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Practice & Business Manager

Keats Group Practice

London, NW3 1NRView on map(opens Google Maps in a new tab)

Salary

£65,000 to £70,000

Contract

Permanent

Hours

Not specified

Closing date

1 November 2026

13 days left

Job description

We've built a strong clinical practice. Now we want to build an organisation that's just as strong. Keats Group Practice is looking for an exceptional...

This is a

senior operational and business leadership role working closely with our three

GP Partners and wider management team. The postholder will lead and coordinate

the non-clinical organisation of the practice, with responsibility across

people and HR, workforce planning, operational performance, finance and income,

governance and CQC readiness, projects, communication and organisational

development.

A central part

of the role will be strengthening ownership and accountability across the

management team, building reliable systems and ensuring agreed work is followed

through. The postholder will use information and judgement to identify risks

and priorities, involve the right people and bring clear recommendations to the

Partnership when decisions are needed.

The role combines

day-to-day operational leadership with strategic input: solving immediate

problems when necessary while also improving the systems behind them.

The postholder

is a senior leader within Keats Group Practice. The postholder will work with

the GP Partners and wider management team to ensure that the practice is

well-led, operationally effective, financially sustainable and able to continue

delivering excellent patient care.

combines hands-on operational leadership with strategic input. The postholder

will be expected to take ownership of agreed areas, create clear systems and

accountability, bring together the right people, and provide the Partnership

with timely information, recommendations and constructive challenge.

The postholder

will be supported by an established management structure including an

Operations Manager, Finance Lead and Management Support Assistant, as well as

clinical, reception and administrative team leads. The aim is not for one

person to carry every function personally, but to lead and coordinate the

organisation effectively.

and organisational management

Work closely with the three GP Partners and management team to translate

strategic priorities into clear plans, responsibilities and delivery.

Participate in weekly management meetings and contribute meaningfully to

quarterly strategy meetings.

Build clear ownership and accountability across the management structure and

ensure agreed actions are followed through.

Provide concise, timely advice to the Partnership on operational, workforce,

financial, governance and strategic matters.

Exercise sound judgement about which matters require Partner involvement and

which can be resolved within the management team.

Deputise for the Partners at appropriate internal and external meetings when

agreed.

and workforce

Provide senior leadership for workforce planning and people management across

the practice.

Ensure HR processes are fair, timely, consistent and compliant with

employment legislation and practice policy.

Oversee recruitment, induction, appraisal, development, attendance

management, performance management and, where required, disciplinary or

capability processes.

Support managers and team leads to handle people issues confidently and

appropriately, reducing unnecessary upward escalation.

Review staffing structures and workforce capacity against service need,

affordability and future plans.

Promote a culture in which staff feel valued and supported while

understanding their responsibilities and being accountable for their work.

and systems

Maintain oversight of the day-to-day non-clinical operation of the practice,

working closely with the Operations Manager and other leads.

Identify recurring operational problems and develop reliable systems rather

than repeatedly relying on individual workarounds.

Support effective clinical and administrative workforce planning, including

oversight of rota systems and resilience arrangements.

Lead or sponsor process improvement work, making thoughtful use of

technology, data and automation where these can improve reliability, efficiency

or staff experience.

Ensure important operational risks are identified, recorded, owned and

addressed.

4. Finance,

income and business performance

Work with the Finance Lead and Partners to strengthen oversight of practice

finances, income streams, expenditure and financial risk.

Support budgeting, forecasting and financial planning and provide the

Partnership with clear information to support decision-making.

Maintain oversight of NHS contractual income, Quality and Outcomes Framework

activity, enhanced services and other relevant income streams, ensuring

opportunities are understood and performance is monitored.

Identify opportunities to improve income, reduce avoidable costs and use

resources more effectively, while protecting quality and patient care.

Contribute to business cases and evaluation of potential new services or

growth opportunities.

5. Governance,

compliance and CQC readiness

Ensure that governance and regulatory compliance are embedded into routine

practice working rather than approached reactively.

Coordinate the practice's ongoing CQC readiness, ensuring actions are

delegated to appropriate leads, tracked and completed.

Maintain oversight of key policies, risk assessments, business continuity

arrangements, health and safety responsibilities and contractual requirements.

Support effective systems for learning, audit, significant events and

continuous improvement where these fall within the role's remit.

6. Projects,

change and development

Lead and coordinate significant practice projects from planning through

implementation and review.

Develop clear project plans, milestones, responsibilities and reporting

arrangements.

Support the practice to evaluate new ways of working, including digital

tools, service redesign and opportunities for sustainable growth.

