Visa Note
While this position offers a certificate of sponsorship for skilled worker visas to the UK, applicants must verify their eligibility directly with the employer before applying. Immigration requirements can change, and the employer will confirm whether they can provide sponsorship based on your specific circumstances. International candidates are encouraged to contact the employer early in the application process to discuss visa requirements.
Job Overview
Practice Manager – Town Gate Practice is an excellent opportunity for an experienced healthcare professional to lead the operational, financial, and administrative functions of a semi-rural GP practice in Wales. This role is ideal for someone who thrives in a community-focused environment and is committed to delivering high-quality patient care while managing limited rural resources.
Company Information
GP Practice in Wales is a friendly, forward-thinking healthcare organization serving the community of Chepstow and surrounding areas in Gwent. The practice is part of the NHS Wales system and works collaboratively with local health boards and community partners. They are committed to providing high-quality, patient-centered services while adapting to the unique challenges of rural healthcare delivery.
Location Details
Town Gate Practice is located at Tempest Way, Chepstow, Gwent, NP16 5XP. This semi-rural setting presents both challenges and opportunities for innovative healthcare delivery. The position requires occasional travel to meetings within the Health Board area, but primarily involves working office-based within the practice setting.
Salary Information
The salary for this Practice Manager position is negotiable and dependent on experience. Details are available on application, and the practice offers competitive compensation packages commensurate with the responsibilities and qualifications required for this role. The salary will be discussed during the interview process based on relevant experience and qualifications.
Schedule and Employment Type
This is a permanent, full-time position requiring a standard working week. While primarily office-based, some flexibility in working hours may be required to meet service needs. The role may occasionally require evening or weekend work to attend meetings, training sessions, or to ensure continuity of service delivery.
Language Requirements
English language proficiency is essential for this role, as it involves complex communication with healthcare professionals, patients, and external stakeholders. The ability to communicate effectively in English is required for all aspects of the job, including written reports, meetings, and patient interactions.
Education Requirements
The position requires a good general standard of education, such as 5 GCSEs (grade C/4 or above) including Maths and English. While formal education is important, practical experience and demonstrated management skills are equally valued in this role.
Essential Qualifications
Candidates must possess a good general standard of education, equivalent to 5 GCSEs at grade C/4 or above, including Mathematics and English. This foundational educational background is essential for managing the complex administrative and financial responsibilities of the practice.
Desirable Qualifications
A degree-level qualification in business, healthcare management, or related fields is highly desirable. Additional management or leadership qualifications such as ILM (Institute of Leadership and Management) Awards, CMI or AMSPAR certificates, or project management qualifications (e.g., Prince2, QSIR) would strengthen an application. These qualifications demonstrate a commitment to professional development in healthcare management.
Essential Experience
Experienced managers from both NHS and non-NHS backgrounds are welcomed for this position. The employer is open to candidates with diverse management experience, as long as they can demonstrate the skills required to lead a healthcare practice effectively. Practical experience in team leadership, operational management, and financial oversight is essential.
Desirable Experience
Strong leadership, team management, and people-focused skills are highly desirable. Experience in managing complex operations or service delivery, financial acumen including budgeting and resource management, and the ability to work independently and make sound decisions are all valuable attributes for this role. Good IT literacy and confidence with digital systems are also important in today’s healthcare environment.
Key Duties and Responsibilities
The Practice Manager will lead the day-to-day operational management of the practice, ensuring efficient and effective service delivery. You will support GP partners in developing and implementing strategic and business plans, manage change initiatives, and ensure resilience and continuity of services. The role involves significant financial management responsibilities, including preparing, managing, and monitoring the practice budget, overseeing income streams, and managing payroll and staff expenses.
Strategic and Operational Management
You will lead the day-to-day operational management of the practice, ensuring efficient and effective service delivery. This includes supporting GP partners in developing strategic plans, managing change initiatives, and ensuring continuity of services. Managing limited rural resources and supporting access for dispersed populations are key aspects of this semi-rural role.
Financial Management
Financial responsibility is a significant part of this role, including preparing, managing, and monitoring the practice budget to ensure financial sustainability. You will oversee income streams including GMS/PMS contracts, enhanced services, and additional funding opportunities, while also managing payroll, pensions, and staff expenses. Liaising with accountants and external advisers will be required as needed.
Human Resources Management
You will lead recruitment, induction, appraisal, and development of all non-clinical staff, ensuring appropriate staffing levels to meet patient demand. Managing HR issues including performance management, sickness absence, disciplinary and grievance procedures is essential, along with promoting staff wellbeing and maintaining a positive, inclusive workplace culture.
Governance and Compliance
Ensuring compliance with NHS Wales regulations, Health Board requirements, and the GMS/PMS contract is critical. You will oversee policies related to health and safety, infection prevention, information governance, and safeguarding. Preparing for and managing inspections and reviews (e.g. HIW) and maintaining risk registers with appropriate mitigation strategies are key responsibilities.
Person Specification
The ideal candidate will demonstrate strong leadership, team management, and people-focused skills. Excellent organisational and problem-solving abilities, experience in managing complex operations, and financial acumen are essential. The ability to work independently, prioritise effectively, and make sound decisions is crucial, along with strong communication and interpersonal skills. Good IT literacy and confidence with digital systems are also important.
About the Employer
Town Gate Practice is a friendly, forward-thinking semi-rural GP practice in Wales seeking an enthusiastic and highly organised Practice Manager to lead their 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.
Working Conditions
The position is primarily office-based within the practice, with occasional travel to meetings within the Health Board area. Some flexibility in working hours may be required to meet service needs. The practice offers a supportive working environment with opportunities for professional development and career advancement within the NHS Wales system.
How to Apply
Apply via the NHS Jobs website. International applicants should include details of their visa status and requirements in their application. Before applying, verify your eligibility for sponsorship with the employer by contacting Amanda Ramshaw directly. Prepare your CV, covering letter, and any relevant qualifications or certificates. Include examples of your experience in managing similar roles, particularly in healthcare settings.
Contact Information
For questions about the job, contact Amanda Ramshaw at [email protected] or by phone at +441291440065. The employer welcomes inquiries from international candidates regarding visa sponsorship requirements and the application process.
Certificate of Sponsorship
The employer offers a Certificate of Sponsorship for eligible international candidates. 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. From 6 April 2017, skilled worker applicants must present criminal record certificates from each country they have resided in for 12 months or more in the past 10 years.
Disclosure and Barring Service Check
This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975, requiring a submission to the Disclosure and Barring Service (formerly CRB) to check for previous criminal convictions. All successful candidates will undergo this check as part of the pre-employment process.
Application Deadline
The closing date for applications is 31 January 2026. Early application is encouraged to allow sufficient time for the recruitment process and any necessary visa arrangements for international candidates. The reference number for this position is M0044-25-0298.
Privacy Notice
GP Practice in Wales’s privacy policy can be found at https://gpwales.co.uk/privacy-policy. All personal data submitted during the application process will be handled in accordance with data protection regulations and this privacy notice.

