Role: .NET Developer (NHS Experience is ESSENTIAL) Location: Remote with occasional travel to Manchester Rate: £500 per day Inside IR35 Contract: 6 months Start: ASAP Overview We are supporting a consultancy who are looking for an experienced .NET Developer with strong NHS background and hands-on expertise in FHIR or HL7 integrations. You will contribute to the design and development of clinical and patient facing applications that integrate with core NHS systems. You should be confident building reliable backend services in .NET and delivering modern web front ends using either React or Angular. Key Responsibilities Build and enhance backend services using .NET that support clinical workflows Design, develop, and maintain integrations using FHIR or HL7 standards Deliver front end components using React or Angular Collaborate with technical teams, clinical stakeholders, and integration specialists Ensure interoperability, data quality, and safe handling of clinical information Contribute to solution design, technical documentation, and sprint planning Support testing, troubleshooting, and performance optimisation Work within NHS information governance and clinical safety frameworks Essential Experience Proven experience working within NHS environments Advanced .NET development skills Strong knowledge of FHIR and or HL7 standards Experience with React or Angular (either is fine) Experience building APIs, microservices, and secure integrations Understanding of NHS clinical systems and terminology Ability to work autonomously and communicate well with clinical teams Nice to Have Experience with Azure cloud services Knowledge of NHS Spine services Experience with integration engines like Mirth Understanding of DevOps pipelines and CI CD tooling Apply now or email for more information