Practice Operations Manager - Practice Manager

Job summaryJob summaryThe Key Medical Practice is entering an exciting new chapter. Our building has been renovated, our patient list is set to grow significantly, and we are looking for a Practice Operations Manager to lead the practice through it.This is the most senior non-clinical role in the practice and the equivalent of a Practice Manager, with a broader remit and stronger support. You will hold full accountability for how the practice runs day to day and for how it grows. You will work as a true partner to the clinical lead, shaping the practices direction together and making sure the operation behind the clinical care is safe, efficient and patient-focused.As part of Principal Medical Limited (PML), a not-for-profit, GP-led organisation, you will have the authority and autonomy of a senior practice leader and the backing of a larger organisation.Main duties of the jobMain duties of the jobWe are looking for an experienced primary care leader who is motivated, self-directed and ambitious for the practice. You will:Lead the practice day to day, with overall accountability for operational performance, patient access and patient experienceWork in close partnership with the clinical lead to set priorities, shape the practices strategy and make joint decisions on workforce, services and qualityPlan and lead the operational response to significant list growth, including capacity, appointment models, workforce, and the use of our renovated premisesLine manage and develop the practice management team, including workforce planning, performance and succession, supported by PMLs HR functionOwn the practices compliance with CQC requirements, NHS contractual obligations and PML governance standards, and keep the practice inspection-readyManage the practice budget and local expenditure, and report on financial and operational performance to PMLDrive quality improvement, patient experience and safety initiatives with the clinical teamBuild a positive, supportive culture in which clinical and non-clinical colleagues work well togetherRepresent the practice on the Primary Care Network Board and with community, system and neighbouring practice partnersContribute to PMLs wider development and share learning across the federationAbout usPML is a successful, not-for-profit, GP-led organisation providing NHS community and primary care services across Oxfordshire and Northamptonshire. We have been an NHS healthcare provider since 2004 and have grown significantly in recent years, now employing around 300 staff with a turnover of around 16 million. PML holds GMS contracts and operates as a GP federation representing approximately 50 GP practices and around 650,000 patients.The Key Medical Practice is one of our practices in Kidlington. With a newly renovated building and a growing patient list, it offers a rare chance to shape a modern, well-resourced practice at an important moment in its development.We welcome applicants from a diverse range of backgrounds and circumstances, including people with protected characteristics under the Equality Act 2010.DetailsDate posted11 November 2026Pay schemeOtherSalary 50,000 to 70,000 a year FTE, depending on experience ContractPermanentWorking pattern Full-time, Flexible working Reference numberA1968-26-0021Job locationsKidlington Health CentreExeter CloseKidlingtonOxfordshireOX5 1APUnited KingdomYarnton Medical PracticeRutten LaneYarntonKIDLINGTONOxfordshireOX5 1LTUnited KingdomJob descriptionJob responsibilitiesJob responsibilitiesPractice leadership and operationsHold overall responsibility for the safe, efficient and effective running of the practiceLead operational delivery across reception, administration, access, prescribing and medicines support, patient services and premisesWork with the clinical lead to design and review appointment systems, clinical rotas, skill mix and capacity so that care is accessible and sustainableUse performance data, patient feedback and workforce information to identify problems early and act on themGrowth and changePlan and deliver the operational aspects of patient list growth, including onboarding, staffing, capacity and patient communicationMake the best use of the renovated premises, including room utilisation, flow, equipment and facilitiesLead practice projects and change programmes, drawing on PMLs Transformation Directorate where helpfulPeople and cultureLine manage the practice management team and provide visible, approachable leadership to all non-clinical staffLead recruitment, induction, appraisal, development and performance management, in partnership with PML HRPromote staff wellbeing, team working and a culture of learningQuality, governance and complianceEnsure continuous compliance with CQC standards, GMS contractual requirements and information governance obligationsSupport clinical governance alongside the clinical lead, including significant events, complaints, audit and safeguarding processesMaintain policies, risk registers and business continuity arrangementsFinance and resourcesMonitor the practice budget, control local expenditure and report variances to PML financeOversee income opportunities, contract delivery, QOF and enhanced services performanceWork with PML central teams for payroll, procurement and HR, so that practice needs are metPartnerships and system workingSit on the Primary Care Network Board and represent the practices interests and contributionBuild strong relationships with the Integrated Care Board, local providers, community services and the Patient Participation GroupContribute to federation-wide development and share learning with colleagues at other PML sites Job description Job responsibilitiesJob responsibilitiesPractice leadership and operationsHold overall responsibility for the safe, efficient and effective running of the practiceLead operational delivery across reception, administration, access, prescribing and medicines support, patient services and premisesWork with the clinical lead to design and review appointment systems, clinical rotas, skill mix and capacity so that care is accessible and sustainableUse performance data, patient feedback and workforce information to identify problems early and act on themGrowth and changePlan and deliver the operational aspects of patient list growth, including onboarding, staffing, capacity and patient communicationMake the best use of the renovated premises, including room utilisation, flow, equipment and facilitiesLead practice projects and change programmes, drawing on PMLs Transformation Directorate where helpfulPeople and cultureLine manage the