Accountant (Technical)NHS

Job summary

NHS Cornwall and Isles of Scilly and NHS Devon are responsible for planning, funding and improving NHS services for the people of Devon, Plymouth, Torbay, Cornwall and the Isles of Scilly.

With an annual budget of around £5 billion, our purpose is to improve health, tackle inequalities and ensure services remain sustainable for future generations.

Since 2025, our two organisations have been working together, with a shared board, leadership team and staffing structure. While both ICBs remain separate statutory organisations, we operate as a single team to address some of the biggest challenges facing health and care across the peninsula.

At the heart of our work is partnership. We work closely with NHS trusts, primary care, local authorities, universities, the voluntary, community and social enterprise (VCSE) sector, and many others to develop local services.

We also involve people with lived experience to shape services around the needs of communities across Devon, Cornwall and the Isles of Scilly. Through these partnerships, we support innovation, improve access to care and help create healthier places where people can thrive.

Covering a diverse geography of cities, towns, rural communities and island populations, we stand together with a shared purpose: to improve the health and wellbeing of the people we serve.

Main duties of the job

The Finance directorate plays a pivotal role in ensuring robust financial stewardship and supporting digital transformation.

The directorate will contribute to the cluster's strategic direction, drive system-wide transformation, and champion collaboration across sectors and geographies. It provides financial, contracting, procurement and infrastructure leadership to deliver the greatest value, quality and impact for the population. It also develops insights into the cost behaviour and value achieved from commissioning services to inform strategy and the better allocation of resources.

As part of this role, there will be a requirement to work in a matrix and flexible way across multiple areas/teams to support business needs. The objectives of the role will be regularly reviewed to align to organisational priorities.

Job description

Please refer to the Job description for more details regarding this post

Specific duties include but are not limited to:

Contribute to the preparation of monthly and annual financial reports, ensuring accuracy, completeness and timeliness.

Ensure compliance with IFRS, NHS Group Accounting Manual (GAM), HM Treasury guidance, and local Standing Financial Instructions (SFIs).

Oversee balance sheet governance, including reconciliation, analysis and validation of all control accounts.

Support the production of yearend accounts, supporting external and internal audit processes.

Oversee the budget management of the ICBs running costs.

Ensure strong financial governance and internal controls are embedded and operating effectively.

Identify, assess and mitigate financial risks, escalating issues appropriately.

Support compliance with Better Payment Practice, VAT rules and statutory financial requirements.

Contribute to development and review of financial policies and procedures.

Lead the monitoring, management and forecasting of cash requirements, ensuring the organisation maintains adequate liquidity at all times.

Ensure compliance with NHS England cash drawdown and payment arrangements, including adherence to agreed limits and timelines.

Maintain and improve use of financial systems (e.g. ISFE2).

Lead or support process improvement initiatives to enhance efficiency, accuracy and value for money.

Contribute to transformation projects such as system upgrades or service integration.

About us

We're looking for people who share our commitment to improving health, reducing inequalities and making the best use of public resources.

Whatever your role, you'll be working alongside colleagues, partners and communities to help shape how health and care services are planned and delivered.

We offer the opportunity to work across a large and diverse geography, drawing on the expertise of colleagues from across the peninsula and collaborating with a wide range of NHS, local authority, voluntary sector and community partners.

We are committed to creating an inclusive workplace where everyone feels respected, supported and able to contribute.

We offer flexible and hybrid working arrangements, opportunities for personal and professional development, and access to a range of NHS employee benefits, wellbeing support and the NHS Pension Scheme.