This substantive senior post leads The Key Medical Practice, a site run by Principal Medical Limited, a not-for-profit GP-led federation. The postholder takes full accountability for day-to-day operational performance, workforce, budgets and compliance, and line manages the practice management team. Payroll, finance, procurement and HR are centralised, so the role focuses on operational leadership on the ground, including a seat on the Primary Care Network Board. Fit depends on senior management experience in general practice or the wider NHS.
What the job involves
- Accountability for day-to-day operational performance across all practice functions
- Direct line management of the practice management team, including workforce planning, staff performance and development, with PML HR
- Overseeing local financial performance, budget monitoring and expenditure control, reporting to PML finance
- Ensuring compliance with CQC requirements, NHS contractual obligations and PML governance standards
- Driving quality improvement and patient experience initiatives with clinical leads
- Managing and developing the wider operations team, supporting professional growth
- Leading practice projects and change programmes, linking the site with PML central functions
- Providing leadership, delegation and development of the Deputy Operations Manager where in post
- Sitting on the Primary Care Network Board, supporting PCN colleagues on behalf of the practice
- Contributing to federation-wide operational development and shared learning
Qualifications
- Degree-level education or equivalent experience, with evidence of continued professional development
Experience
- Senior management experience in general practice, primary care or the wider NHS
- Managing multidisciplinary teams through performance, development, HR processes and change
- Budget management and financial oversight in a healthcare or public sector setting
- Working across organisational boundaries with multiple stakeholders
Skills & knowledge
- Leading, motivating and developing teams in a complex, pressured environment
- Analytical and problem-solving skills, with the ability to interpret performance data
- Excellent written and verbal communication, including reporting to senior leadership
- Managing competing priorities at pace, with confidence in difficult conversations and conflict
- Planning and delivering projects with clear outcomes, using Microsoft Office and practice digital tools
- Working knowledge of GP operations, CQC standards, NHS GMS, PMS or APMS contracts, and information governance including Caldicott principles
Other
- Resilient and adaptable in ambiguous or rapidly changing environments
- Committed to high standards of patient care and staff wellbeing
- Collaborative, able to build trust across clinical and non-clinical teams
- Proactive and self-directed, identifying problems without being prompted
- Alignment with PML values of quality, sustainability and community-focused care
Nice to have
- Experience in a GP federation or at scale primary care organisation
- Experience leading or contributing to transformation, change or improvement programmes
- Knowledge of QOF, enhanced services and primary care performance metrics
- Familiarity with EMIS, SystmOne or Accurx
- Management or leadership qualification at postgraduate level or equivalent
- Project management qualification such as PRINCE2 or equivalent