Finance Lead
Northdown & Dashwood Surgery
Margate, CT9 2TRView on map(opens Google Maps in a new tab)
Salary
£34,000
Contract
Permanent
Hours
Not specified
Closing date
30 October 2026
10 days leftJob description
We are a forward-thinking GP practice of around 25,000 patients across two sites in Kent, rated Good by CQC, with a clear ambition to become one of th...
Main duties
- Design, build and manage the practices chart of accounts in Xero, with tracking by site and cost centre.
- Keep the books accurate and up to date, including weekly bank reconciliations, purchase orders, supplier invoices and payments.
- Run monthly payroll, and manage NHS Pension Scheme administration for staff, salaried GPs and partners, including year-end pension certificates with our accountants.
- Reconcile the monthly GP payment statement, drug and vaccine reimbursements, PCN income and private fees.
- Produce weekly finance reports, monthly management accounts, budget tracking, cash flow forecasts and quarterly benchmarking for the Head of Practice.
- Lead a review of past income to identify anything the practice was entitled to but did not receive.
- Manage debtors and creditors, petty cash and the contract register.
- Prepare complete, reconciled records for our accountants at year end.About you
- Expert, hands-on Xero user (or similar software).
- AAT Level 3 or equivalent experience.
- Payroll experience, and a working knowledge of NHS pensions in general practice.
- Accurate, organised, discreet and confident explaining numbers to non-accountants.
The Finance Lead reports to the Head of
Practice and is part of the leadership team. The role delivers the Finance
pillar of the practice strategy: the Finance Lead produces accurate numbers and
reports, and the Head of Practice uses them to judge whether cost containment
and income plans are working, and to bring decisions to the Partners.
Decision rights
Decides: processing approved invoices, payments and payroll; coding
transactions; querying suppliers and income bodies; requesting approval before
payment.
Recommends
to the Head of Practice: changes to financial
procedures; variances that need action; payments outside the approved budget or
limits; cash flow risks.
Bookkeeping and payments
Keep the accounts in Xero
accurate and up to date, with every transaction coded correctly and the bank
reconciled at least weekly.
Process purchase orders,
invoices, payments and expense claims promptly, checking each has proper
approval.
Keep financial records
organised and retained in line with legal requirements.
Xero and the chart of accounts
Design and build a chart of
accounts in Xero, agreed with the Head of Practice and the accountants.
Code every transaction by site
(Northdown, Dashwood or practice-wide) and by cost centre, such as reception,
nursing, GPs, premises, IT and each income stream, so the practice can drill
down into any cost.
Manage Xero end to end: bank
feeds and rules, approvals, budgets, reporting templates, user access and
connected apps.
Keep coding clean, so reports
can be trusted without adjustment, and train leads to read their own reports.
Map historical transactions
into the new chart of accounts for [the previous X years], so past and present
can be compared like for like.
Lost income review
Stage 1 the full picture. Compare
income received with income due for every stream, including the global sum,
QOF, enhanced services, local schemes, PCN payments, premises, locum and drug
reimbursements, and pension deductions. Record every gap, however old.
Stage 2 the decision. For
each gap, set out the amount, the time limit for claiming, the evidence and the
effort to recover it, so the Head of Practice and Partners can decide what to
pursue.
Pursue agreed recoveries with
the QOF, Quality & Population Health Lead and the accountants, report
progress until each is closed, and fix the cause of every gap so the same
income is not lost again.
Payroll and pensions
Run monthly payroll accurately
and on time, using HR's notifications of every starter, leaver and change,
including PAYE, National Insurance and other deductions.
administration for staff, salaried GPs and Partners through PCSE: contribution
rates, joiners, leavers, changes and locum forms.
Reconcile pension contributions
deducted from NHS payments with what is due, and correct errors.
Prepare Partners' and salaried
GPs' year-end pension certificates with the accountants, so they match the
final accounts.
Keep payroll and pension
records ready for year end and audit, and answer staff payroll and pension
queries.
Income and reconciliation
Reconcile the monthly GP
payment statement line by line to Xero, covering every payment and deduction,
and query anything missing or wrong.
Each month, receive the QOF,
Quality & Population Health Lead's claims schedule, check it against
approved claims using view access to CQRS, and report back every missing, short
or unexpected payment through a shared income tracker.
Reconcile drug and vaccine
reimbursements, matching stock bought, items given, claims and payments.
Reconcile PCN income, private
fees (weekly, with the Operations Managers) and petty cash (monthly).
Run credit control, pay
suppliers on agreed terms, and review aged debtors and creditors monthly.
Reports for the Head of Practice
All reports come from Xero and can be
broken down by site and cost centre.
Weekly Finance report: cash, income
and claims outstanding, headline spend, private fees and petty cash.
Monthly Management accounts: profit
and loss, balance sheet, and budget against actual, with commentary on
variances.
Monthly Site and cost centre: where
money is earned and spent across Northdown, Dashwood and practice-wide costs.
Monthly Staffing costs: pay costs by
site, team and role, including overtime, locums and agency, against the
workforce plan.
Monthly Operating costs: premises,
utilities, consumables, equipment, IT and contracts, for each site.
Northdown Surgery and Dashwood Medical Centre are one GP practice across two sites in Kent, caring for around 25,000 patients. We are rated Good by CQC, and our ambition is to become one of the best-performing practices in Kent and Medway.
We are an exciting place to join right now. We are in the process of setting up a new leadership team to lead the practice into its next stage, with clear roles, clear goals and a strong focus on quality, efficiency and our patients. You will be part of that team from the start, with a real say in how the practice develops.
Our values of fairness, integrity, accountability, collaboration and innovation guide how we work. We are a friendly, supportive team who expect high standards of each other, share ideas openly and take pride in getting things right for our patients and colleagues.
Qualifications
Essential
- AAT Level 3, or equivalent bookkeeping experience
- Expert, hands-on Xero user, including chart of accounts design, tracking categories, budgets and custom reporting
- Experience running a full set of books, including bank reconciliation, supplier payments and credit control
- Experience running payroll, including PAYE
- Working knowledge of NHS Pension Scheme employer administration in general practice
- Experience producing management accounts, cost centre and budget reports that non-accountants can understand, with clear commentary on what the numbers mean
- Willingness to learn general practice finance quickly
- Accurate, organised, discreet and trustworthy
- Integrity, and a calm approach to deadlines
Desirable
- AAT Level 4 or above
- Xero Advisor certification
- Experience migrating or restructuring a chart of accounts, including historical data
- Experience preparing Partners year-end pension certificates
- Cash flow forecasting and reforecasting
- Experience benchmarking GP practice finances
- Knowledge of GP income streams and the partnership model
- Knowledge of CQRS and how approved claims flow through to payment
- Experience reconciling GP payment statements and drug reimbursements
- Experience of income recovery reviews
How to apply
Applications are handled entirely by the employer on the original advert. We do not collect CVs, supporting statements or application data.
Provenance
Source
NHS Jobs
First seen
14 October 2026
Last checked
16 October 2026
Salary, closing date and description are taken from the employer's advert. The original advert always takes precedence.
About the employer
NHS organisation
This listing was structured from NHS Jobs. Vacancy details and the application process remain the responsibility of the original source.
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