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Time commitment: Full-time (1 FTE) Location: Hybrid working between our London office (140 Borough High Street) three days a week (Mon, Wed, Thurs) and home two days a week (Tues, Fri). Reporting to: Head of Operations About Paloma In 2024, our founders, Mark and Darshak, were shocked to find that children needing an NHS autism or ADHD assessment were waiting 4-10 years for these assessments. Delayed assessments result in children being more likely to develop mental health conditions and fall behind in education. Furthermore, the much-needed pre/post-assessment support (outside of ADHD medications) is typically not funded by the NHS. These long waits have built up due to increased recognition and understanding of neurodevelopmental conditions and a lack of investment and innovation within the NHS to meet the growing demand. Mark and Darshak, with their 25 years of combined NHS experience, including building services that have treated over 1,000,000 patients in obesity & ophthalmology, founded Paloma to change this. Our mission is to make NHS autism and ADHD assessments and care accessible within 4 weeks of a GP referral, and, in turn, help every child achieve their potential. As of May 2026, we have successfully reduced waits to less than 3 months by; Taking a product-first approach to redesign the care pathway to give families a more consumer-like experience of care Our in-house product, engineering and AI team building our own autism and ADHD specific electronic health record and AI documentation tool to free clinicians from their significant documentation burden to re-focus on supporting families Investing in expanding the clinician workforce and upskilling them in new ways of working. We are proud that Paloma is: Loved by families, with 4.9 out of 5 Trustpilot and Google ratings Care Quality Commission (CQC) registered and quality-focused Clinically-led, with a team of 150 people, including over 100 clinicians supporting families through their assessment journey. We are hiring 100+ more roles over the next 12 months. A community of passionate, mission-driven and innovative team members who challenge the status quo and test and learn from new ideas and approaches. Backed by leading healthcare investors Triple Point and Heal Capital What’s next? Whilst we have reduced wait times, it is estimated that up to 500,000 children are still waiting for an NHS autism or ADHD assessment. We won’t rest until this comes down. We want to build new services to support families and children diagnosed with autism or ADHD who feel lost after their assessments when the NHS is no longer there for them. The Opportunity The Senior Care Delivery Manager will be pivotal in overseeing and optimising how our Delivery Team ensures families referred to our NHS services receive high-quality, fast access to autism and ADHD care. This is a two-fold role requiring excellent people management skills and operational strategy. On one hand, you will be an exceptional people leader—mentoring, coaching, and motivating a large, cross-functional Delivery Team (comprising Team Managers, Care Coordinators, and multi-disciplinary clinicians) with empathy and high engagement. On the other hand, you will be a highly accountable operational strategist. You will work cross-functionally to interrogate metrics, proactively identify operational risks, and deliver concise, data-grounded updates and proposals directly to senior stakeholders. If you demonstrate success in this role, you may take on further responsibilities and can be promoted to ‘Head of’ Care Delivery. Responsibilities Line manage, mentor, and develop Team Managers, ensuring they are effectively supported to lead their respective cohorts of Care Coordinators and clinicians Own performance management pathways and probationary outcomes for your direct r