Practice Business Manager
5 days ago
Oxford
Job summaryBridge Medical Centre is a well-established, progressive and ambitious GP practice in Crawley, West Sussex, providing NHS primary care services to approximately 13,500 patients.We are seeking an experienced, motivated and financially astute Practice Business Manager to join our senior management team on a full-time basis.This is an exciting opportunity for an individual with strong leadership, financial management and organisational skills to play a central role in the operational and strategic development of the Practice.Working directly with the GP Partners, the successful candidate will oversee day-to-day operations, financial management, payroll, NHS contractual income, human resources, governance and regulatory compliance.We particularly welcome candidates who combine NHS general practice management experience with practical financial and accounting expertise, including budgeting, forecasting and financial reporting.We offer a responsible and rewarding leadership position within a supportive multidisciplinary team, with opportunities to contribute to the Practice's continued growth and development.Salary will be dependent on experience and qualifications, with opportunities for performance-related progression.Main duties of the jobThe Practice Business Manager will provide senior leadership and oversee the financial, operational and administrative management of Bridge Medical Centre, reporting directly to the GP Partners.Key responsibilities include financial management, bookkeeping, payroll, budgeting, cash-flow forecasting, financial reporting and reconciliation of NHS contractual income, including GMS, QOF, CQRS and enhanced services.The successful candidate will lead workforce management, recruitment, HR processes and staff development, while ensuring effective patient services, clinical administration, regulatory compliance and CQC inspection readiness.The role also involves overseeing IT systems, information governance, premises management, supplier contracts, procurement and expenditure control.A key requirement is the ability to independently undertake essential accounting, payroll and financial administration duties when necessary, ensuring business continuity and financial accuracy.The postholder will identify opportunities to improve efficiency, maximise appropriate income, reduce unnecessary expenditure and support the Practice's strategic development and long-term growth.About usBridge Medical Centre is a well-established, forward-thinking and ambitious GP practice situated in Crawley, West Sussex, providing NHS primary care services to approximately 13,500 patients.Our multidisciplinary team comprises GP Partners, salaried GPs, practice nurses, healthcare professionals, pharmacists and experienced administrative and support staff. We are committed to delivering high-quality, patient-centred care in a professional, collaborative and supportive working environment.We promote a culture of teamwork, accountability, continuous improvement and professional development. We value individuals who demonstrate initiative, take ownership of their responsibilities and contribute positively to the success of the organisation.The Practice is focused on improving operational efficiency, strengthening financial sustainability, embracing digital innovation and expanding its services to meet the evolving needs of our patients.We offer an opportunity to join an established and growing organisation, work closely with the GP Partners, influence key management decisions and contribute meaningfully to the Practice's future development.We welcome motivated and capable professionals who share our commitment to excellence, innovation and long-term organisational success.DetailsDate posted20 October 2026Pay schemeOtherSalary Be one of the first applicants, read the complete overview of the role below, then send your application for consideration. Depending on experience ContractPermanentWorking pattern Full-time Reference numberA Job locationsWassand CloseThree BridgesCrawleyWest SussexRH10 1LLUnited KingdomJob descriptionJob responsibilitiesPractice Business Manager Job DescriptionBridge Medical Centre, Crawley, West SussexFull Time | Reporting to GP PartnersJob PurposeThe Practice Business Manager will provide senior leadership and take responsibility for the effective financial, operational, administrative and business management of Bridge Medical Centre, serving approximately 13,500 patients.Working directly with the GP Partners, the postholder will combine strategic leadership with practical financial and operational expertise, ensuring efficient service delivery, strong governance, financial sustainability and continuous improvement.A key requirement is the ability to independently undertake essential accounting, payroll and financial administration functions when necessary.1. Leadership and Practice ManagementProvide effective day-to-day leadership and operational management of the Practice.Work with GP Partners to develop and implement strategic objectives and business plans.Oversee administrative services, staffing arrangements, operational performance and service efficiency.Attend Partners' meetings, management meetings and relevant external meetings.Prepare management reports, identify operational risks and implement agreed improvements.Support organisational development, service expansion and strategic projects.2. Financial Management and AccountingOversee and undertake bookkeeping, purchase and sales ledger administration, invoicing and supplier payments.Maintain accurate financial records using Xero or equivalent accounting software.Undertake bank