Practice & Business Manager in London

Job summaryWe'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 Practice & Business Manager to help
shape our next chapter. We are an established NHS training practice in
Hampstead caring for around 13,000 patients, with more than 35 colleagues
and a broad clinical skill mix.We are proud of
a clinical culture built around continuity, compassion, excellent care,
curiosity and shared learning. We also know that a strong clinical practice
needs an equally strong organisation around it: clear leadership, good systems,
accountability and the capacity to keep improving.

This is not a caretaker
role. We want someone who can run today's practice well while helping us build
tomorrow's - a leader who gets stuck into a problem when needed, but also asks
why it keeps happening and how the system could be better.Main duties of the jobThis 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.About usKeats 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.DetailsDate posted12 October 2026Pay schemeOtherSalary
65,000 to 70,000 a year
ContractPermanentWorking pattern

Full-time

Reference numberA Job locations1b Downshire HillHampsteadLondonNW3 1NRUnited KingdomJob descriptionJob responsibilitiesThe 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.The role
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.Key
responsibilities1. Leadership
and organisational managementWork 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.2. People, HR
and workforceProvide 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.3. Operations
and systemsMaintain 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 performanceWork 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 readinessEnsure 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 developmentLead 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 relationshipsDevelop 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.8. Partnership
and strategic developmentSupport 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.General
responsibilitiesThe 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.Terms

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.
Job description
Job responsibilitiesThe 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.The role
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.Key
responsibilities1. Leadership
and organisational managementWork 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.2. People, HR
and workforceProvide 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.3. Operations
and systemsMaintain 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 performanceWork 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 readinessEnsure 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 developmentLead 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 relationshipsDevelop 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.8. Partnership
and strategic developmentSupport 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.General
responsibilitiesThe 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.Terms

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.Person Specification
Qualifications
EssentialGood standard of education with excellent literacy and numeracy skills.DesirableDegree-level qualification in business, management, healthcare or a related field.Leadership and/or management qualification.Primary care or healthcare management qualification.
Experience
EssentialSubstantial 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 leadershipA constructive challenger who is prepared to ask why we are still doing it this wayExcellent 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.DesirablePrevious 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 servicesExperience of EMIS or other primary-care clinical systems.Experience of digital transformation, automation or business-intelligence tools.
Person Specification

Qualifications
EssentialGood standard of education with excellent literacy and numeracy skills.DesirableDegree-level qualification in business, management, healthcare or a related field.Leadership and/or management qualification.Primary care or healthcare management qualification.
Experience
EssentialSubstantial 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 leadershipA constructive challenger who is prepared to ask why we are still doing it this wayExcellent 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.DesirablePrevious 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 servicesExperience of EMIS or other primary-care clinical systems.Experience of digital transformation, automation or business-intelligence tools.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 nameKeats Group PracticeAddress1b Downshire HillHampsteadLondonNW3 1NRUnited KingdomEmployer's websiteEmployer detailsEmployer nameKeats Group PracticeAddress1b Downshire HillHampsteadLondonNW3 1NRUnited KingdomEmployer's website