Finance manager

Our finance managers make sure that our frontline staff have the resources they need to be able to deliver the treatment and care our patients need.

Managing the finances of an NHS organisation, whether it is a large hospital trust, ambulance service trust or clinical commissioning group, is like running the finances of a large company. As a finance manager, you’ll be responsible for ensuring that the funds for these organisations are allocated and spent appropriately for the good our staff and patients. 

Working life

In financial management, your role will incorporate managing budgets and deciding on resource allocation.

It will include:

  • payroll and pensions - ensuring staff get paid
  • accounts - paying for goods and services, collecting income
  • financial systems - the Information Technology (IT) systems that track all financial activity
  • management information - gathering and interpreting the financial data required to make day-to-day and strategic management decisions
  • reporting - preparing annual financial reports and co-ordinating with the Inland Revenue, VAT collection and other authorities
  • financial audit - checking expenditure and income.

Roles in financial management

There are a variety of job roles and job titles in financial management. Here are some examples:

Management accountant

In this example, you would work closely with the head of finance and:

  • establish systems and processes to enable the timely and accurate delivery of monthly management accounts and budget information
  • be involved in the annual budget setting process
  • provide ongoing support and direction for the budget holders
  • investigate and report on variances
  • be involved in ad hoc projects and reports (eg contributing to the five-year business planning processes)

Financial planning manager

Here, you will be:

  • working for an NHS trust or clinical commissioning group
  • providing a financial planning service to commissioning acute services
  • providing the financial data to support local delivery plans and the Service Level Agreement process.

Assistant director of finance

In this type of role, you will be

  • responsible for financial planning and control for a specific organisation (eg working in an NHS trust, supporting the needs of over 3 million people and employing 7,100 staff on two main and two smaller sites
  • integral in managing a budget to improve health care provision (eg a £270 million scheme to modernise the trust,  including moving the majority of acute facilities onto a single site hospital)
  • a key member of the Finance Senior Management team, with main areas of responsibility to lead the maintenance and development of finance systems and formulate business cases to develop and modernise the trusts services.
  • providing a comprehensive financial service in relation to the Trusts Corporate Governance Agenda.

Head of finance

Working within an NHS trust or clinical commissioning group and in this example, you’ll have responsibility for the financial leadership of the information communication and technology programme across a number of NHS organisations to ensure that all statutory financial requirements are met.

There are opportunities to work in finance in non-managerial roles.

Find out more about non-management opportunities in finance

Who would I work with?

You could be working with, human resources managers, clinical managers and staff woking in strategic management.

Want to learn more?

  • Most jobs in the NHS are covered by the Agenda for Change (AfC) pay scales.  This pay system covers all staff except doctors, dentists and the most senior managers. Staff in the NHS will usually work a standard 37.5 hours per week. They may work a shift pattern.

    Your career in financial management within the NHS would typically start at Agenda for Change band 5 – for example as a team manager. Finance section managers would typically be on band 6, department managers on band 7 and principal finance managers on band 8a. Senior director level posts would be paid on the Very Senior Managers pay system.

    Terms and conditions of service can vary for employers outside the NHS.

  • With further training and/or experience, you may be able to develop your career further and apply for more senior managerial roles.

    Progression for those with ability is typically via operational management in a large healthcare provider. Relocation for promotion is common.

    More diverse routes are now opening up, for example, jointly-funded posts between health and social services.

    Graduates from the NHS Graduate Management Training Scheme who specialise in financial management are expected to gain rapid promotion into senior financial positions.

    Management qualifications, such as a Master of Business of Administration (MBA) may be an advantage for some posts.

  • When you’re looking for jobs in financial management, there are a number of sources you can use, depending on the type of and level of work you’re seeking.

    Below are just some of the current vacancies in finance on the NHS Jobs website. 

    • View Vacancy

      Management Accountant

      The James Cook University Hospital, Middlesbrough, TS4 3BW

      • Salary:

        £24,907 - £30,615 per annum

      • Type:

        Fixed term

      • Employer:

        South Tees Hospitals NHS Foundation Trust

      • View Vacancy
    • View Vacancy

      Management Accountant

      Hastings or Eastbourne, TN37 7PT

      • Salary:

        £21892.00 to £24157.00 a year

      • Type:

        Permanent

      • Employer:

        East Sussex Healthcare NHS Trust

      • View Vacancy
    • View Vacancy

      Management Accountant

      Lincoln, LN5 7JH

      • Salary:

        £24907.00 to £30615.00 a year

      • Type:

        Permanent

      • Employer:

        Lincolnshire Community Health Services NHS Trust

      • View Vacancy
    • View Vacancy

      Management Accountant

      Wonford House, Exeter and Langdon Hospital, Dawlish, EX2 5AF

      • Salary:

        £38,890 - £44,503 per annum pro rata

      • Type:

        Permanent

      • Employer:

        Devon Partnership NHS Trust

      • View Vacancy
    • View Vacancy

      Management Accountant

      Finance, BD9 6RJ

      • Salary:

        £31,365 - £37,890 pa

      • Type:

        Permanent

      • Employer:

        Bradford Teaching Hospitals NHS Foundation Trust

      • View Vacancy
    • View Vacancy

      Management Accountant

      Maidstone Kent, ME16 9NT

      • Salary:

        £24907.00 to £30615.00 a year

      • Type:

        Permanent

      • Employer:

        Kent Community Health NHS Foundation Trust

      • View Vacancy

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