reconciliations and investigate financial discrepancies.Prepare annual budgets, monthly financial reports and cash-flow forecasts.Monitor income, expenditure, staffing costs and financial performance.Review supplier contracts, identify unnecessary expenditure and recommend cost savings.Maintain appropriate financial controls and payment authorisation procedures.Liaise with accountants, banks and external financial advisers.3. Payroll, HMRC and PensionsOversee and, when required, independently undertake payroll administration.Maintain accurate records of salaries, working hours, overtime, sickness absence and employment changes.Coordinate PAYE, National Insurance and HMRC submissions and payments.Oversee NHS pension and workplace pension administration.Manage pension joiners, leavers and relevant annual submissions.Reconcile payroll expenditure against accounting records and budgets.Investigate discrepancies and ensure accurate, timely payments.4. NHS Contractual Income and Financial PerformanceMonitor and reconcile GMS contractual income and NHS funding.Oversee QOF achievement, financial performance and payment reconciliation.Coordinate CQRS submissions, Local Commissioned Services and enhanced service claims.Maintain schedules of contractual payments, claim deadlines and reimbursements.Identify missing, delayed or incorrect payments and pursue discrepancies.Oversee eligible GP sickness, locum and other reimbursement claims.Monitor private medical and other non-NHS income.Work with clinical and administrative teams to maximise legitimate Practice income.5. Human Resources and Workforce ManagementLead recruitment, induction, appraisals, performance management and workforce planning.Oversee employment contracts, job descriptions and personnel records.Manage sickness absence, annual leave, disciplinary matters, grievances and capability procedures.Liaise with external HR advisers and occupational health providers.Ensure mandatory training, professional development and regulatory requirements are maintained.Monitor staffing expenditure and workforce efficiency.Promote effective delegation, staff accountability and a positive working environment.6. Patient Services and Clinical AdministrationOversee reception, patient services, appointment administration and administrative workflow.Manage clinical correspondence processing, referral administration and secretarial services.Monitor administrative coding, clinical recall systems and document management.Support QOF, chronic disease reviews and enhanced service delivery through effective administrative processes.Oversee patient registration, deductions and repeat prescription administrative workflows.Coordinate complaints management, investigations, responses and patient feedback.Identify opportunities to improve patient access, administrative efficiency and service quality.Work collaboratively with clinicians while maintaining appropriate clinical accountability boundaries.7. Governance, CQC and Quality ImprovementMaintain oversight of CQC requirements and inspection readiness.Coordinate Practice policies, procedures and compliance monitoring.Oversee clinical and administrative audits, significant event reporting and quality improvement programmes.Maintain risk assessments, governance action plans and appropriate records.Support safeguarding administration, infection prevention and control, health and safety and statutory compliance.Ensure appropriate business continuity and emergency planning arrangements.Monitor implementation of agreed governance improvements.8. IT, Information Governance and Digital SystemsOversee effective use of SystmOne, TeamNet, Surgery Connect and relevant NHS digital systems.Coordinate IT onboarding, offboarding and system access arrangements.Liaise with NHS IT support and external technology providers.Oversee IT equipment, system maintenance and operational continuity.Ensure compliance with UK GDPR, the Data Protection Act 2018 and NHS information governance requirements.Coordinate Data Security and Protection Toolkit requirements.Maintain oversight of information security incidents, data breaches and access reviews.Identify digital improvements that enhance efficiency and service delivery.9. Premises, Procurement and Supplier ManagementOversee premises maintenance, safety, facilities and statutory inspections.Monitor utilities, service contracts, insurance and other recurring expenditure.Coordinate supplier procurement, quotation comparisons and contract renewals.Oversee rent reviews, leases and NHS premises reimbursement arrangements.Liaise with landlords, contractors, architects, surveyors and professional advisers.Support premises refurbishment, development and expansion projects.Identify opportunities to improve value for money and reduce unnecessary costs.10. Business Development and Strategic GrowthSupport GP Partners in developing and implementing longer-term business objectives.Identify opportunities for service development, additional funding and income growth.Prepare business cases, financial assessments and cost-benefit analyses.Assess the financial implications of new services, staffing arrangements and investments.Monitor developments in NHS primary care and advise on potential opportunities and risks.Contribute to the Practice's financial sustainability, operational efficiency and future growth.11. Management Reporting and AccountabilityThe postholder will provide regular financial and operational reports to the GP Partners, including:Income and expenditure against budget.Cash-flow forecasts and financial variances.Payroll and staffing expenditure.GMS, QOF, CQRS and enhanced service income.Outstanding claims, reimbursements and