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Wiltshire Finance & Procurement

Finance LeadNHS

Melksham, SN12 6UN Permanent £34,000 to £40,000
Posted 6 August 2026 Closing date 21 August 2026
Melksham Rail Station (1.2 miles away) Chapel Knapp Farm (3.6 miles away)

Job summary

Role: Finance Lead

Location: Melksham (on site)

Type: Part Time, Permanent

Hours: 18 22.5 hours per week

This exciting role will support the Practice Manager in the management and coordination of all aspects of the organisation's finances, optimising efficiency, improving financial performance, and ensuring the achievement of the practice's long term strategic objectives.

In this permanent role, your responsibilities will support the day-to-day financial operations of the practice to optimise efficiency and financial performance in line with financial compliance. You will provide accurate financial information to the Practice Manager to support decision making and help ensure the practice remains profitable, efficient, and financially sustainable.

The successful candidate will drive achievement of NHS financial targets and respond proactively to changes within the primary care environment. They will work closely with the management team to promote equality, diversity and inclusion (ED&I), safety, health, environment and fire (SHEF), quality improvement, confidentiality, collaborative working, service excellence, and learning and development. The postholder will also support the organisation in meeting all relevant regulatory and governance requirements, including compliance with CQC standards.

Main duties of the job

  • Supporting the Practice Manager with the day to day financial management of the practice, ensuring accurate financial records and robust financial controls.
  • Manage accounts payable and receivable, ensuring invoices are processed promptly and income is maximised.
  • Maintain financial systems, including Sage, bank reconciliations, and cash flow monitoring.
  • Prepare budgets, forecasts, management accounts, and financial reports for the Practice Manager and Partners.
  • Monitor and analyse income and expenditure, identifying and resolving discrepancies.
  • Support year end financial processes and liaise with external accountants.
  • Oversee payroll, pensions, PAYE, and partner drawings in collaboration with outsourced providers.
  • Build and maintain effective relationships with NHS organisations, PCSE, ICB, PCN, NHS Pensions, and other key stakeholders.
  • Identify opportunities to improve financial processes, systems, and efficiencies.
  • Act as the practice's lead contact for finance related matters and contribute to audits, management meetings, and relevant external forums.

Job description

The following are the core responsibilities of the Finance Lead. There may be, on occasion, a requirement to carry out other tasks. This will be dependent upon factors such as workload and staffing levels:

  • Supporting the Practice Manager with the day to day financial management of the practice, ensuring accurate financial records and robust financial controls.
  • Manage accounts payable and receivable, ensuring invoices are processed promptly and income is maximised.
  • Maintain financial systems, including Sage, bank reconciliations, and cash flow monitoring.
  • Prepare budgets, forecasts, management accounts, and financial reports for the Practice Manager and Partners.
  • Monitor and analyse income and expenditure, identifying and resolving discrepancies.
  • Support year end financial processes and liaise with external accountants.
  • Oversee payroll, pensions, PAYE, and partner drawings in collaboration with outsourced providers.
  • Build and maintain effective relationships with NHS organisations, PCSE, ICB, PCN, NHS Pensions, and other key stakeholders.
  • Identify opportunities to improve financial processes, systems, and efficiencies.
  • Act as the practice's lead contact for finance related matters and contribute to audits, management meetings, and relevant external forums.

About us

Spa Medical Centre aims to provide the highest quality of care to the people of Melksham. We are friendly, professional and work collaboratively with our patients to achieve the best health outcomes.

The practice extends its ethos of caring to its staff and aspires to provide a nurturing and rewarding environment in which to work.

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