Head of Finance

Keston and Moorings Medical Practice; City Of London; On-site; GBP 70,000 - 100,000; Full time

Job summary

A healthcare service provider in the United Kingdom is seeking a Head of Finance to oversee financial management across the organization. The successful candidate will be responsible for all financial aspects, including reporting, budgeting, and stakeholder engagement, while ensuring compliance with NHS regulations. Applicants should have a professional accounting qualification and significant experience in a senior finance role, ideally within the NHS. This role offers an opportunity to shape the financial strategy of a key healthcare provider.

Qualifications

• 5+ years in a senior finance role, preferably within NHS.
• Proven ability to lead finance functions in a healthcare setting.
• Strong knowledge of NHS finance procedures.

Responsibilities

• Produce monthly finance packs and manage reporting.
• Develop budgets and forecasts for the Group.
• Lead income maximisation initiatives and cost optimisations.

Skills

Financial Management

Strategic Planning

Leadership

Advanced Excel

Communication

Education

Professional accounting qualification (ACA, CIMA, ACCA or equivalent)

Degree in Accounting, Finance, or related discipline

Tools

Xero

Fathom

Zahara

Job description

Job summary

The Head of Finance is a critical and senior leadership position within Bourne Health, responsible for overseeing and delivering all aspects of the Group's financial management. As the largest provider of Primary Care in Croydon, and an at-scale NHS provider serving almost 100,000 patients across multiple GP surgeries, Bourne Health requires a highly capable, hands-on finance leader who combines strategic vision with practical, day-to-day financial management skills.

Main duties of the job

The role is pivotal in ensuring that Bourne Health is financially sustainable, compliant, and well-positioned for growth. You will take ownership of all finance functions, including:

• Claims and income management
• Payroll and pensions
• Internal and statutory accounts and audit preparation
• Management accounts and monthly board finance packs
• Financial planning, analysis, and modelling
• Procurement and cost optimisation
• Finance systems and policy implementation and management (e.g., Xero, Fathom, Zahara, Barclays.net, and all finance related policies)

The Head of Finance will also play a key role in maximising income, minimising costs, improving operational efficiency, and advising the CEO and Board on strategic financial decisions. This position does not currently have a large finance team; Finance Leads are embedded within practices to support with claims and basic bookkeeping, but the postholder must be comfortable working hands-on, directly managing processes, reports, and systems.

About us

Bourne Health is the largest primary care provider in South West London, serving diverse communities across multiple GP surgeries. We are committed to delivering high-quality, patient-centred care, underpinned by innovation, community engagement, and operational excellence.

Job description

Job responsibilities

1. Financial Management & Reporting

   Produce high quality monthly finance packs for the CEO and Board, including variance analysis, cashflow forecasting, and key performance insights. Manage the month-end and year-end close processes, ensuring accurate and timely reporting. Prepare and lead on internal and statutory accounts production and annual audit. Ensure compliance with NHS and accounting regulations, tax (corporate and VAT), and statutory reporting requirements. Safeguard Bourne Health's financial data through rigorous controls, processes, and documentation. Maintain highly organised financial records, filing systems, and audit trails.

2. Financial Planning, Analysis & Strategy

   Develop and lead annual budget preparation and forecasting across the Group. Provide detailed financial modelling and business case analysis to support growth, bids, tendering opportunities and service development. Participate and lead in financial aspects of tendering for new business. Conduct strategic financial analysis to drive decisions on practice performance, service development, and resource allocation. Provide short, medium and long-term comprehensive and integrated physical resource planning for Bourne Health, its practices and other sites. Identify trends, risks, and opportunities and present these to the CEO, Board and Senior Management. Collaborate with operational leaders to develop and track key financial and operational KPIs.

3. Income Maximisation & Cost Optimisation

   Oversee claims processes, ensuring NHS and other income streams are correctly identified, claimed, and reconciled. Develop systems to maximise income and minimise errors or missed claims. Lead initiatives to reduce costs, including locum spend management, procurement efficiencies, and preferred supplier agreements. Streamline processes and eliminate waste. Work with operational managers to achieve financial efficiency without compromising care quality. Manage estates finances, service charges, utilities and facilities, and landlord relationships. Lead on enterprise-level management of utilities across Group estates. Manage accounts receivable and payable, ensuring timeliness and cash flow. Interpret accounting guidance and directives to maximise income and minimise costs. Ensure controls align with IFRS and maintain robust audit trails.

4. Finance Systems & Process Improvement

   Lead the design, implementation, and ongoing management of all finance systems (e.g., Xero, Fathom, Zahara, Barclays.net). Ensure systems are integrated, efficient, and aligned with operational needs. Continuously review and refine financial processes to improve efficiency, scalability, and compliance. Drive information quality improvements and be responsible for cash management policies. Provide finance data on demand to support operational and clinical decision-making.

5. Payroll & Pensions Management

   Oversee payroll and pensions for all staff across the Group (supported by outsourced payroll provider and Finance Leads). Ensure accuracy, timeliness, and compliance with relevant legislation. Hold outsourced payroll providers to account for service quality. Support integration of payroll with HRIS in collaboration with HR. Continuously optimise payroll processes and documentation.

6. Leadership & Team Development

   Provide leadership and mentorship to Finance Leads and Practice Managers. Build finance capability across the organisation through training and support. Foster a culture of excellence, integrity, and collaboration. Support recruitment, onboarding, and performance management of finance personnel as the team grows. Manage performance, development, objectives, and motivation, focusing on high quality. Support managers in understanding income and costs and in identifying opportunities for income maximisation and cost reduction. Develop and promulgate financial policy and procedures.

7. Stakeholder Engagement

   Act as the key finance point of contact for the CEO and Board, NHS commissioners, PCSE, NHS Pensions, regulators, external auditors, tax advisors, and suppliers. Attend key meetings to present financial performance, insights, and recommendations.

Person Specification

Qualifications

• Professional accounting qualification (ACA, CIMA, ACCA, or equivalent).
• Degree in Accounting, Finance, or related discipline.

Experience

• Significant post-qualification experience in a senior finance role (minimum 5 years).
• In-depth understanding of NHS primary care finance, including GP practice claims, PCN finances, and NHS contractual mechanisms.
• Proven track record of producing accurate, insightful financial reports for Board level audiences.
• Experience implementing and managing finance systems (ideally Xero, Fathom, Zahara).
• Excellent IT skills, particularly advanced Excel and financial modelling.
• Strong leadership skills with the ability to manage and develop a dispersed team.
• Highly organised, with exceptional attention to detail.
• Excellent communication skills (written and verbal); rapid communication is key.
• Effective presentation of financial and non-financial information and leading financial discussions up to Board level (ensuring non-finance people understand clearly what is being presented).
• Ability to lead change throughout the Group and manage broad financial scopes.
• Strong report-writing skills and interpersonal, persuasion, and influencing abilities.
• Comfortable working in a fast-paced, dynamic environment with tight deadlines.
• Self-starter with a proactive, hands-on approach; able to work under pressure and manage priorities.

Desirable

• Experience in a multisite healthcare or NHS provider organisation.
• Knowledge of NHS Provider Selection Regime and NHS Standard Contracts and NHS APMS Contracts.
• Experience in change management and process improvement.

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 (DBS) to check for any previous criminal convictions.

Employer details

Employer name
Keston and Moorings Medical Practice

Address
Purley War Memorial Hospital, 856 Brighton Road, Purley, Surrey, CR8 2YL

Employer's website