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 leftJob 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
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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