Prepare or coordinate business cases, reports and proposals when required.

Ensure change is communicated well and that the people affected are involved

appropriately.

7.

Communication and relationships

Develop effective internal communication between the Partnership, management

team, staff and wider practice.

  • Support clearer external communication with patients about practice services

and processes.

Build constructive relationships with the Primary Care Network, Integrated

Care Board, Federation, suppliers and other external stakeholders.

Work with fellow Practice and Business Managers across North Camden Primary

Care Network, sharing learning and identifying opportunities for collaboration.

Chair or support effective meetings with clear agendas, decisions, actions

and ownership.

and strategic development

Support the Partners to make practice leadership more sustainable by reducing

avoidable operational dependency on Partner time.

Contribute to strategic planning around workforce, succession, financial

sustainability, service development, patient-list growth and organisational

resilience.

Bring external perspective, ideas and constructive challenge to strategic

discussions.

Help create the organisational capacity that allows clinical leaders and

Partners to focus on clinical care, education, leadership and future

development.

The postholder

will be expected to work flexibly within the scope and seniority of the role

and to undertake other reasonable duties as required. Responsibilities may

evolve as the management structure develops. The postholder must maintain

confidentiality, uphold information-governance requirements and work in

accordance with practice policies and relevant NHS and statutory obligations.

This is a full-time senior

salaried role of 37.5 hours per week, with the opportunity to agree a working

pattern across four or five days. Salary is £65,000 to £70,000 per annum

depending on skills and experience. The role offers six weeks' annual leave plus

statutory public holidays, pro rata where appropriate, and access to the NHS

Pension Scheme subject to scheme eligibility. Relevant continuing professional

development will be supported by agreement with the Partners.

Keats is a

substantial North London GP practice led by three GP Partners and supported by

a wide multidisciplinary clinical team, separate reception and administration

teams, and an established management structure. The successful candidate will

work alongside an Operations Manager, Finance Lead and Management Support

Assistant.

We want our

patients to feel known and supported, our staff to feel valued and empowered,

and our leaders to have the capacity to lead and innovate. Our new manager will

have regular access to the Partners through weekly management meetings and a

meaningful role in quarterly strategy discussions.

We are part of North Camden

Primary Care Network, five local practices serving around 55,000 patients, with

a supportive peer network of Practice and Business Managers. We offer

£65,000-£70,000 depending on experience, 37.5 hours across four or five days,

six weeks' annual leave plus public holidays and NHS Pension access. Informal

visits are warmly welcomed.

Qualifications

Essential: - Good standard of education with excellent literacy and numeracy skills.

Desirable

  • Degree-level qualification in business, management, healthcare or a related field.
  • Leadership and/or management qualification.
  • Primary care or healthcare management qualification.

Experience

Essential

  • Substantial experience of leading people and operations in a complex organisation.
  • Experience of managing multidisciplinary teams and supporting other managers or team leads.
  • Experience of HR and people management, including attendance, performance, development and difficult employee-relations issues.
  • Experience of financial management, budgeting, forecasting or using financial information to support decisions.
  • Experience of leading and implementing significant projects or organisational change.
  • Experience of workforce planning and developing reliable operational systems.
  • Demonstrable understanding of NHS primary care/general practice sufficient to become effective quickly in the role.
  • Comfort with performance, finance, workforce and governance alongside people leadership
  • A constructive challenger who is prepared to ask why we are still doing it this way
  • Excellent leadership, communication and interpersonal skills, with credibility across staff groups and senior stakeholders.
  • Able to combine strategic thinking with hands-on operational problem-solving.
  • Strong ownership and follow-through; able to prioritise, delegate and hold others accountable appropriately.
  • Able to lead with empathy while setting clear expectations and handling difficult conversations confidently.
  • Sound judgement about risk, escalation and when to make decisions independently.
  • Strong analytical and problem-solving skills, including the ability to use data and financial information.
  • Able to develop, implement and embed effective policies, processes and systems.

Desirable

  • Previous senior management experience in an NHS GP practice.
  • Experience working with a Primary Care Network, GP Federation or Integrated Care Board.
  • Experience of CQC preparation, regulatory compliance or governance in a healthcare setting.
  • Experience of NHS contractual income, Quality and Outcomes Framework or enhanced services
  • Experience of EMIS or other primary-care clinical systems.
  • Experience of digital transformation, automation or business-intelligence tools.

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

12 October 2026

Last checked

13 October 2026

Salary, closing date and description are taken from the employer's advert. The original advert always takes precedence.

About the employer

KGP
Keats Group Practice

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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