Finance ManagerNHS

Job summary

The Finance Manager will be responsible for supporting the CEO on finance and contracting issues, including undertaking financial analysis of contracts and funding streams. This will include liaising with our PCNs, Practices, and other organisations contracting with the Federation. The post holder will also have oversight and responsibility for the accuracy of the Federations financial records which are maintained using Xero software. The Federation had a turnover of £15 million in the last financial year, and the role will support continued growth.

In undertaking the role, you will be able to operate with a degree of autonomy and therefore will need to demonstrate the ability to make appropriate on-the-spot decisions decisively and to communicate these decisions well to staff.

We are looking for a personable and motivated qualified accountant, ideally with NHS or private healthcare experience in finance and contracting. You will be used to working in a fast-paced and changing environment. You should be able to work autonomously, with attention to delivering high quality, responsive support services.

Interviews for this role will take place early December

Main duties of the job

Finance, Business Planning and Governance

Provides strategic financial leadership and operational oversight to ensure the Federation remains financially robust, compliant and responsive. Responsible for financial analysis, option appraisals and commercial advice to support service development, contracts and operational decision-making. Maintains accurate financial records across all accounting functions, including ledgers, cash management, fixed assets, VAT, Corporation Tax and payroll, ensuring effective use of Xero and compliance with statutory requirements.

Supports the CEO and Executive Director with financial planning, contract performance analysis, commercial negotiations and ARRS funding matters. Leads the calculation and recovery of charges to PCNs for services and workforce costs, building strong relationships with practices and resolving issues promptly.

Ensures compliance with data security, GDPR and financial governance requirements, working closely with PCNs and practices on financial reporting needs. Contributes to effective risk management and organisational performance through continuous improvement and strong governance practices.

Maintains positive relationships with Board members, Directors and senior managers, fostering a collaborative working culture. Supports effective complaint management and acts in a way that upholds organisational policies, individual rights and the Federation's values.

Job description

Finance - Ensuring we are responsive

Responsible for providing financial analysis of commercial options, and tactical advice on financial approaches to services, contracts and operational issues.

Responsible for the accuracy of the financial transactional accounting for the Federation such as ensuring that the Sales ledger, Purchase ledger, General Ledger, Cash book, and Fixed Assets register are up to date and accurate, including ensuring that regular checks on debtors and creditors of the Federation are undertaken, and actions to rectify issues are undertaken and followed through.

Ensuring that the Federations accounting system (Xero) is up to date and structured in the most appropriate way for the nature of the Federations operational business.

Ensuring that the Federations cash book is reconciled monthly with the Bank accounts.

Ensuring that a proper fixed asset register is maintained for the Federation.

Completing statutory financial returns such as VAT returns and Corporation Tax returns.

Overseeing the payroll function, ensuring that monthly payroll is accurate and issues are managed and resolved within the timescale for the monthly payroll.

Responsible for undertaking and completing the regular calculations for charging PCNs for services and staff but not exclusively staff paid by ARRS funding. Responsible for communicating and liaising with PCNs on such matters and resolving issues quickly, robustly and reliably.

Providing financial support to the Executive Director on ad hoc finance issues, as and when required.

Business Planning - Ensuring that we manage our finances well and that we meet our financial obligations

Providing regular financial analysis for the CEO on the income and expenditure of individual contracts and services.

Undertaking cost benefit analysis and option appraisal on individual contracts and services, as required by the CEO.

Providing financial support to the CEO during commercial discussions and negotiations.

Providing financial support to the CEO on issues relating to ARRS funding.

Governance and Risk Management - Ensuring safety for our staff and patients

Complying with data security policies, procedures and processes. Responsible for ensuring compliance with GDPR at all times.

Liaises with PCNs and Practices concerning financial data requirements and issues.

Patient Care - Ensuring that we care and are effective

Ensuring that any complaints are dealt with in a timely manner and recorded appropriately.

Engagement - Ensuring everyone is working for the same outcomes

Maintains and develops positive professional working relationships with Directors, and senior managers.

Provides support to the Board members when required.

Contributes to a cooperative and flexible working environment.

Acts in a way that recognises the importance of peoples rights, maintaining the Federations procedures and policies.

Contributes to the effectiveness of the Federation by reflecting on own and management team activities and making suggestions on ways to improve and enhance the teams performance.

General Responsibilities - Standard for all LMA employees

Confidentiality

Maintain strict confidentiality regarding all organisational, patient and staff information and comply with GDPR and Information Governance requirements.

Equality, Diversity and Inclusion

Promote equality of opportunity and treat all colleagues, patients and stakeholders with dignity and respect.

Health and Safety

Comply with all Health and Safety legislation and organisational policies.

Safeguarding

Adhere to safeguarding policies for children, young people and vulnerable adults.

Professional Development

Participate in appraisal, mandatory training and continuing professional development.

Qualification and Experience requirements

Essential

Accountancy qualification (ACA, ACCA, CIMA or CIPFA)

Desirable

Educated to degree level.

Experience of Xero

Experience of working in business planning and developing business cases.

Experience of working with clinicians to develop services and financial models.

Experience of writing reports for sub-committees and the Board.

Experience of working as part of a managerial and clinical team to create solutions.

Professionalism when handling confidential information.

Strong attention to detail.

Strong Microsoft Office skills, highly proficient in XL.

Take ownership and accountability.

Effective communicator.

Behaviours and Values

Highly personable.

Supportive style.

Excellent personable skills.

Attention to detail.

Comply with standards and protocols.

Communicate effectively.

About us

The LMA West London GP Federation (the Federation) is an organisation representing and supporting general practice across the Royal Borough of Kensington & Chelsea and Westminster (QPP). It comprises five Primary Care Networks (PCNs) and 39 GP practices, serving a registered patient population of approximately 300,000. The Federation works collaboratively with partners across the Integrated Care Board (ICB), local authorities, NHS providers, and the voluntary and community sector to deliver integrated, neighbourhood-based care. Its purpose is to strengthen primary care, improve population health, and support thriving general practice through innovation, inclusion, and transformation.