Practice Business Manager

Main duties of the job

Key Responsibilities

• Provide overall leadership and management of practice operations
• Lead on financial planning, budgeting, and income optimisation
• Oversee workforce planning, HR management, and staff development
• Ensure compliance with regulatory frameworks including CQC standards
• Drive quality improvement, performance management, and service delivery
• Develop and implement business strategies aligned with practice goals
• Manage contracts, procurement, and partnership working (e.g. PCN, ICB)
• Support digital transformation and innovation within the practice

What We Offer

• Competitive AfC salary (Band 8B/8C depending on experience)
• Generous annual leave entitlement
• Opportunities for professional development and leadership training
• Supportive and collaborative working environment

Job Purpose

The Practice Business Manager is a senior leadership role responsible for providing strategic, operational, financial, and organisational leadership across the practice. The post holder will ensure the delivery of high‑quality, safe, effective, and sustainable primary care services, whilst driving innovation, service transformation, and continuous improvement.

Working closely with GP Partners, the Primary Care Network (PCN), Integrated Care Board (ICB), and external stakeholders, the Practice Business Manager will support the long‑term development of the practice and ensure compliance with all statutory, contractual, and regulatory requirements.

Key Responsibilities

1. Strategic Leadership and Service Development

Lead the development, implementation, and delivery of the practice's strategic vision and business objectives.

Drive innovation, transformation, and service redesign to improve patient outcomes and operational efficiency.

Identify opportunities for growth, partnership working, and service expansion.

Support the practice's involvement within the PCN, ICB, and wider healthcare system.

Lead organisational change programmes and continuous improvement initiatives.

Ensure the practice remains responsive to national, regional, and local healthcare priorities.

2. Financial and Resource Management

Hold overall responsibility for the effective management of practice finances and resources.

Lead annual budgeting, financial planning, forecasting, and financial governance processes.

Monitor income and expenditure and provide regular financial reports to GP Partners.

Maximise practice income through optimisation of contractual requirements, including QOF, DES, Enhanced Services, and other commissioned services.

Ensure robust procurement, contract management, and value‑for‑money arrangements are in place.

Identify financial risks and implement appropriate mitigation strategies.

3. Workforce and Organisational Development

Develop and implement the practice workforce strategy and succession planning framework.

Lead all aspects of human resource management, including recruitment, retention, performance management, and employee relations.

Foster a positive organisational culture that promotes staff engagement, wellbeing, and inclusion.

Ensure compliance with employment legislation and best practice HR standards.

Support staff development, training, and leadership programmes.

Lead organisational development initiatives to support service delivery and workforce sustainability.

4. Governance, Risk and Compliance

Ensure compliance with all Care Quality Commission (CQC) standards and regulatory requirements.

Lead the practice governance framework, ensuring robust systems of assurance and accountability.

Maintain effective risk management processes and organisational risk registers.

Oversee safeguarding arrangements and ensure statutory responsibilities are fulfilled.

Lead investigations relating to incidents, complaints, significant events, and learning reviews.

Ensure policies, procedures, and governance systems remain current and compliant.

5. Operational Management

Provide overall leadership for the day‑to‑day operational management of the practice.

Ensure efficient and effective delivery of clinical and non‑clinical services.

Develop and monitor key performance indicators (KPIs) and operational performance…