GP Practice in Wales

Practice Manager - Town Gate Practice

The closing date is 31 January 2026

Job summary

The General Practice Manager is responsible for the overall daytoday management, strategic development, and operational effectiveness of a semirural GP practice in Wales. The role ensures the delivery of highquality, patientcentred services while maintaining compliance with NHS Wales requirements, contractual obligations, and statutory regulations. Particular emphasis is placed on managing limited rural resources, supporting access for dispersed populations, and working collaboratively with local health and community partners.

The Practice Manager will work closely with the GP partners and wider multidisciplinary team to ensure the smooth and efficient running of the practice. You will oversee day-to-day operations, manage staffing and HR processes, support financial planning, maintain compliance, and help drive service improvement.

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

About us

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.

Details

Date posted

18 December 2025

Pay scheme

Other

Salary

Depending on experience Available on Application

Contract

Permanent

Working pattern

Full-time

Reference number

M0044-25-0298

Job locations

Town Gate Practice

Tempest Way

Chepstow

Gwent

NP16 5XP


Job description

Job responsibilities

Key Duties and Responsibilities

Strategic and Operational Management

  • Lead the daytoday operational management of the practice, ensuring efficient and effective service delivery.

  • Support GP partners in the development and implementation of the practices strategic and business plans.

  • Manage change initiatives, service redesign, and quality improvement projects relevant to semirural healthcare delivery.

  • Ensure resilience and continuity of services, including contingency planning for staff shortages and rural access challenges.

Financial Management

  • 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.

Human Resources and Workforce Management

  • Lead recruitment, induction, appraisal, and development of all nonclinical 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.

Governance, Compliance, and Risk Management

  • 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.

Patient Services and Experience

  • 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 hardtoreach groups.

IT, Data, and Information Management

  • Ensure effective use of clinical and administrative IT systems (e.g. EMIS/Vision/SystmOne).

  • Oversee data quality, reporting, and compliance with GDPR and information governance requirements.

  • Support digital initiatives and improvements in line with NHS Wales priorities.

External Liaison and Partnership Working

  • Act as the main nonclinical 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 semirural 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 officebased within the practice, with occasional travel to meetings within the Health Board area.

  • May require flexibility in working hours to meet service needs.

Job description

Job responsibilities

Key Duties and Responsibilities

Strategic and Operational Management

  • Lead the daytoday operational management of the practice, ensuring efficient and effective service delivery.

  • Support GP partners in the development and implementation of the practices strategic and business plans.

  • Manage change initiatives, service redesign, and quality improvement projects relevant to semirural healthcare delivery.

  • Ensure resilience and continuity of services, including contingency planning for staff shortages and rural access challenges.

Financial Management

  • 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.

Human Resources and Workforce Management

  • Lead recruitment, induction, appraisal, and development of all nonclinical 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.

Governance, Compliance, and Risk Management

  • 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.

Patient Services and Experience

  • 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 hardtoreach groups.

IT, Data, and Information Management

  • Ensure effective use of clinical and administrative IT systems (e.g. EMIS/Vision/SystmOne).

  • Oversee data quality, reporting, and compliance with GDPR and information governance requirements.

  • Support digital initiatives and improvements in line with NHS Wales priorities.

External Liaison and Partnership Working

  • Act as the main nonclinical 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 semirural 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 officebased within the practice, with occasional travel to meetings within the Health Board area.

  • May require flexibility in working hours to meet service needs.

Person Specification

Experience

Essential

  • Experienced managers from an NHS or non NHS background are both welcomed

Desirable

  • - Strong leadership, team management and people-focused skills
  • - Excellent organisational and problem-solving abilities
  • - Experience in managing complex operations or service delivery
  • - Financial acumen, including budgeting and resource management
  • - Ability to work independently, prioritise effectively and make sound decisions
  • - Strong communication and interpersonal skills
  • - Good IT literacy and confidence with digital systems

Qualifications

Essential

  • A good general standard of of education, such as 5 GCSEs (grade C/4 or above) including Maths and English

Desirable

  • Degree level qualification - especially in business, healthcare management, or related fields.
  • Management or Leadership qualifications such as :
  • ILM (Institute of Leadership and Management) Awards
  • Leadership/Management certificates (e.g., CMI, AMSPAR)
  • Project management or quality improvement qualifications (e.g., Prince2, QSIR).

Additional Criteria

Desirable

  • - Experience in healthcare, primary care or public sector environment
  • - Knowledge of NHS Wales structures, contracts or compliance frameworks
  • - Understanding of medical systems (e.g., EMIS, Vision)
Person Specification

Experience

Essential

  • Experienced managers from an NHS or non NHS background are both welcomed

Desirable

  • - Strong leadership, team management and people-focused skills
  • - Excellent organisational and problem-solving abilities
  • - Experience in managing complex operations or service delivery
  • - Financial acumen, including budgeting and resource management
  • - Ability to work independently, prioritise effectively and make sound decisions
  • - Strong communication and interpersonal skills
  • - Good IT literacy and confidence with digital systems

Qualifications

Essential

  • A good general standard of of education, such as 5 GCSEs (grade C/4 or above) including Maths and English

Desirable

  • Degree level qualification - especially in business, healthcare management, or related fields.
  • Management or Leadership qualifications such as :
  • ILM (Institute of Leadership and Management) Awards
  • Leadership/Management certificates (e.g., CMI, AMSPAR)
  • Project management or quality improvement qualifications (e.g., Prince2, QSIR).

Additional Criteria

Desirable

  • - Experience in healthcare, primary care or public sector environment
  • - Knowledge of NHS Wales structures, contracts or compliance frameworks
  • - Understanding of medical systems (e.g., EMIS, Vision)

Disclosure and Barring Service Check

This 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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Additional information

Disclosure and Barring Service Check

This 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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

Employer details

Employer name

GP Practice in Wales

Address

Town Gate Practice

Tempest Way

Chepstow

Gwent

NP16 5XP


Employer's website

https://gpwales.co.uk (Opens in a new tab)

Employer details

Employer name

GP Practice in Wales

Address

Town Gate Practice

Tempest Way

Chepstow

Gwent

NP16 5XP


Employer's website

https://gpwales.co.uk (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Amanda Ramshaw

Amanda.ramshaw@wales.nhs.uk

+441291440065

Details

Date posted

18 December 2025

Pay scheme

Other

Salary

Depending on experience Available on Application

Contract

Permanent

Working pattern

Full-time

Reference number

M0044-25-0298

Job locations

Town Gate Practice

Tempest Way

Chepstow

Gwent

NP16 5XP


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