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Nhs Finance Specialist

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PA Consulting

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Location:
United Kingdom , London

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Category:
Consulting

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Contract Type:
Not provided

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Salary:

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Job Description:

About the team: Our Economics and Investment Strategy (EIS) healthcare team supports NHS trusts and systems on their biggest financial challenges: financial recovery, cost improvement, productivity and long‑term financial sustainability. We work directly with Boards, CFOs, and executive teams to identify drivers of deficit, design credible and deliverable recovery plans, and support the NHS to build enduring financial capability. Much of our work is delivered on an outcomes‑linked basis, reflecting the confidence our clients place in our teams. Our experience includes: Identifying and validating £1bn+ of excess costs across NHS systems. Designing and supporting delivery of some of the largest and most complex CIP and turnaround programmes in England. Developing multi‑year financial recovery strategies for distressed trusts and systems. Supporting NHS organisations to move from 'grip and control' to sustainable financial improvement. Acting as strategic delivery partners to CFOs during periods of intense pressure and scrutiny.

Job Responsibility:

  • Identifying and validating £1bn+ of excess costs across NHS systems
  • Designing and supporting delivery of some of the largest and most complex CIP and turnaround programmes in England
  • Developing multi-year financial recovery strategies for distressed trusts and systems
  • Supporting NHS organisations to move from 'grip and control' to sustainable financial improvement
  • Acting as strategic delivery partners to CFOs during periods of intense pressure and scrutiny

Requirements:

  • Strong working knowledge of NHS finance frameworks, ledgers and management accounts
  • Experience working with ESR, workforce data, and service-level financial information
  • Confidence working at detail (ledger, run-rate, scheme level) and at strategic horizon (multi-year planning)
  • Building and using financial models to support short term recovery and long term sustainability
  • Owning financial diagnostics, counterfactuals and scenario analysis
  • Supporting CFOs and executive teams to make difficult trade offs and prioritisation decisions
  • Leading complex NHS programmes, often under time pressure
  • Working credibly with Finance Directors, clinical leaders and operational teams
  • Coaching, developing and upskilling client teams and junior consultants
  • NHS finance leadership (e.g. Trust or System finance teams)
  • Consulting roles focused on NHS financial recovery, improvement or productivity
  • Accountants or senior analysts with deep NHS experience and a strong delivery track record
What we offer:
  • Health and lifestyle perks accompanying private healthcare
  • 25 days annual leave (plus a bonus half day on Christmas Eve) with the opportunity to buy 5 additional days
  • Generous company pension scheme
  • Opportunity to get involved with community and charity-based initiatives
  • Annual performance-based bonus
  • Tax efficient benefits (cycle to work, give as you earn)

Additional Information:

Job Posted:
May 04, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
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