PCN Operations Director

Job summaryAre you looking for an opportunity to lead and shape a large
Primary Care Network? We are seeking an energetic PCN Operations Director
to drive PCN delivery and patient outcomes, with responsibility for the
day-to-day running of our Primary Care Network.This is a highly visible, active role, working side-by-side
with our Clinical Director, PCN Board and practices. You will be a
process-driven leader who can turn strategy into smoothly running daily
operations.Main duties of the jobYou and your team will provide essential operational oversight and ensure seamless delivery against NHS contractual requirements and the Network Contract Directed Enhanced Service (DES).You will also manage the complex logistics of our expanding workforce under the Additional Roles Reimbursement Scheme (ARRS), ensuring strong HR compliance, recruitment, and staff retention.Financially, you will take ownership of the PCN budget, maximising income streams from the Network Contract DES, monitoring claims, and ensuring transparent financial reporting back to member practices and the Board.The current post-holder will be retiring in April 2027, and we are ideally seeking a substantial handover period prior to this.The successful applicant should be available from February 2027. Interviews will take place in October 2026.About usRugby Health PCN Rugby Health is a private limited company wholly owned by all the Rugby GP practices. As a GP led organisation, we represent 12 GP practice shareholders and cover circa 126,000 patients. We describe our work as building on the core of current primary care services to enable greater provision of proactive, personalised, coordinated and more integrated health and social care. Our aim is to move from reactively providing appointments to proactively caring for the people and communities we serve.Why Work For Us?On-site parking at GP practices (where available)Flexible hours and working arrangements considered from day 1Dynamic and adaptable teamTraining and support, enabling you to develop within the roleImportant InformationRight to work checksAll applicants invited for interview will need to prove their right to work in the UK at the interview stageWe are not able to offer sponsorship for this role.Interviews will take place in early October.Please ensure you complete all sections of the application form fully and accurately as incomplete applications may not be shortlisted. Applications will only be accepted via the NHS Job Portal, individual CVs will not be accepted.DetailsDate posted15 September 2026Pay schemeOtherSalary
65,000 a year
(with access to NHS Pension Scheme)
ContractPermanentWorking pattern

Full-time

Reference numberA Job locationsVarious locations across the PCN Network26 - 28 Clifton Road (Head Office)RugbyWarwickshireCV21 3QFUnited KingdomJob descriptionJob responsibilitiesThe PCN Operations Director is a senior leadership role responsible for the day-to-day management,
strategic delivery, governance, HR and financial assurance of the Primary Care Network.Working closely with the Clinical Director and the PCN Board, the post holder ensures that the network
operates safely, compliantly, and efficiently at scale. This role bridges clinical vision and business
execution, managing contractual obligations, the overall workforce and workforce expansion (such as
Additional Roles Reimbursement Scheme - ARRS staff), regulatory compliance, and stakeholder
engagement across all 12 member practices.Key Duties and Responsibilities1. Governance, Assurance, and Risk ManagementLead and maintain the PCNs corporate governance frameworks, ensuring strict adherence to NHS
England, Integrated Care Board (ICB), and limited company requirements.Manage corporate governance documentation, including policies, risk assessments, standard
operating procedures (SOPs), data protection, health and safety, business continuity plans and
work with Company Secretary to ensure limited company compliance.Oversee the PCN complaints and significant incidents process, ensuring timely investigations,
root-cause analyses, learning dissemination, and proper escalation to the Clinical Director &
Board where appropriate.Oversee the Annual General Meeting jointly with the Clinical Director, planning agenda, managing
actions, and recording accurate governance records.Attend the PCN Board meetings supporting the Clinical Director where appropriate.Jointly with the Clinical Director, ensure patient safety and high standards of care are embedded
into all PCN initiatives.2. Contractual Management & Compliance (DES & Local Schemes)Lead with the Clinical Director on the implementation, monitoring, and ongoing management of
the Network Contract Directed Enhanced Service (DES) and associated service specifications.Ensure all reporting deadlines, key performance indicators (KPIs), and enhanced service
requirements are fully met across the network.Responsible for the monitoring of activity data, performance metrics, and clinical quality targets
to ensure optimal patient outcomes, maximum funding capture and DES objectives compliance.Work closely with and have oversight of the PCN Enhanced Access service, supporting the
Enhanced Access Manager to achieve the EA PCN DES requirements.Support the Clinical Director in their PCN duties.3. Financial ManagementOverall responsibility and main contact for overseeing the financial management of the PCN.
