Mill Hill Surgery

Practice Manager - GP surgery

The closing date is 23 March 2026

Job summary

Mill Hill Surgery is seeking a dynamic leader for our high-performing, 6-partner training practice in Acton, West London. Serving 7,500 patients, you will work alongside a supportive partnership and an experienced Staff Manager to lead our multidisciplinary team.

We are looking for a solutions-focused professional capable of navigating modern primary care - balancing financial sustainability with outstanding patient service. If you are a strategic thinker who thrives in a collaborative, forward-thinking culture, we want to hear from you.

We welcome applications from experienced GP Managers or leaders from other sectors with strong transferable skills in finance, HR, and operations.

This is a permanent, full-time role offering a competitive salary. We value work-life balance and are open to discussing flexible working arrangements that suit both you and the practice.

Main duties of the job

The Practice Manager is responsible for the overall strategic and operational success of the surgery. Working closely with our six Partners and an experienced Staff Manager (who oversees daily patient-facing operations), you will ensure the effective management of all non-clinical functions.

Key areas of responsibility include:

  • Financial Stewardship: Managing Practice accounts and cash flow sustainably, and maximizing income through QOF, Enhanced Services and other streams.
  • Strategic Growth: Maintaining our existing services to the highest standards and identifying opportunities for innovation and growth within an evolving primary care landscape
  • High-Level HR & Leadership: Providing direct line management and guidance to the Staff Manager to support staff wellbeing and development, while ensuring efficient, legally compliant workforce planning and maintenance.
  • Governance & Compliance: Ensuring the practice is fully compliant with CQC standards, Health & Safety, Information Governance, and clinical audit requirements.
  • External Liaison: Build and maintain strong relationships with local services, the PCN, ICB, and other stakeholders.
  • Premises & Project Management: Overseeing effective estate management and leading non-clinical projects to improve service delivery and patient experience

About us

Mill Hill Surgery is a friendly and collaborative 6-partner training practice serving a diverse population of 7,500 patients in Acton, West London. We are a compassionate practice dedicated to providing a high-quality patient experience and exceptional clinical care through a culture of continual improvement.

You will join a cohesive partnership that values a supportive work-life balance and a professional, proactive work ethic. Our team is our greatest asset and includes:

  • Administration: A skilled administrative team of care navigators, a GP assistant, and our excellent Staff Manager who oversees daily patient-facing operations.
  • Clinical: 6 GP Partners , 2 GP registrars, and a practice-based Clinical Pharmacist.
  • Nursing: 1 Practice Nurse, 1 Nurse Associate, and 1 Phlebotomist.
  • ARRS Network: A wide multidisciplinary team including Clinical Pharmacists, First Contact Physiotherapists, Social Prescribers, Mental Health Nurse, and Paramedics.

Practical benefits:

  • Single-site surgery: Operating from a large, converted property on a quiet residential street.
  • Spacious on-site car park (a rarity in West London!).
  • Excellent transport links: Within easy reach of Acton Town (Underground), South Acton (Overground), and multiple bus routes.
  • Local Amenities: Walking distance from Acton High Street vibrant selection of shops, cafes, and restaurants.

Details

Date posted

13 February 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

A2897-26-0000

Job locations

Mill Hill Surgery

111 Avenue Road

London

W3 8QH


Job description

Job responsibilities

Objectives of the Post

The Practice Manager (PM) is responsible for the effective, pro-active, and legally compliant management of all non-clinical functions. The PM provides the leadership to drive the Practice toward its objectives, supports its training capacity, and enables the Partners to focus on patient care.

Key Responsibilities

Strategy & Development

  • Proactively manage emerging challenges while identifying opportunities for practice development and growth.
  • Monitor and enhance practice performance against National and Local Standards, including but not limited to incentive schemes (QOF and Enhanced Services).
  • Maintain and report progress on the Practice Development Plan.
  • Lead change management and service development initiatives.

The Partnership

  • Ensure the Practice maximizes contractual opportunities and provides robust monitoring systems for commissioners.
  • Effectively coordinate the functions of the management team, including: preparing and chairing effective practice meeting, and overseeing follow-up actions in a timely manner.
  • Ensure compliance with Partnership tax, health & safety, and CQC requirements.

Finance

  • Oversee all aspects of Practice Finance to ensure sustainable financial management, including robust financial controls for invoicing, budgeting and expenditure.
  • Prepare regular financial reports and forecasts for the Partners.
  • Maintain a high standard of bookkeeping and liaise effectively with accountants to submit accurate year-end accounts promptly.
  • Ensure precise and timely processing of salaries, PAYE, and NHS pension systems in line with legal requirements.

Management of Staff

  • Line-manage the Staff Manager, providing guidance to ensure efficient workforce planning, legally compliant recruitment, and the maintenance of a positive work culture.
  • Oversee staff appraisal systems, training resources, and grievance procedures.
  • Ensure fulfilment of all legal and induction requirements for all clinical and non-clinical staff.

Governance & Operations

  • Implement effective risk management and Health & Safety systems.
  • Lead on Information Governance (IG), data security, and the effective use of clinical IT systems.
  • Oversee premises management, including security, maintenance, and business continuity planning.

External Liaison & Communication

  • Represent the Practice at PCN and local manager meetings.
  • Foster collaborative relationships with all stakeholders, including the ICB, PCN, and other external agencies.
  • Manage the Practices reputation and encourage patient involvement via the PPG.

This job description outlines the main duties of the role and may be reviewed as practice needs evolve.

Job description

Job responsibilities

Objectives of the Post

The Practice Manager (PM) is responsible for the effective, pro-active, and legally compliant management of all non-clinical functions. The PM provides the leadership to drive the Practice toward its objectives, supports its training capacity, and enables the Partners to focus on patient care.

