• Oversee day-to-day operational performance across the region and support the delivery of accessible, efficient, and patient-focused services.
• Work with Practice Managers to resolve operational challenges, strengthen resilience, and maintain service continuity.
• Support workforce, rota, capacity, and resource planning across practices, identifying opportunities for appropriate cross-site working.
• Implement and maintain proportionate, standardised processes that improve efficiency, productivity, quality, and patient experience.
• Lead or support operational change projects, ensuring that risks, dependencies, communications, and outcomes are managed effectively.
• Attend Westerhope as the primary work base and visit Carrfield and Castletown as required by operational need and as agreed with senior management.

Financial and Commercial Oversight

• Support the preparation, management, and monitoring of practice and regional budgets, forecasts, and financial plans.
• Review financial performance with Practice Managers and the central Finance team, investigating material variances and agreeing corrective action.
• Promote appropriate cost control, effective use of resources, and financial sustainability without compromising patient safety or service quality.
• Identify financial risks and opportunities, including appropriate income optimization and service-development opportunities, and escalate recommendations.

People Leadership and Organisational Development

• Coach, mentor, and develop Practice Managers, setting clear expectations and supporting confident, accountable leadership.
• Ensure appropriate performance management, objective setting, appraisal, succession planning, and development arrangements are in place.
• Work with HR to address employee-relations matters consistently, fairly, and in line with organisational policies and employment law.
• Identify regional capability and training needs and support effective induction, mandatory training, and professional development.
• Promote an inclusive, collaborative, and respectful culture in which staff engagement, wellbeing, learning, and positive performance are supported.

Stakeholder Management and Communication

• Build effective relationships with practice partners, PCNs, commissioners, NHS bodies, healthcare providers, regulators, external agencies, and community stakeholders.
• Represent the organisation at relevant regional meetings, forums, and events when required.
• Ensure clear communication and collaboration between practices, senior management, and central functions including HR, Finance, IT, and governance teams.
• Communicate organisational decisions, expectations, and changes clearly and ensure that feedback from practices informs regional and organisational planning.
• Maintain clear decision-making, escalation, and accountability arrangements between the Regional Manager, Practice Managers, and senior management.

Professional Standards and Development

• Maintain current knowledge of primary care operations, NHS developments, CQC requirements, and relevant legislation and guidance.
• Undertake relevant learning and professional development and apply learning to regional practice.
• Act with integrity, discretion, and professionalism and model the organisation’s values and expected leadership behaviours.
• Undertake other reasonable duties consistent with the seniority and purpose of the role.

Person Specification

Experience

• Significant healthcare-management experience in an NHS, primary care, or other CQC-regulated setting
• Experience leading managers and operational teams
• Experience monitoring multi-site or complex operational performance
• Experience delivering service improvement and managing organisational change
• Experience of budget monitoring, financial planning, or resource management

Desirable

• Experience managing multiple GP practices or healthcare sites
• Previous experience as a CQC Registered Manager or supporting CQC registration

Knowledge

• Strong understanding of CQC requirements, governance, quality assurance, safeguarding, and patient-safety responsibilities
• Understanding of NHS primary care operations and the regulatory environment
• Working knowledge of people management and fair performance-management practices

Desirable

• Knowledge of primary care contracts, commissioning, or PCN arrangements

Skills and abilities

• Credible and supportive leadership with the ability to hold managers accountable
• Strong analytical, planning, decision-making, and problem-solving skills
• Ability to interpret performance, financial, and quality information and convert findings into action
• Excellent written and verbal communication and stakeholder-management skills
• Ability to prioritise competing demands, manage risk, and work effectively with limited supervision
• Competence using Microsoft Office and relevant healthcare or practice-management systems

Desirable

• Formal project, change, or quality-improvement skills

Qualifications and requirements

• Willingness and ability to work on site and travel between Westerhope, Carrfield, and Castletown
• Commitment to ongoing professional development

Desirable

• Degree or postgraduate qualification in healthcare administration, business management, or a related discipline
• Relevant leadership or healthcare-management qualification

Personal attributes

• Professional, resilient, and calm under pressure
• Collaborative, fair, and able to exercise sound judgement
• Committed to patient safety, service quality, inclusion, and continuous improvement

Working Arrangements

• The initial working pattern will be agreed with senior management. Contracted hours and the working pattern may be reviewed by mutual agreement as operational requirements develop.
• Travel between the three practices is an inherent requirement. Visit frequency, priorities, and performance measures will be agreed through the organisation’s planning and performance-management processes.

Scope of the Role

This job description sets out the principal responsibilities of the role and is not exhaustive. It may be reviewed in consultation with the postholder to reflect changes in organisational priorities, service requirements, legislation, or regulatory standards.