Prepare PCN and Enhanced Access budgets, ARRS allocations, DES funding, and project-specific
grants.Monitor expenditure and income against budgets, identify financial risks or opportunities, and
assist in developing robust business cases and funding bids. Take appropriate action/make
recommendations to the Clinical Director/PCN Board where appropriate.Responsible for banking arrangements and payments, including the payroll preparation and
submission via external payroll company.Work closely with external operational accountant to ensure ARRS claims, accounting software
work, periodic budget updates and year end finance work is completed accurately and on time
and liaise with relevant stakeholders in the PCN.Responsible for ensuring pension and HMRC requirements are met, whether by the PCN or third
parties e.g. payroll bureau, accountant.Manage practice funds relating to PCN DES services ensuring they are correctly allocated and
paid.Ensure financial probity, proper audit trails, value for money, and compliant claims validation
processes.4. Workforce Strategy, ARRS management & HR ManagementProvide strategic leadership with the Clinical Director for the PCN workforce. Particularly
overseeing the recruitment, integration, deployment, and retention of ARRS and other staff.Monitor workforce capacity, utilisation, and professional development needs, ensuring a
supportive and multidisciplinary team environment.Work with external human resources advisors on employment matters, staff performance
management and appraisals, staff absence and workforce compliance. Carry out and support
meetings in relation to the above ensuring compliance with PCN policies.Main operational contact responsible for human resources and people management within the
PCN.5. Digital InfrastructureManage digital transformation initiatives through the Digital Transformation Lead ensuring
alignment with local and national NHS IT infrastructure, data protection, and GDPR compliance.Ensure digital systems are effective in managing the developing needs of the PCN, supporting
practices and sharing best practices.6. Stakeholder Engagement and System LeadershipAct as a primary senior operational link between the PCN, member practices, the ICB, community
providers, and secondary care partners.Represent the PCN in a non-clinical capacity with Coventry and Warwickshire Integrated Primary
Care (IPC), attending regular meetings, working collaboratively and representing the network.Represent the PCN at local, regional, and system-level meetings where appropriate, forging
collaborative partnerships to improve integrated care pathways.Any other duties as may be requested by the Clinical Lead or Board Members of the PCN
Job description
Job responsibilitiesThe PCN Operations Director is a senior leadership role responsible for the day-to-day management,
strategic delivery, governance, HR and financial assurance of the Primary Care Network.Working closely with the Clinical Director and the PCN Board, the post holder ensures that the network
operates safely, compliantly, and efficiently at scale. This role bridges clinical vision and business
execution, managing contractual obligations, the overall workforce and workforce expansion (such as
Additional Roles Reimbursement Scheme - ARRS staff), regulatory compliance, and stakeholder
engagement across all 12 member practices.Key Duties and Responsibilities1. Governance, Assurance, and Risk ManagementLead and maintain the PCNs corporate governance frameworks, ensuring strict adherence to NHS
England, Integrated Care Board (ICB), and limited company requirements.Manage corporate governance documentation, including policies, risk assessments, standard
operating procedures (SOPs), data protection, health and safety, business continuity plans and
work with Company Secretary to ensure limited company compliance.Oversee the PCN complaints and significant incidents process, ensuring timely investigations,
root-cause analyses, learning dissemination, and proper escalation to the Clinical Director &
Board where appropriate.Oversee the Annual General Meeting jointly with the Clinical Director, planning agenda, managing
actions, and recording accurate governance records.Attend the PCN Board meetings supporting the Clinical Director where appropriate.Jointly with the Clinical Director, ensure patient safety and high standards of care are embedded
into all PCN initiatives.2. Contractual Management & Compliance (DES & Local Schemes)Lead with the Clinical Director on the implementation, monitoring, and ongoing management of
the Network Contract Directed Enhanced Service (DES) and associated service specifications.Ensure all reporting deadlines, key performance indicators (KPIs), and enhanced service
requirements are fully met across the network.Responsible for the monitoring of activity data, performance metrics, and clinical quality targets
to ensure optimal patient outcomes, maximum funding capture and DES objectives compliance.Work closely with and have oversight of the PCN Enhanced Access service, supporting the
Enhanced Access Manager to achieve the EA PCN DES requirements.Support the Clinical Director in their PCN duties.3. Financial ManagementOverall responsibility and main contact for overseeing the financial management of the PCN.
