Bookkeeping & Finance Assistant

Job Summary

We are seeking an experienced Bookkeeper or Finance Assistant to support the Practice Manager and Deputy Practice Manager in the financial management of the practice and the associated Primary Care Network (PCN).

The role requires a candidate with strong experience in NHS primary care finance, including an understanding of DES, QOF, CQRS reporting, NHS income streams and reimbursement processes. The post holder will be responsible for maintaining accurate financial records, managing financial processes, monitoring income streams and supporting budgeting and financial forecasting.

This role requires a proactive, resilient individual who can work independently, manage competing priorities and ensure financial processes are completed accurately and within required deadlines.

• Maintain accurate records in Xero and complete bank reconciliations.
• Support financial reporting and ensure clear audit trails.
• Budgeting & Forecasting
  • Assist with budgets, track income/expenditure and identify variances or risks.
  • Provide data to support planning and decision‑making.
• NHS Income & Claims
  • Manage and monitor income streams (QOF, DES/LES, PCN, CQRS, vaccinations, reimbursements).
  • Submit claims, track payments, resolve discrepancies and liaise with commissioners.
  • Process invoices, manage suppliers and run payment cycles (e.g. BACS) in line with governance.
• Income Processing
  • Record all income, including non‑NHS work such as medical reports, ensuring accurate allocation.
  • Manage petty cash and ensure all cash/cheque transactions are recorded and banked correctly.
• Activities & Enhanced Services Monitoring
  • Align activity data with claims and ensure submissions meet deadlines.
• PCN Finance Support
  • Support PCN finances, maintain separation from practice accounts and monitor income/payments.
• Governance & Compliance
  • Maintain organised financial records, ensure compliance with policies and support audits.
• Purchase ledger and supplier payments – process supplier invoices, maintain the ledger, prepare payment runs and ensure authorisation complies with governance procedures.
• Support monitoring of enhanced services activity and work with operational teams to align activity data with submitted claims.
• Financial governance and record management – organise filing systems, ensure retention policy compliance and support audit preparations.

We are a large GP practice based in Basingstoke, serving approximately 27,000 patients. We employ 8 GP Partners, a strong management team and a wide range of clinical staff including GPs, nurses, HCAs and other allied healthcare professionals. We are part of Mosaic PCN together with two other practices located in Basingstoke and Hook, and we also support ARRS employees at Crown Heights and our site at Old Basing.

• Experience working within NHS primary care finance or GP practice finance.
• Strong understanding of QOF, DES, CQRS and NHS income streams.
• Experience of budget monitoring and financial forecasting.
• Experience using Sage or similar accounting systems.
• Excellent attention to detail and commitment to financial accuracy.
• Ability to work independently and manage competing priorities.
• Experience working with Primary Care Network finances.
• Understanding of EMIS or other clinical systems for activity reporting.
• Experience supporting practice or partner financial reporting.
• AAT Level 4 or above.

• Part‑time employment.
• Company pension.
• Work from home options.
• Commute to Basingstoke RG21 or plan to relocate before starting work (required).

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and requires a Disclosure and Barring Service check.