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Salisbury District Hospital is seeking a Lead Costing and Productivity Accountant to manage the costing framework, drive productivity insights, and lead a team within the Group Finance function. The role focuses on patient-level costing, service line reporting, and benchmarking to support strategic decision-making.
The post holder will develop costing intelligence, collaborate with clinicians and managers, and enhance data tools (Power BI) to improve cost efficiency across the BSW Hospitals
Site GWH, RUH Bath, Salisbury District Hpsital Town Bath, Swindon, Salisbury Salary £57,528 - £64,750 per annum pro rata Salary period Yearly Closing 09/11/2026 23:59
The Lead Costing and Productivity Accountant has significant financial reporting responsibility. The role helps lead the costing function, in particular the processing, analysis and interpretation of the Group’s income and costs for national mandatory returns, internal reporting and strategic decision-making. It covers patient-level costing, service line reporting and benchmarking, and ensures that costing intelligence is used to inform productivity analysis and improvement. The role does not hold responsibility for productivity reporting in its own right.
The post holder will develop robust costing information that enables the Group to understand the cost drivers underpinning productivity, identify opportunities and communicate meaningful costing insights to internal and external stakeholders.
They will influence and support senior managers, finance colleagues and clinicians to use costing data effectively for performance management, business analysis, benchmarking and decision-making.
The role will improve the use of data and digital tools across Group Finance, including Power BI reporting and visualisation, to strengthen costing analysis, benchmarking and the use of costing information to identify and assess productivity opportunities.
Working with clinical and finance teams, the post holder will support the identification and clear communication of opportunities across the BSW Hospitals Group.
The post holder will lead the development and implementation of the Group's costing framework, ensuring that policies, methodologies, controls and governance arrangements are applied consistently across all organisations within the BSW Hospitals Group. They will provide expert interpretation of national guidance, oversee compliance with mandatory costing requirements and establish robust assurance processes to support the quality, integrity and auditability of costing information.
The role will be responsible for leading major costing programmes and coordinating activity across Finance, Informatics, operational services and external partners. This includes managing national costing submissions, overseeing the development and maintenance of costing systems, leading the implementation of new methodologies and digital solutions, and ensuring that data flows, processes and reporting arrangements remain effective, resilient and fit for purpose. The post holder will also represent the Group within regional and national costing networks and contribute to the development of best practice.
The post holder will provide professional leadership to the Costing team, including line management, workforce planning, performance management and staff development. They will build effective relationships with senior clinicians, managers and external stakeholders, provide specialist training and advice, lead change initiatives and support internal and external assurance reviews.
We are proud to be part of BSW Hospitals Group – a formal partnership between Great Western Hospitals NHS Foundation Trust, Royal United Hospitals Bath NHS Foundation Trust and Salisbury NHS Foundation Trust. With a combined workforce of over 17, 600 colleagues, and budget of 1.6 billion the Group is united by a common purpose to deliver the best possible care to over 1 million people.
We are creating a health and care system that works with the people we care for, reducing the differences people currently face in access, experience and outcomes, improving the experience of our colleagues and tackling shared challenges like sustainability and finances. Every improvement we make across our Group will be guided by what creates the greatest benefit for our colleagues, our patients, our communities and our partners.
1. Act as the Group’s specialist lead for costing and lead the development of the Group costing strategy, interpreting national requirements and determining the methodologies, technical approaches and priorities needed to improve the quality and value of costing information.
2. Establish the membership and operation of appropriate costing steering or assurance groups through which the Group can develop the use of costing information, including its application to productivity analysis, provide assurance and share best practice using appropriate frameworks and approaches.
3. Lead a continuous improvement process for service line reporting and patient-level costing, co-ordinating input from finance and service managers to review and challenge highly complex source information and produce regular costing information for planning and performance management.
4. Ensure that the Group meets national cost collection deadlines by co-ordinating the work of the Costing team with Informatics, service managers and finance colleagues in producing robust, accurate and auditable costing data.
5. Ensure that costing and service line reporting data is rolled out effectively and used widely across the Group to support decision-making and analysis, including cost improvement programmes and national initiatives.
Please see attached Job Description for further details.
We offer excellent benefits that help make SDH a great place to work. Take a look at our Employee Value Proposition (EVP) for more detailed information https://www.salisbury.nhs.uk/media/2lfatov2/employee-value-proposition-document-v12-final.pdf
These include but aren't limited to:-
Please note - Due to recent changes in UK immigration and visa rules applicants who do not currently have the right to work in the UK may not be considered. Candidates requiring sponsorship (or will need sponsorship at the end of a current visa eg those with graduate visa's) should review the eligibility criteria on the gov.uk website before applying
Please be advised that this vacancy may close earlier than stated if we receive a large number of applications. We will not accept any applications or queries via agencies, under any circumstances.
We continue to encourage and support our staff to participate in the seasonal respiratory vaccination programme in order to protect themselves, colleagues and their patients.
We offer parking on site at Salisbury District Hospital, a daily charge applies. We encourage our staff to utilise other green methods of getting to work such as cycling or walking where possible, and our Trust is well connected through the bus services to the city centre and other areas.
We are committed to making Salisbury an inclusive and welcoming place for every single staff member, regardless of who they are and where they come from. Equality sits at the heart of everything we do, and we ensure that all employees have equal opportunity to develop, to apply for promotions and to work flexibly.
The Trust actively promotes a work environment free from harassment and discrimination and provides training for staff to ensure this happens. We also closely monitor recruitment activity, training, development and employment practices to ensure equality of practice with regard to race, colour, ethnic or national origin, religion or belief, gender, sexual orientation, disability, martial status and age.
If this job requires you to have DBS check to enable you to properly fulfil the requirements of the job, on appointment, you will be required to replay the cost of obtaining a DBS check and this amount will be reclaimed in instalments from your salary. Many staff use the DBS update service at a cost of £16 per annum but you need to sign up for this via their website.
Please read the job description and person specification carefully and ensure that your application reflects the knowledge, skills and experience required.
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Please note that due to high interest in this advert we reserve the right to close early. Please ensure you submit your application at your earliest opportunity.