About this role
Job summary
We are seeking an experienced Bookkeeper or Finance Assistant to support the Practice Manager and Deputy Practice Manager in the financial management of the practice and associated Primary Care Network (PCN).
We are a large practice based in Basingstoke covering approximately 27,000 patients. We have 8 GP Partners, strong management team and a wide range of clinical staff including GPs, Nurses, HCAs and other allied healthcare professionals.
The role requires a candidate with strong experience in NHS primary care finance, including an understanding of DES, QOF, CQRS reporting, NHS income streams and reimbursement processes. The post holder will be responsible for maintaining accurate financial records, managing financial processes, monitoring income streams and supporting budgeting and financial forecasting.
This role requires a proactive, resilient individual who can work independently, manage competing priorities and ensure financial processes are completed accurately and within required deadlines.
Please note:This role requires previous experience working within **NHS primary care or GP practice finance. Applications from candidates without relevant NHS primary care financial experience are unlikely to be shortlisted.
Main duties of the job Finance Assistant Key Responsibilities (Summary)
1. Financial Management
Maintain accurate records in Xero, complete bank reconciliations, and monitor transactions.
Support financial reporting and ensure clear audit trails.
2. Budgeting & Forecasting
Assist with budgets, track income/expenditure, and identify variances or risks.
Provide data to support planning and decision-making.
3. NHS Income & Claims
Manage and monitor income streams (QOF, DES/LES, PCN, CQRS, vaccinations, reimbursements).
Submit claims, track payments, resolve discrepancies, and liaise with commissioners.
4. Purchase Ledger
Process invoices, manage suppliers, and run payment cycles (e.g. BACS) in line with governance.
5. Income Processing
Record all income, including non-NHS work (e.g. medical reports), ensuring accurate allocation.
6. Cash Handling
Manage petty cash and ensure all cash/cheque transactions are recorded and banked correctly.
7. Activity & Enhanced Services Monitoring
Align activity data with claims and ensure submissions meet deadlines.
8. PCN Finance Support
Support PCN finances, maintain separation from practice accounts, and monitor income/payments.
9. Governance & Compliance
Maintain organised financial records, ensure compliance with policies, and support audits.
About us
We are a large practice based in Basingstoke covering approximately 27,000 patients. We have 8 GP Partners, strong management team and a wide range of clinical staff including GPs, Nurses, HCAs and other allied healthcare professionals.
We are part of Mosaic PCN with 2 other Practices located in Basingstoke and Hook. We have ARRS employees working both at Crown Heights and our branch site Old Basing providing additional capacity for our patients.
Job description Job responsibilities
Job Summary
We are seeking an experienced Bookkeeper or Finance Assistant to support the Practice Manager and Deputy Practice Manager in the financial management of the practice and associated Primary Care Network (PCN).
The role requires a candidate with strong experience in NHS primary care finance, including an understanding of DES, QOF, CQRS reporting, NHS income streams and reimbursement processes. The post holder will be responsible for maintaining accurate financial records, managing financial processes, monitoring income streams and supporting budgeting and financial forecasting.
This role requires a proactive, resilient individual who can work independently, manage competing priorities and ensure financial processes are completed accurately and within required deadlines.
Please note: This role requires previous experience working within **NHS primary care or GP practice finance. Applications from candidates without relevant NHS primary care financial experience are unlikely to be shortlisted.
Key Responsibilities Financial Management and Reporting
Maintain accurate financial records using the practice accounting system (Xero). Complete regular bank reconciliations and investigate discrepancies. Monitor financial transactions across practice and PCN accounts. Support preparation of financial reports for the Practice Manager and Partners. Maintain accurate audit trails and financial documentation.Budget Monitoring and Forecasting
Assist with the preparation and monitoring of practice and PCN budgets. Monitor income and expenditure against budget. Support financial forecasting and identification of financial risks or variances. Provide financial data to support operational and strategic planning.NHS Income Streams and Claims
Manage and monitor income relating to NHS contractual payments including:
Quality and Outcomes Framework (QOF) Directed Enhanced Services (DES) Local Enhanced Services (LES) Network DES (PCN income) CQRS submissions and monitoring Vaccination and immunisation claims Drug reimbursement claims Premises reimbursements (e.g. business rates, clinical waste)Responsibilities include:
Preparing and submitting claims where required. Monitoring CQRS submissions and ensuring activity is correctly recorded. Identifying discrepancies between activity and payments received. Liaising with commissioners where adjustments are required.Purchase Ledger and Supplier Payments
Process supplier invoices and maintain the purchase ledger. Prepare and process payment runs including BACS payments. Maintain supplier records and resolve discrepancies. Ensure payments are authorised in line with governance procedures.Income Processing and Non-NHS Work
Record and reconcile all income received by the practice. Monitor and record non-NHS income streams including medical reports and private work. Ensure all income is correctly allocated and recorded in financial systems.Petty Cash and Cash Handling
Manage petty cash floats and ensure accurate recording of transactions. Ensure all cash and cheque payments are appropriately recorded and banked.Enhanced Services and Activity Monitoring
Support monitoring of enhanced services activity. Work with operational teams to ensure activity data aligns with submitted claims. Ensure financial returns and submissions are completed within required deadlines.Primary Care Network Finance
Provide financial administrative support to the Primary Care Network where required. Maintain clear separation between practice and PCN financial records. Process PCN supplier payments and monitor income streams.Financial Governance and Record Management
Maintain organised financial filing and archiving systems. Ensure compliance with financial governance and document retention policies. Support preparation for financial audits or financial reviews where required.Person Specification:
Essential
Experience working within NHS primary care finance or GP practice finance Strong understanding of QOF, DES, CQRS and NHS income streams Experience of budget monitoring and financial forecasting Experience using Sage or similar accounting systems Strong Excel skills Excellent attention to detail and financial accuracy Ability to work independently and manage competing prioritiesDesirable
Experience working with Primary Care Network finances Understanding of EMIS or other clinical systems for activity reporting Experience supporting practice or partner financial reportingKey Competencies
The successful candidate will demonstrate:
Strong financial governance and accountability Ability to work at pace and manage deadlines High levels of organisation and attention to detail Resilience in managing complex workloads Confidence working with senior leadership and external organisations
Job Type: Part-time
Benefits:
Company pension Work from home
Ability to commute/relocate:
Basingstoke RG21: reliably commute or plan to relocate before starting work (required)Experience:
relevant GP practice: 2 years (required)Licence/Certification:
AAT qualifications (required)Location:
Basingstoke RG21 (required)
Work Location: In person
Person Specification
Experience Essential
Experience in a similar role before Knowledge of Cloud based accounting software and regular use (Xero, Sage, Quickbooks)
Desirable
Experience in GP Practice
Qualifications Essential
AAT Level 2 AAT Level 3
Desirable
Finance qualification AAT Level 4 or above
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.
UK Registration
Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).
Employer details Employer name Crown Heights Medical Centre
Address Alencon Link
Basingstoke
Hampshire
RG21 7AN
Employer's website https://www.crownheightsmc.co.uk/ (Opens in a new tab)