Practice Manager - Town Gate Practice

Main duties of the job

• Lead and support administrative and clinical support teams
• Oversee practice operations, ensuring safe, efficient and patient‑centred services
• Manage HR processes including recruitment, rotas, performance and wellbeing
• Ensure compliance with regulatory standards and contractual requirements
• Manage budgets, financial planning and reporting
• Optimise practice systems, workflows and digital tools
• Facilitate effective communication between partners, staff and external organisations
• Contribute to strategic planning and the development of new services

We are a friendly, forward‑thinking semi‑rural GP practice in Wales, seeking an enthusiastic and highly organised Practice Manager to lead our operational, financial and administrative functions. This is an excellent opportunity for an experienced manager who thrives in a community‑focused environment and is committed to delivering high‑quality patient care.

Key Duties and Responsibilities

• Lead the day‑to‑day operational management of the practice, ensuring efficient and effective service delivery.
• Support GP partners in the development and implementation of the practice’s strategic and business plans.
• Manage change initiatives, service redesign, and quality improvement projects relevant to semi‑rural healthcare delivery.
• Ensure resilience and continuity of services, including contingency planning for staff shortages and rural access challenges.
• Prepare, manage, and monitor the practice budget, ensuring financial sustainability.
• Oversee income streams including GMS/PMS contracts, enhanced services, and additional funding opportunities.
• Manage payroll, pensions, and staff expenses.
• Liaise with accountants and external advisers as required.

• Lead recruitment, induction, appraisal, and development of all non‑clinical staff.
• Ensure appropriate staffing levels and skill mix to meet patient demand.
• Manage HR issues including performance management, sickness absence, disciplinary and grievance procedures.
• Promote staff wellbeing and a positive, inclusive workplace culture.

• Ensure compliance with NHS Wales regulations, Health Board requirements, and the GMS/PMS contract.
• Oversee policies and procedures relating to health and safety, infection prevention, information governance, and safeguarding.
• Prepare for and manage inspections and reviews (e.g. HIW).
• Maintain risk registers and ensure appropriate mitigation strategies are in place.

• Oversee patient services, including reception and administrative functions, to ensure high standards of customer care.
• Manage patient feedback, complaints, and incidents in line with NHS Wales guidance.
• Support equitable access to services for rural populations, including vulnerable and hard‑to‑reach groups.

• Ensure effective use of clinical and administrative IT systems (e.g. EMIS/Vision/Systm One).
• Oversee data quality, reporting, and compliance with GDPR and information governance requirements.
• Support digital initiatives and improvements in line with NHS Wales priorities.

• Act as the main non‑clinical liaison with the Local Health Board, Primary Care Clusters, and other NHS and community organisations.
• Represent the practice at relevant meetings and forums.
• Support collaborative working across the primary care network/cluster, particularly important in a semi‑rural setting.

General Responsibilities

• Maintain confidentiality at all times.
• Uphold the values of NHS Wales and the practice.
• Commit to continuous professional development.
• Undertake any other duties commensurate with the role.

Working Conditions

• Primarily office‑based within the practice, with occasional travel to meetings within the Health Board area.
• May require flexibility in working hours to meet service needs.

• Experienced managers from an NHS or non‑NHS background are both welcomed
• Strong leadership, team management and people‑focused skills
• Excellent organisational and problem‑solving abilities
• Experience…