The pathway
How you actually get there, here
How you become one varies far more by country than what one does. This is the UK route. Most people take one of these ways in; the right one depends on where you're starting from.
- 1
From Principal Clinical Software Engineer
3-5 years as a PrincipalSkills to master
- Transitioning from being the top individual contributor to leading multiple technical domains, developing strategic leadership skills, mastering cross-functional influence, and gaining experience in budget management.
You're ready to move on when
- Successfully led the architecture and delivery of multiple complex, multi-system clinical programmes.
- Consistently mentored and developed senior engineers and architects.
- Demonstrated ability to influence product strategy and make significant technical trade-offs.
- Has some experience managing budgets or significant project P&L.
- 2
From Manager, Clinical Software Engineering (leading multiple teams)
4-6 years as a Manager of ManagersSkills to master
- Scaling leadership from managing teams to managing a 'department of teams', developing enterprise-level strategic thinking, understanding healthcare economics, and engaging with C-Suite and external stakeholders.
You're ready to move on when
- Successfully managed multiple engineering teams (e.g., 20+ engineers) with a strong track record of delivery.
- Developed and promoted several direct reports into more senior leadership roles.
- Demonstrated ability to contribute to product strategy and influence cross-functional roadmaps.
- Has experience presenting to senior leadership and managing a departmental budget.
- 3
From Director of Engineering (in a related health tech domain)
Lateral move, potentially 1-2 years to adapt to our specific contextSkills to master
- Adapting to our specific clinical domain, understanding our unique regulatory landscape, and integrating into our organisational culture and existing technology stack. Often requires a strong focus on clinical informatics.
You're ready to move on when
- Proven track record of success as a Director in another health tech company or a highly regulated industry.
- Strong foundational knowledge of software engineering leadership and strategic execution.
- Demonstrated ability to quickly learn and adapt to new technical and domain contexts.
- A clear passion for clinical informatics and improving patient care.