invoices.Workforce performance, recruitment and sickness absence.CQC compliance, audits and governance actions.Supplier costs, premises expenditure and business development progress.Reports should identify emerging risks, explain discrepancies and provide practical recommendations.12. Operational Resilience and Business ContinuityThe Practice Business Manager must be capable of independently undertaking essential financial and administrative duties when required, including bookkeeping, bank reconciliations, payroll administration, supplier payments, NHS income reconciliation and financial reporting.The postholder will establish appropriate procedures, documentation, delegation and cross-training arrangements to ensure continuity of essential services during staff absence, vacancies or organisational change.The successful candidate must demonstrate a hands-on management approach and be comfortable combining strategic responsibilities with practical operational work.General ResponsibilitiesThe postholder will maintain confidentiality, professional integrity and compliance with relevant legislation, NHS requirements and Practice policies.The GP Partners retain responsibility for strategic decisions, financial authorisations and ultimate contractual accountability.This job description outlines the principal responsibilities of the position and may be reviewed to reflect the evolving needs of the Practice. Job description Job responsibilitiesPractice Business Manager Job DescriptionBridge Medical Centre, Crawley, West SussexFull Time | Reporting to GP PartnersJob PurposeThe Practice Business Manager will provide senior leadership and take responsibility for the effective financial, operational, administrative and business management of Bridge Medical Centre, serving approximately 13,500 patients.Working directly with the GP Partners, the postholder will combine strategic leadership with practical financial and operational expertise, ensuring efficient service delivery, strong governance, financial sustainability and continuous improvement.A key requirement is the ability to independently undertake essential accounting, payroll and financial administration functions when necessary.1. Leadership and Practice ManagementProvide effective day-to-day leadership and operational management of the Practice.Work with GP Partners to develop and implement strategic objectives and business plans.Oversee administrative services, staffing arrangements, operational performance and service efficiency.Attend Partners' meetings, management meetings and relevant external meetings.Prepare management reports, identify operational risks and implement agreed improvements.Support organisational development, service expansion and strategic projects.2. Financial Management and AccountingOversee and undertake bookkeeping, purchase and sales ledger administration, invoicing and supplier payments.Maintain accurate financial records using Xero or equivalent accounting software.Undertake bank reconciliations and investigate financial discrepancies.Prepare annual budgets, monthly financial reports and cash-flow forecasts.Monitor income, expenditure, staffing costs and financial performance.Review supplier contracts, identify unnecessary expenditure and recommend cost savings.Maintain appropriate financial controls and payment authorisation procedures.Liaise with accountants, banks and external financial advisers.3. Payroll, HMRC and PensionsOversee and, when required, independently undertake payroll administration.Maintain accurate records of salaries, working hours, overtime, sickness absence and employment changes.Coordinate PAYE, National Insurance and HMRC submissions and payments.Oversee NHS pension and workplace pension administration.Manage pension joiners, leavers and relevant annual submissions.Reconcile payroll expenditure against accounting records and budgets.Investigate discrepancies and ensure accurate, timely payments.4. NHS Contractual Income and Financial PerformanceMonitor and reconcile GMS contractual income and NHS funding.Oversee QOF achievement, financial performance and payment reconciliation.Coordinate CQRS submissions, Local Commissioned Services and enhanced service claims.Maintain schedules of contractual payments, claim deadlines and reimbursements.Identify missing, delayed or incorrect payments and pursue discrepancies.Oversee eligible GP sickness, locum and other reimbursement claims.Monitor private medical and other non-NHS income.Work with clinical and administrative teams to maximise legitimate Practice income.5. Human Resources and Workforce ManagementLead recruitment, induction, appraisals, performance management and workforce planning.Oversee employment contracts, job descriptions and personnel records.Manage sickness absence, annual leave, disciplinary matters, grievances and capability procedures.Liaise with external HR advisers and occupational health providers.Ensure mandatory training, professional development and regulatory requirements are maintained.Monitor staffing expenditure and workforce efficiency.Promote effective delegation, staff accountability and a positive working environment.6. Patient Services and Clinical AdministrationOversee reception, patient services, appointment administration and administrative workflow.Manage clinical correspondence processing, referral administration and secretarial services.Monitor administrative coding, clinical recall systems and document management.Support QOF, chronic disease reviews and enhanced service delivery through effective administrative processes.Oversee patient registration, deductions and repeat prescription administrative workflows.Coordinate complaints