At Care ADHD, we’re improving access to high-quality neurodevelopmental services. We’re client-centred and outcomes-focused, with a strong emphasis on operational excellence: clear ways of working, consistent use of systems, and teams who know what “good” looks like.
We’re only two years old - but in that time we’ve grown significantly, achieved remarkable scale while maintaining gold standard clinical care, and built a service that’s changing the lives of thousands of people every single month.
The need is very real. The positive impact we have is immediate. And we’re just getting started.
As we continue to scale, the effectiveness of our senior leaders matters more than ever. That means surrounding them with people who do more than keep things organised - people with judgement, discretion, and the ability to make a senior leader materially more effective through strong coordination, follow-through, and high-quality support.
We’re hiring a Senior Executive Assistant / Business Manager to the COO — a high-trust, high-judgement role supporting one of the most operationally central executives in the business.
This is not a traditional EA role. We’re looking for someone who combines outstanding executive support instincts with strong coordination ability, excellent written communication, sound judgement, and the confidence to operate credibly in a senior leadership environment.
You’ll help the COO’s office run with structure, clarity and momentum. That means more than managing time well. It means ensuring the right information reaches the right people, follow-through doesn’t get lost, emerging issues are surfaced early, and the COO is consistently well prepared to lead across a complex and fast-moving part of the business.
You’ll attend internal meetings on the COO’s behalf where appropriate, coordinate actions and follow-through across teams, prepare high-quality draft papers and presentations, and provide practical support on projects and priorities that need disciplined execution.
This role will suit someone who is highly capable, highly organised, emotionally intelligent, and quietly formidable: someone who creates confidence around them through judgement, reliability, polish, and consistent delivery.
Act as a credible coordination point across the COO’s office.
You’ll work closely with the COO’s direct reports, their teams, and executive support colleagues to help ensure the COO’s office operates with structure, clarity and momentum. You’ll coordinate information, follow up on deliverables on the COO’s behalf, and help make sure the right people have the right information at the right time.
Help keep priorities moving across a complex part of the business.
You’ll identify where actions, decisions or dependencies are delayed, and take appropriate steps to progress, coordinate or escalate them. You’ll help ensure follow-through is visible and organised rather than informal or fragile, and that important issues are surfaced early.
Represent the COO internally where appropriate.
You’ll attend internal meetings on the COO’s behalf when useful, capture decisions, actions and risks accurately, and provide clear written or verbal readouts afterwards. You’ll know the difference between representing, coordinating and deciding — and will exercise excellent judgement within that boundary.
Provide high-quality drafting and decision support.
You’ll create polished first drafts of presentations, papers, briefings, updates and executive communications. You’ll be comfortable taking rough direction, partial notes or a loose steer and shaping them into something coherent, well structured and genuinely useful. You’ll also carry out research and basic analysis using operational reports, dashboards and internal information to support the COO’s decision-making.
Be a trusted extension of the COO’s office.
You’ll manage a complex diary, triage competing demands, protect time for what matters most, and ensure the COO is consistently well prepared. You’ll coordinate involvement in recurring leadership meetings and business priorities, making sure agendas, pre-reads and supporting materials are in place and that actions are followed through.
Provide practical operational leverage.
You’ll take responsibility for defined coordination tasks and support activity that helps work move forward. That may include setting up SharePoint sites, organising documentation, maintaining trackers, coordinating inputs, or putting structure around cross-functional work that needs to stay on course.
Operate with discretion in a regulated setting.
You’ll handle commercially sensitive, confidential and occasionally special category information with maturity, judgement and absolute professionalism. You’ll understand when to act independently, when to follow up firmly, and when escalation is required.
Studies show that men apply for roles when they meet around 60% of the qualifications, whereas women and other marginalised groups often apply if they meet every requirement. If you believe you’d be a great fit but don’t meet every single criteria, we encourage you to apply.
At Care ADHD, we’re committed to building a diverse and inclusive environment. We encourage applications from candidates of all backgrounds, especially those from historically marginalised communities, as we work together to create a more equitable future.
CARE ADHD is dedicated to providing affordable, high-quality ADHD assessment, diagnosis, and treatment for adults. Our consultant psychiatrist-led team follows gold-standard guidelines set by the National Institute for Healthcare and Clinical Excellence (NICE). We are regulated by the Care Quality Commission and all our clinicians are professionally registered and DBS checked. At CARE ADHD, we strive to offer comprehensive support, understanding, and care, ensuring every patient feels valued and listened to. Join us on a journey towards better mental health and well-being.