Key Responsibilities

Strategy & Development

  • Proactively manage emerging challenges while identifying opportunities for practice development and growth.
  • Monitor and enhance practice performance against National and Local Standards, including but not limited to incentive schemes (QOF and Enhanced Services).
  • Maintain and report progress on the Practice Development Plan.
  • Lead change management and service development initiatives.

The Partnership

  • Ensure the Practice maximizes contractual opportunities and provides robust monitoring systems for commissioners.
  • Effectively coordinate the functions of the management team, including: preparing and chairing effective practice meeting, and overseeing follow-up actions in a timely manner.
  • Ensure compliance with Partnership tax, health & safety, and CQC requirements.

Finance

  • Oversee all aspects of Practice Finance to ensure sustainable financial management, including robust financial controls for invoicing, budgeting and expenditure.
  • Prepare regular financial reports and forecasts for the Partners.
  • Maintain a high standard of bookkeeping and liaise effectively with accountants to submit accurate year-end accounts promptly.
  • Ensure precise and timely processing of salaries, PAYE, and NHS pension systems in line with legal requirements.

Management of Staff

  • Line-manage the Staff Manager, providing guidance to ensure efficient workforce planning, legally compliant recruitment, and the maintenance of a positive work culture.
  • Oversee staff appraisal systems, training resources, and grievance procedures.
  • Ensure fulfilment of all legal and induction requirements for all clinical and non-clinical staff.

Governance & Operations

  • Implement effective risk management and Health & Safety systems.
  • Lead on Information Governance (IG), data security, and the effective use of clinical IT systems.
  • Oversee premises management, including security, maintenance, and business continuity planning.

External Liaison & Communication

  • Represent the Practice at PCN and local manager meetings.
  • Foster collaborative relationships with all stakeholders, including the ICB, PCN, and other external agencies.
  • Manage the Practices reputation and encourage patient involvement via the PPG.

This job description outlines the main duties of the role and may be reviewed as practice needs evolve.

Person Specification

Qualifications

Essential

  • Good standard of education with excellent literacy and numeracy skills
  • Evidence of commitment to continuing professional development

Desirable

  • Educated to degree level in healthcare or business
  • AMSPAR or equivalent qualification
  • Other Leadership and/or management qualification

Experience

Essential

  • Experience of working with the general public
  • Experience of working in a management or senior adminstrative role
  • Experience of financial management, including monitoring budgets, managing cash flow, and financial forecasting
  • Experience of managing multidisciplinary teams
  • Experience of managing staff, including workforce planning, staff development and HR procedures
  • Experience of working with policies, procedures and regulatory requirements
  • Experience of successfully developing and implementing projects

Desirable

  • Experience of working as a GP Practice Manager
  • Experience of working in a healthcare setting, with preference for experience in an NHS primary care setting
  • Understanding and awareness of the Care Quality Commission (CQC)
  • Experience of working with clinical systems such as SystmOne
  • Experience of managing premises, health & safety and facilities

Skills

Essential

  • Excellent communication skills (written, oral and presenting)
  • Excellent leadership skills
  • Ability to identify and negotiate opportunities to enhance service delivery
  • Ability to prioritise, delegate and work to tight deadlines in a fast-paced environment
  • Effective time management (planning and organising)
  • Strong, diverse and adaptable IT skills
  • Ability to network and build relationships
  • Proven problem-solving and analytical skills
  • Ability to motivate teams, enhance morale and maintain a positive working environment, including team-building sessions
Person Specification

Qualifications

Essential

  • Good standard of education with excellent literacy and numeracy skills
  • Evidence of commitment to continuing professional development

Desirable

  • Educated to degree level in healthcare or business
  • AMSPAR or equivalent qualification
  • Other Leadership and/or management qualification

Experience

Essential

  • Experience of working with the general public
  • Experience of working in a management or senior adminstrative role
  • Experience of financial management, including monitoring budgets, managing cash flow, and financial forecasting
  • Experience of managing multidisciplinary teams
  • Experience of managing staff, including workforce planning, staff development and HR procedures
  • Experience of working with policies, procedures and regulatory requirements
  • Experience of successfully developing and implementing projects

Desirable

  • Experience of working as a GP Practice Manager
  • Experience of working in a healthcare setting, with preference for experience in an NHS primary care setting
  • Understanding and awareness of the Care Quality Commission (CQC)
  • Experience of working with clinical systems such as SystmOne
  • Experience of managing premises, health & safety and facilities

Skills

Essential

  • Excellent communication skills (written, oral and presenting)
  • Excellent leadership skills
  • Ability to identify and negotiate opportunities to enhance service delivery
  • Ability to prioritise, delegate and work to tight deadlines in a fast-paced environment
  • Effective time management (planning and organising)
  • Strong, diverse and adaptable IT skills
  • Ability to network and build relationships
  • Proven problem-solving and analytical skills
  • Ability to motivate teams, enhance morale and maintain a positive working environment, including team-building sessions

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.

Employer details

Employer name

Mill Hill Surgery

Address

Mill Hill Surgery

111 Avenue Road

London

W3 8QH


Employer's website

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

Employer details

Employer name

Mill Hill Surgery

Address

Mill Hill Surgery

111 Avenue Road

London

W3 8QH


Employer's website

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

Employer contact details

For questions about the job, contact:

Details

Date posted

13 February 2026

Pay scheme

Other

Salary

Depending on experience

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

A2897-26-0000

Job locations

Mill Hill Surgery

111 Avenue Road

London

W3 8QH


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