management, investigations, responses and patient feedback.Identify opportunities to improve patient access, administrative efficiency and service quality.Work collaboratively with clinicians while maintaining appropriate clinical accountability boundaries.7. Governance, CQC and Quality ImprovementMaintain oversight of CQC requirements and inspection readiness.Coordinate Practice policies, procedures and compliance monitoring.Oversee clinical and administrative audits, significant event reporting and quality improvement programmes.Maintain risk assessments, governance action plans and appropriate records.Support safeguarding administration, infection prevention and control, health and safety and statutory compliance.Ensure appropriate business continuity and emergency planning arrangements.Monitor implementation of agreed governance improvements.8. IT, Information Governance and Digital SystemsOversee effective use of SystmOne, TeamNet, Surgery Connect and relevant NHS digital systems.Coordinate IT onboarding, offboarding and system access arrangements.Liaise with NHS IT support and external technology providers.Oversee IT equipment, system maintenance and operational continuity.Ensure compliance with UK GDPR, the Data Protection Act 2018 and NHS information governance requirements.Coordinate Data Security and Protection Toolkit requirements.Maintain oversight of information security incidents, data breaches and access reviews.Identify digital improvements that enhance efficiency and service delivery.9. Premises, Procurement and Supplier ManagementOversee premises maintenance, safety, facilities and statutory inspections.Monitor utilities, service contracts, insurance and other recurring expenditure.Coordinate supplier procurement, quotation comparisons and contract renewals.Oversee rent reviews, leases and NHS premises reimbursement arrangements.Liaise with landlords, contractors, architects, surveyors and professional advisers.Support premises refurbishment, development and expansion projects.Identify opportunities to improve value for money and reduce unnecessary costs.10. Business Development and Strategic GrowthSupport GP Partners in developing and implementing longer-term business objectives.Identify opportunities for service development, additional funding and income growth.Prepare business cases, financial assessments and cost-benefit analyses.Assess the financial implications of new services, staffing arrangements and investments.Monitor developments in NHS primary care and advise on potential opportunities and risks.Contribute to the Practice's financial sustainability, operational efficiency and future growth.11. Management Reporting and AccountabilityThe postholder will provide regular financial and operational reports to the GP Partners, including:Income and expenditure against budget.Cash-flow forecasts and financial variances.Payroll and staffing expenditure.GMS, QOF, CQRS and enhanced service income.Outstanding claims, reimbursements and invoices.Workforce performance, recruitment and sickness absence.CQC compliance, audits and governance actions.Supplier costs, premises expenditure and business development progress.Reports should identify emerging risks, explain discrepancies and provide practical recommendations.12. Operational Resilience and Business ContinuityThe Practice Business Manager must be capable of independently undertaking essential financial and administrative duties when required, including bookkeeping, bank reconciliations, payroll administration, supplier payments, NHS income reconciliation and financial reporting.The postholder will establish appropriate procedures, documentation, delegation and cross-training arrangements to ensure continuity of essential services during staff absence, vacancies or organisational change.The successful candidate must demonstrate a hands-on management approach and be comfortable combining strategic responsibilities with practical operational work.General ResponsibilitiesThe postholder will maintain confidentiality, professional integrity and compliance with relevant legislation, NHS requirements and Practice policies.The GP Partners retain responsibility for strategic decisions, financial authorisations and ultimate contractual accountability.This job description outlines the principal responsibilities of the position and may be reviewed to reflect the evolving needs of the Practice.Person Specification Qualifications EssentialEducated to degree level in business management, finance, accounting, healthcare management or a related discipline, or able to demonstrate equivalent substantial senior management experience.DesirableRecognised qualification in business management, accounting, finance or healthcare management, such as AAT, CIMA, ACCA, CIPD or an equivalent relevant professional qualification. Person Specification Qualifications EssentialEducated to degree level in business management, finance, accounting, healthcare management or a related discipline, or able to demonstrate equivalent substantial senior management experience.DesirableRecognised qualification in business management, accounting, finance or healthcare management, such as AAT, CIMA, ACCA, CIPD or an equivalent relevant professional qualification. xrnqpay Disclosure and Barring Service CheckThis post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.Employer detailsEmployer nameBridge Medical CentreAddressWassand CloseThree BridgesCrawleyWest SussexRH10 1LLUnited KingdomEmployer's websiteEmployer detailsEmployer nameBridge Medical CentreAddressWassand CloseThree BridgesCrawleyWest SussexRH10 1LLUnited KingdomEmployer's website
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