practice management team and provide visible, approachable leadership to all non-clinical staffLead recruitment, induction, appraisal, development and performance management, in partnership with PML HRPromote staff wellbeing, team working and a culture of learningQuality, governance and complianceEnsure continuous compliance with CQC standards, GMS contractual requirements and information governance obligationsSupport clinical governance alongside the clinical lead, including significant events, complaints, audit and safeguarding processesMaintain policies, risk registers and business continuity arrangementsFinance and resourcesMonitor the practice budget, control local expenditure and report variances to PML financeOversee income opportunities, contract delivery, QOF and enhanced services performanceWork with PML central teams for payroll, procurement and HR, so that practice needs are metPartnerships and system workingSit on the Primary Care Network Board and represent the practices interests and contributionBuild strong relationships with the Integrated Care Board, local providers, community services and the Patient Participation GroupContribute to federation-wide development and share learning with colleagues at other PML sitesPerson Specification Skills and Abilities EssentialAbility to lead, motivate and develop teams in a complex and pressured environmentStrong analytical and problem-solving skills, with the ability to interpret performance dataExcellent written and verbal communication, including reporting to senior leaders and boardsAbility to manage competing priorities, work at pace and deliver to deadlinesConfidence in leading difficult conversations and managing conflict constructivelyAbility to plan and deliver projects with clear outcomesProficiency in Microsoft Office and the digital tools used in general practice Experience EssentialSenior management experience in general practice, primary care or the wider NHS, ideally as a Practice Manager or equivalentExperience leading and developing multidisciplinary teams, including performance and HR processesExperience managing budgets and financial performance in a healthcare or public sector settingExperience of working with clinical leaders to shape servicesExperience of working across organisational boundaries with multiple stakeholdersDesirableExperience of managing a practice through growth, premises change or service redesignExperience in a GP federation or at-scale primary care organisationExperience leading transformation or improvement programmes Knowledge EssentialStrong working knowledge of GP operations, including workforce, appointments, access and complianceFamiliarity with CQC standards and the inspection and registration frameworkUnderstanding of NHS primary care contractual frameworks, including GMS, PMS or APMSUnderstanding of information governance, data protection and Caldicott principlesDesirableKnowledge of QOF, enhanced services and primary care performance metricsFamiliarity with clinical and operational systems such as EMIS, SystmOne or Accurx Personal Attributes EssentialA credible, approachable leader who builds trust with clinical and non-clinical colleagues alikeResilient, adaptable and comfortable in rapidly changing environmentsProactive and self-directed, able to spot problems and act without being promptedCommitted to high standards of patient care and staff wellbeingAlignment with PMLs values of quality, sustainability and community-focused care Qualifications EssentialEducated to degree level or equivalent experienceEvidence of continued professional development in a relevant fieldDesirableManagement or leadership qualification at postgraduate level or equivalentProject management qualification such as PRINCE2 or equivalent Person Specification Skills and Abilities EssentialAbility to lead, motivate and develop teams in a complex and pressured environmentStrong analytical and problem-solving skills, with the ability to interpret performance dataExcellent written and verbal communication, including reporting to senior leaders and boardsAbility to manage competing priorities, work at pace and deliver to deadlinesConfidence in leading difficult conversations and managing conflict constructivelyAbility to plan and deliver projects with clear outcomesProficiency in Microsoft Office and the digital tools used in general practice Experience EssentialSenior management experience in general practice, primary care or the wider NHS, ideally as a Practice Manager or equivalentExperience leading and developing multidisciplinary teams, including performance and HR processesExperience managing budgets and financial performance in a healthcare or public sector settingExperience of working with clinical leaders to shape servicesExperience of working across organisational boundaries with multiple stakeholdersDesirableExperience of managing a practice through growth, premises change or service redesignExperience in a GP federation or at-scale primary care organisationExperience leading transformation or improvement programmes Knowledge EssentialStrong working knowledge of GP operations, including workforce, appointments, access and complianceFamiliarity with CQC standards and the inspection and registration frameworkUnderstanding of NHS primary care contractual frameworks, including GMS, PMS or APMSUnderstanding of information governance, data protection and Caldicott principlesDesirableKnowledge of QOF, enhanced services and primary care performance metricsFamiliarity with clinical and operational systems such as EMIS, SystmOne or Accurx Personal Attributes EssentialA credible, approachable leader who builds trust with clinical and non-clinical colleagues alikeResilient, adaptable and comfortable in rapidly changing environmentsProactive and self-directed, able to spot problems and act without being promptedCommitted to high standards of patient care and staff wellbeingAlignment with PMLs values of quality, sustainability and community-focused care Qualifications EssentialEducated to degree level or equivalent experienceEvidence of continued professional development in a relevant fieldDesirableManagement or leadership qualification at postgraduate level or equivalentProject management qualification such as PRINCE2 or equivalentDisclosure 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 nameThe Key Medical PracticeAddressKidlington Health CentreExeter CloseKidlingtonOxfordshireOX5 1APUnited KingdomEmployer's websiteEmployer detailsEmployer nameThe Key Medical PracticeAddressKidlington Health CentreExeter CloseKidlingtonOxfordshireOX5 1APUnited KingdomEmployer's website