MRP- Operational Finance Lead | NHS England

NHS England; Birmingham; On-site; GBP 65,000 - 95,000; Full time

Job summary

NHS England Midlands invites a qualified accountant with NHS or public health finance experience to lead the Midlands Operational Finance Directorate. You will drive financial planning, performance management, and capital/revenue budgeting across NHS organisations.

You will manage teams, navigate NHS financial frameworks, deliver business cases, assurance and regulatory oversight, and partner with senior finance leaders to support reform under the NHS 10-Year Plan.

Qualifications

• Qualified accountant with NHS/public healthcare finance experience.
• Strong financial analysis and planning capabilities.
• Experience leading finance teams in complex organisations.

Responsibilities

• Support financial planning and performance management across NHS Midlands.
• Understand NHS financial frameworks and targets, manage priorities.
• Direct work of teams or individuals to deliver results.
• Lead financial recovery, planning, business cases, assurance and regulatory oversight.
• Collaborate with senior finance leaders to drive productivity and transformation.

Skills

Finance leadership

Financial analysis

NHS finance experience

Education

Accounting qualification (ACCA/CIMA)

Tools

ESR

Job description

MRP- Operational Finance Lead | NHS England

NHS England Midlands works with 40 NHS providers,fiveICB clusters and national NHS and DHSCteams. It providesstrategic leadershipto deliverreform and transformationundertheNHS10-Year HealthPlan.Italsooverseesregional performanceacrossfinance,quality, access, productivity, and population health.

The NHS Midlands Finance team collaborates withpartnerstoleadthe development and delivery ofrevenue and capitalplans. It oversees provider and ICB budgets, assesses financial risks, supports organisations facing challenges, shares good practice and takes regulatory action when needed.

We are seeking a qualified accountant with finance experience in the NHS or a related public healthcare organisation to join our Midlands Operational Finance Directorate.

You will support financial planning and performance management across NHS organisations in the Midlands. You will understand current NHS financial frameworks and targets, manage competing priorities and deadlines, and direct the work of teams or individuals.

You will have strong financial analysis skills to support the senior finance team with financial recovery, planning, business cases, assurance, regulatory oversight, productivity, transformation, and improvement.

You will join an experienced and supportive regional finance team with strong professional networks and development opportunities.

The role also offers exposure to senior finance leaders and decision making and we are looking for someonewith relevant financial experience who has led finance teams and has a strong commitment to NHS values and purpose.

NHS England has a wide range of statutory functions, responsibilities and regulatory powers. These are focused on supporting the wider NHS to deliver high quality care, as well as doing those things that are best done once for the whole NHS.

Our staff bring expertise across clinical, operational, commissioning, technology, data science, cyber security, software engineering, education, and commercial specialisms — enabling us to design and deliver high-quality NHS services.

In March 2025,the Government announcedthat NHS England and the Department of Health and Social Care will increasingly merge functions, ultimately leading to NHS England being fully integrated into the department.

If you currently work within the NHS and if successful at interview, we will initiate an Inter Authority Transfer (IAT) via the Electronic Staff Record (ESR).This retrieves key data from your current or previous NHS employer to support onboarding, including competency status, Continuous Service Dates (CSD), and annual leave entitlement. You may opt out at any stage of the process.

Colleagues with a contractual office base are expected to spend, on average, at least 40% of their time working in our offices.

Staff recruited from outside the NHS will usually be appointed at the bottom of the pay band.

We cannot offer visa sponsorship for any vacancies.

You can find further details about the role,including key responsibilities and accountabilities, alongside theorganisational structureand person specificationin the attached Job Descriptionand other supporting documents

This advert closes on Sunday 15 Nov 2026