Role Description
As Fractional UK Medical Lead at Aios (powering Bolt Pharmacy), your fundamental role is to build and scale a prescribing model for our medic team that is safe, compliant, and commercially strong.
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You're an obesity management/endocrinology specialist and use your deep expertise to build and own the clinical logic behind the system.
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While you won’t manage the medic team directly, you’ll help shape the standards they operate within:
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Contributing to governance and audits
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Reviewing edge cases
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Strengthening safety frameworks so quality remains painfully high as volume increases
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Stellar performance in this role means the medic team scales compliantly without breaking.
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Patients move through care smoothly and the system you build supports growth.
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If you nail this role, you’ll define how modern, protocol-driven care is delivered to millions.
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This is a senior role, part-time and fully remote (based in the UK).
Key Responsibilities
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Safe, high-quality patient consultations
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Deliver and oversee asynchronous and synchronous consultations with high documentation standards
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Support patients who need more complex GLP-1 management
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Build the frameworks and escalation routes to help clinicians make confident decisions in complex cases
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Support audits and edge case reviews, ensuring standards hold as volume grows
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Own off-licence GLP-1 protocols
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Ensure protocols are compliant, defensible, and effective
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Stay current with emerging evidence and update protocols accordingly
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Continuously improve protocols using real data
Qualifications
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UK medical licence: You understand prescribing within a UK private/CQC context and maintain an active licence to practice.
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Clinical background and expertise: Experience in weight management or metabolic health with familiarity with GLP-1 receptor agonists.
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Telehealth experience: Understanding of remote prescribing in practice (both asynchronous & synchronous).
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Frontier awareness: Actively track emerging evidence, new treatments, and evolving best practices.
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Clinical judgement at scale: Comfortable owning, making, and refining clinical decisions that apply across large patient populations.
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Governance exposure: Involvement in audits, protocol reviews, and clinical decision frameworks.
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Speed + pragmatism: Ability to make clear, confident decisions rooted in deep expertise.
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Patient-centric: Understanding how protocol-design decisions impact scalability and the overall patient experience.
Nice to Have
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Off-licence GLP-1 protocol design: Experience in designing off-licence prescribing protocols.
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CQC / regulated telehealth leadership: Leadership experience within UK private care frameworks.
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Product-minded clinician: Experience working with product/engineering teams to turn logic into software.
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Startup pace: Experience in high-velocity environments where priorities shift often.
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Systems thinker: Ability to simplify complexity and design frameworks that scale.
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Builder mode: Experience in building something previously, either founding a private practice or being the first Medical Officer at a startup.
Our Cultural Standards
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Belief in the mission: Dedicated to transforming the life of patients.
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Unwavering integrity: Maintain impeccable ethics and integrity.
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Only the paranoid survive: Embrace challenges with conviction.
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If we’re average we fail: Focus on excellence and reject incompetence.
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Commitment to candor: Expect full transparency and give feedback with love.
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A maniacal sense of urgency: Execute with intensity and speed.
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Enduring frugality: Spend cash wisely and avoid wastefulness.
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Bulldozing barriers: Be relentlessly resourceful and shape the world.
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Keep your head down: Focus on what matters and ignore short-term status.
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The power of focus: Know your One Thing and nail it.
Compensation & Benefits
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Compensation: £70-£110/hr (cash comp + equity)
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Vacation: Generous time-off with a yearly minimum
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Remote: Fully distributed team functioning remotely
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Professional development: Budget for books, courses, coaching (£500/yr)
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Personal wellness: Budget for gym, health apps (£500/yr)
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Equipment: WFH gear provided as needed, including Macbook (≥£1000)