Prepare PCN and Enhanced Access budgets, ARRS allocations, DES funding, and project-specific
grants.Monitor expenditure and income against budgets, identify financial risks or opportunities, and
assist in developing robust business cases and funding bids. Take appropriate action/make
recommendations to the Clinical Director/PCN Board where appropriate.Responsible for banking arrangements and payments, including the payroll preparation and
submission via external payroll company.Work closely with external operational accountant to ensure ARRS claims, accounting software
work, periodic budget updates and year end finance work is completed accurately and on time
and liaise with relevant stakeholders in the PCN.Responsible for ensuring pension and HMRC requirements are met, whether by the PCN or third
parties e.g. payroll bureau, accountant.Manage practice funds relating to PCN DES services ensuring they are correctly allocated and
paid.Ensure financial probity, proper audit trails, value for money, and compliant claims validation
processes.4. Workforce Strategy, ARRS management & HR ManagementProvide strategic leadership with the Clinical Director for the PCN workforce. Particularly
overseeing the recruitment, integration, deployment, and retention of ARRS and other staff.Monitor workforce capacity, utilisation, and professional development needs, ensuring a
supportive and multidisciplinary team environment.Work with external human resources advisors on employment matters, staff performance
management and appraisals, staff absence and workforce compliance. Carry out and support
meetings in relation to the above ensuring compliance with PCN policies.Main operational contact responsible for human resources and people management within the
PCN.5. Digital InfrastructureManage digital transformation initiatives through the Digital Transformation Lead ensuring
alignment with local and national NHS IT infrastructure, data protection, and GDPR compliance.Ensure digital systems are effective in managing the developing needs of the PCN, supporting
practices and sharing best practices.6. Stakeholder Engagement and System LeadershipAct as a primary senior operational link between the PCN, member practices, the ICB, community
providers, and secondary care partners.Represent the PCN in a non-clinical capacity with Coventry and Warwickshire Integrated Primary
Care (IPC), attending regular meetings, working collaboratively and representing the network.Represent the PCN at local, regional, and system-level meetings where appropriate, forging
collaborative partnerships to improve integrated care pathways.Any other duties as may be requested by the Clinical Lead or Board Members of the PCNPerson Specification
Experience and other requirements
EssentialUnderstanding of NHS structures, GP contract frameworks, and Primary Care policy. Strong corporate governance, risk management, and regulatory compliance expertise. Excellent interpersonal, and stakeholder management skills, to support work delivery. Experience of working in general practice with a good knowledge of general practice systems, processes, and procedures. Experience of decision making under pressured work conditions. Experience of strategic planning and decision making combined with completing day to day operational detailed work. Driver with access to own transport An ongoing commitment to improving NHS services for the benefit of patients. Demonstrates flexibility Effective team player Ability to work effectively under pressure and with changing priorities. Support collaboration between practices and PCN, sharing information to jointly achieve goals.DesirableExperience of interpreting practice and/or PCN objectives and understanding how these can be delivered at an operational level.Innovative mindset geared toward driving service transformation.
Qualifications
EssentialEducated to master's level in a healthcare, business, or management discipline, or equivalent level qualificationDesirableManagement qualification, formal leadership training, and/or specialist area of knowledge relating to the role.
