Else's Job.
This is a sweat-equity founding clinician role. It is not a salaried position, a sessional contract, a fee-for-service arrangement, or an NHS-equivalent role. The compensation structure is fixed and is not negotiated at offer stage. If it does not work for you, please do not apply.
What the Role Pays
- Equity. Single-digit stake (5–9%) in Elevation Health Limited (UK), as a separate share class, vesting over three years. Higher allocations are not on the table at application stage. The percentage within that range is set at offer stage. The structure is fixed.
- Cash. No monthly stipend at this stage. Modest milestone-triggered cash activates as the business reaches defined revenue thresholds. Nothing is guaranteed.
- Benefits. None. No pension, private healthcare, expense allowance or paid leave. You maintain your own indemnity, pension and healthcare through your other income streams. Every current Elevation director, including the founder, draws no salary.
What This Role Is Not
- A salaried, sessional or fee-for-service contract.
- Market-rate or NHS-equivalent pay.
- A way to fund an existing clinic's operating costs through equity. If your cost base for premises, CQC compliance, staff and indemnity is underwritten elsewhere and would need to be covered by Elevation, this is not the right structural fit.
- A figurehead directorship. We are not renting a GMC number for a CQC application. You will see patients, write protocols and answer for clinical decisions.
Time Commitment
8–10 hours per week on average, flexible across the month. CQC inspection activity, regulatory liaison and governance meetings sit around this baseline. Material expansions are agreed in writing with corresponding additional consideration.
Founder-Stage Risk Profile
Elevation operates an established US business. The UK launch is an extension of it rather than a pre-funded startup. No VC, no private equity. The equity reflects partnership in that build, not compensation for time invested.
If you require near-term cash certainty, this role is not for you.
The Role
You are the senior clinical voice in the UK business and the person accountable for the defensibility of everything we prescribe. The initial phase is patient consultations alongside clinical leadership and governance, expanding into clinical infrastructure as we scale.
- Deliver virtual consultations, assess adult patients, order and interpret labs, and prescribe treatment plans aligned to Company programmes
- Own clinical governance end to end: prescribing standards, audit, significant event analysis, clinical complaints, safeguarding and clinical risk
- Write and sign off the clinical SOPs, formularies and patient pathways the platform runs on
- Set the standard for what Elevation will and will not prescribe, and defend every one of those positions to a regulator
- Supervise the wider clinical team, including prescribing peer review, and shape pathway design and new service lines
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How This Sits With Our Governance and Compliance Director
We have a Governance and Compliance Director who owns the CQC function: registration, policy library, evidence management, QA systems and inspection logistics. That does not make compliance optional for you. They build the system. You are the clinician who stands behind what happens inside it. Every clinical policy carries your name, and in an inspection the questions on prescribing rationale and patient safety come to you.
You must be willing to sit in the CQC-facing seat when the regulated activity is clinical, and to be considered for Registered Manager if the business structure requires it. If you want the directorship but not the regulator, do not apply.
Mandatory Requirements
- Full GMC registration with a licence to practise, in good standing, with no current restrictions, conditions, undertakings or sanctions.
- CCT, CESR or recognised equivalent, with inclusion on the GMC GP Register or Specialist Register.
- Substantive UK primary care experience. We treat whole patients with complex histories and comorbidities, and generalist clinical judgment is the backbone of this role.
- Authorisation to prescribe in the UK, including testosterone, GLP-1 medications and a broader range of peptides via remote consultation, in compliance with GMC guidance on prescribing and remote consultations and relevant CQC requirements.
- Comfortable prescribing remotely under your UK licence in compliance with that guidance.
- Willing to carry personal clinical accountability for the Company's prescribing standards, satisfy CQC fit-and-proper-person requirements under regulation 5 of the Care Quality Commission (Registration) Regulations 2009, attend any fit-and-proper-person interview, and act as Registered Manager should the Company require it.
- Longevity, hormone optimisation and preventative medicine must already sit inside your clinical practice and reading. We need a practising longevity clinician, not a generalist who will learn the field on our patients.
- Flexible and able to work collaboratively with a multidisciplinary care team.
Clinical Scope
Elevation does not practise single-system reductive medicine. You should be expert in several of the following, fluent across the rest, and committed to growing across all of it:
- Hormone Optimisation, Men and Women — TRH, peri- and postmenopausal HRT, thyroid, adrenal and HPA-axis modulation, peptide-based hormone signalling
- Longevity Diagnostics — advanced panels, epigenetic clocks and methylation data, biological age markers, ApoB and advanced lipidology, CGM, VO2 max, and the judgment to know which of these change management and which are noise
- Peptide Therapeutics — openness to prescribing beyond GLP-1s across metabolic, recovery, regenerative and longevity applications, subject to UK regulatory frameworks and the judgment to separate credible evidence from hype
- Genomics, Pharmacogenomics and Cellular Health — genetic data informing risk stratification and dosing; mitochondrial substrate testing, NAD+ pathways, cellular energetics
- Functional Medicine and Microbiome — root-cause analysis, systems biology, multi-omic pattern recognition, gut and oral microbiome data in protocol design
- Nutrition and Supplementation — diet as a primary therapeutic lever, and individualised protocols built from lab and genomic data
- Performance, Anti-Ageing and Longevity Medicine — exercise physiology, recovery science, sleep architecture, metabolic flexibility, and senolytic, mTOR-modulating, autophagy-enhancing and epigenetic-reprogramming approaches where evidence supports them
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This is intellectually demanding medicine. We want clinicians who find that energising rather than exhausting.
Qualifications
Clinical (Essential)
- 3+ years applied experience in hormone optimisation, obesity and metabolic management, or preventative and longevity medicine
- Demonstrable HRT prescribing across male and female populations, including TRH and menopausal hormone therapy
- Demonstrable GLP-1 and newer-therapeutic prescribing within UK frameworks, with documented rationale and monitoring
- 1+ years telemedicine, including on-camera consultations
- Active engagement with the longevity literature — you can tell us what you changed in your practice in the last twelve months and why
Governance (Essential)
- Clinical governance experience in a CQC-regulated setting: audit, significant event analysis, complaints, prescribing review or clinical policy authorship
- Comfort being the named clinician on clinical policy and defending prescribing decisions to a regulator, an indemnifier or a coroner
Regulatory (Essential)
- Telehealth practice compliant with GMC Good Medical Practice, GMC prescribing guidance and GMC guidance on remote consultations
- Prescribing authority under UK medicines and controlled drugs legislation
- Indemnity or MDO membership (MDU, MPS or MDDUS) of not less than £5,000,000 per claim
- Working knowledge of UK GDPR, the Data Protection Act 2018 and ICO requirements
Desirable
- Prior CQC Registered Manager, clinical lead, Caldicott Guardian or Responsible Officer experience, or experience registering an independent or telehealth provider with the CQC
- Founder, partner or clinical leadership experience in private or startup healthcare
Mindset (Essential)
- Founder Mentality. Comfortable with ambiguity, willing to build SOPs where none exist, focused on long-term value creation over short-term cash.
- Forward-Thinking Performance Mindset. You see longevity medicine as a frontier and you keep up with the field.
- Regulatory Seriousness. The clinics that survive here are the ones that documented their reasoning. You want to build that standard rather than work around it.
How to Apply
Send your CV with a short note covering:
- GMC number and current registration status
- Your CCT route and current Register inclusion
- Your current longevity and hormone practice — what you prescribe, to whom, on what evidence
- Your clinical governance experience in a CQC-regulated setting
- Why a sweat-equity founding role is right for you at this point in your career
Applications that do not address point 5 will not be reviewed.
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