Experience
EssentialExtensive senior operational leadership experience. Proven experience managing stakeholder projects. Proven experience in financial management, managing budgets and funding streams whether in the NHS or another sector. Experience of managing teams and HR elements of this, whether NHS or other sector. Line manage part of the PCN workforce. Be able to manage and oversee work undertaken by external companies on behalf of the PCN. Understanding of NHS structures, GP contract frameworks, and Primary Care policy. Demonstrable experience in corporate governance, risk management, data protection, health and safety and regulatory compliance. Excellent interpersonal, negotiation, and stakeholder management skills. Ability to develop strategic objectives and translate this into practical, operational delivery. Ability to work and make decisions autonomously, and to identify and act on information to respond to changing and conflicting priorities. Ability to understand, interpret and present/discuss data with PCN stakeholders and board directors Excellent and accurate communication skills (written and verbal) and an ability to engage successfully with a wide range of people at all levels within the organisation. Self-motivated, driven and able to use initiative, organisation and time management skills to solve problems and work supportively with colleagues or alone. Has a resilient approach to workDesirableExtensive senior operational leadership experience within the NHS, primary care, or healthcare sector. Direct experience managing a Primary Care Network (PCN) or practice. Experience with ARRS workforce deployment and management. Proficiency in primary care clinical systems (e.g., EMIS Web) and financial software.
Person Specification

Experience and other requirements
EssentialUnderstanding of NHS structures, GP contract frameworks, and Primary Care policy. Strong corporate governance, risk management, and regulatory compliance expertise. Excellent interpersonal, and stakeholder management skills, to support work delivery. Experience of working in general practice with a good knowledge of general practice systems, processes, and procedures. Experience of decision making under pressured work conditions. Experience of strategic planning and decision making combined with completing day to day operational detailed work. Driver with access to own transport An ongoing commitment to improving NHS services for the benefit of patients. Demonstrates flexibility Effective team player Ability to work effectively under pressure and with changing priorities. Support collaboration between practices and PCN, sharing information to jointly achieve goals.DesirableExperience of interpreting practice and/or PCN objectives and understanding how these can be delivered at an operational level.Innovative mindset geared toward driving service transformation.
Qualifications
EssentialEducated to master's level in a healthcare, business, or management discipline, or equivalent level qualificationDesirableManagement qualification, formal leadership training, and/or specialist area of knowledge relating to the role.
Experience
EssentialExtensive senior operational leadership experience. Proven experience managing stakeholder projects. Proven experience in financial management, managing budgets and funding streams whether in the NHS or another sector. Experience of managing teams and HR elements of this, whether NHS or other sector. Line manage part of the PCN workforce. Be able to manage and oversee work undertaken by external companies on behalf of the PCN. Understanding of NHS structures, GP contract frameworks, and Primary Care policy. Demonstrable experience in corporate governance, risk management, data protection, health and safety and regulatory compliance. Excellent interpersonal, negotiation, and stakeholder management skills. Ability to develop strategic objectives and translate this into practical, operational delivery. Ability to work and make decisions autonomously, and to identify and act on information to respond to changing and conflicting priorities. Ability to understand, interpret and present/discuss data with PCN stakeholders and board directors Excellent and accurate communication skills (written and verbal) and an ability to engage successfully with a wide range of people at all levels within the organisation. Self-motivated, driven and able to use initiative, organisation and time management skills to solve problems and work supportively with colleagues or alone. Has a resilient approach to workDesirableExtensive senior operational leadership experience within the NHS, primary care, or healthcare sector. Direct experience managing a Primary Care Network (PCN) or practice. Experience with ARRS workforce deployment and management. Proficiency in primary care clinical systems (e.g., EMIS Web) and financial software.Disclosure and Barring Service CheckThis 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 detailsEmployer nameRugby Health LimitedAddressVarious locations across the PCN Network26 - 28 Clifton Road (Head Office)RugbyWarwickshireCV21 3QFUnited KingdomEmployer's websiteEmployer detailsEmployer nameRugby Health LimitedAddressVarious locations across the PCN Network26 - 28 Clifton Road (Head Office)RugbyWarwickshireCV21 3QFUnited KingdomEmployer's website