Chief Financial Officer

About us

We are London North West University Healthcare NHS Trust.

Established on 1 October 2014, we are one of the largest integrated healthcare trusts in the country, providing hospital and community services to the people of Harrow, Brent, Ealing and beyond.

Our team of 9,000 clinical and support staff serve a diverse population of approximately one million people.

We provide acute hospital services at:

  • Northwick Park Hospital: home to one of the busiest Emergency Departments (A&E) in the country. The hospital provides a full range of services including a regional rehabilitation unit for patients with additional ongoing acute medical needs.
  • St Mark’s Hospital: an internationally renowned specialist centre for colorectal disease, based at Northwick Park Hospital.
  • Ealing Hospital: a busy district general hospital providing a range of clinical services, as well as a 24/7 Emergency Department and Urgent Care Centre.
  • Central Middlesex Hospital: our planned care site, which also offers a range of outpatient services. The hospital has a 24/7 Urgent Care Centre.

We also deliver community services across four London boroughs (including Hillingdon), and provide community services at:

  • Clayponds Hospital: a modern centre of excellence for rehabilitation. One ward specialises in neuro-rehabilitation for stroke, brain injury and other neurological conditions.  Other wards undertake general rehabilitative care.
  • Willesden Community Rehabilitation Hospital: our team of doctors, nurses and therapists provide intermediate care and specialist neurological rehabilitation to patients who are registered with a GP in Brent.

We are a research active Trust with more than 5,000 patients taking part in clinical trials last year and we play a vital role in the education and training of doctors, nurses and other healthcare professionals.

In December 2017, we were officially named a university teaching hospital in recognition of the important role we play in training clinicians of the future and bringing the benefits of research to the public.

Our vision and objectives

Our Vision:

To provide excellent clinical care in the right setting by being:

  • Compassionate
  • Responsive
  • Innovative

Our HEART Values

In the last three years, we have….

  • Developed and introduced our HEART values.
  • Established the West London Vascular & Interventional Centre at Northwick Park.
  • Delivered improvements to ED performance: reduced ambulance handover delays of 60+ minutes by 58%.
  • Developed a state of the art Ultrasound Training Academy – first of kind in UK.
  • Introduced bilingual medicine labels – first of kind in UK.
  • Reduced Trust-acquired grade 3 and 4 pressure ulcers by 60%.
  • Increased the number of patients with sepsis who received IV antibiotics within 1 hour up to 95% (2017/18) from 88%% (2016/17).
  • Introduced Perfect Ward app records / audits matrons’ weekly quality walkabouts.
  • Been awarded University Hospital status in November 2017.
  • Been named best in country by Royal College for Physicians for Stroke Unit at Northwick Park.
  • Improved on staff survey completion rate, from 32% (15/16) to 48% (17/18) – most improved nationally.
  • Increased critical care capacity by 13 beds at Northwick Park.
  • Developed Trust clinical strategy and estates strategy: dependent on access to capital funding and resolving the future of Ealing Hospital.

The role

Chief Financial Officer


JOB TITLE: Chief Financial Officer
RESPONSIBLE FORFinancial Strategy, Resources and Management, Contracting, Private Patients and Service Level Agreements and Procurement

KEY WORKING RELATIONSHIPS: Executive Directors, Non- Executive Directors, Divisional Clinical Directors, Lead Doctors, Senior Operational Managers, Professional Leads, Commissioning Bodies and NHS Improvement, counterparts across the local health economy.


The Chief Financial Officer is a full voting member of the Trust Board and a key member of the Executive Management Team. The post holder has a responsibility for working with fellow members in developing and promoting the Trust’s vision, values, aims and strategic objectives with a special focus on Finance. The key responsibilities are providing professional advice to the Trust Board and ensuring financial resources are used to best effect in delivering high quality health services for patients. The post holder will also play a key role, working with CFOs across the STP, in the development of the STP-wide financial strategy.


Corporate Role

  • Take collective responsibility with the Directors, for corporate performance and the achievement of the Trust’s strategic and operational objectives.
  • Contribute to the successful team working of the Trust Board and Executive Team and be an exemplar of the Trust HEART values.
  • Participate with other Directors in the corporate and clinical risk management of the Trust, including the relevant areas of the Risk Register and Assurance Framework.
  • Take a lead role in ensuring the Trust meets its savings targets and maximises the financial benefits from the transformation programme. and saving plans.
  • Ensuring that all activity and service objectives are effectively met in compliance with Trust Standing Orders and SFIs, scheme of delegated authority and employment legislation.
  • Take responsibility for own personal development and take opportunities for a wider leadership role in the health community.
  • Participate on the Executive on-call rota.


  • Provide the strategic leadership for finance across the organisation and strengthen its contribution to the Trust’s activities.
  • Develop and implement an effective strategy for safeguarding the Trust’s asset base including real estate.
  • Contribute to the maintenance of constructive and fruitful working relationships with all members of the health community and other stakeholders to foster a strong culture of partnership working.
  • Actively work with the CFO community as a member of the NWL STP CFO Group, contributing to and influencing the financial strategy for the STP and engaging with internal and external stakeholders in the development and implementation of that strategy.
  • Ensure the Trust continues to implement national policies relating to finance in a way which maximises the performance and stability of the organisation.
  • Review and evaluate present and future opportunities, threats and risks in the external environment and current and future strengths, weaknesses and risks to the Trust with a special focus on finance.
  • Act as an accountable officer for finance and relevant statutory targets and the professional standards.

Financial Resources

  •  Advise the Chief Executive and the Board of Directors on all aspects of:
  1. Financial strategy and financial management;
  2. Procurement and supplies;
  3. Contracting and service level agreements;
  4. Financial risk and investment appraisal;
  5. Borrowings and other sources of finance;
  6. Covenant compliance;
  7. Cash flow management;
  8. Commercial opportunities and risks; and
  9. Financial Systems Development.
  • Provide comprehensive financial services to the Trust including production of budget proposals, development of effective budgetary control systems, the provision of accurate and timely information/advice, including Service Line Reporting and Patient Level Costing, and compilation of monthly management returns and end of year accounts for statutory and/or regulatory purposes.
  • Appraise current and forecast outcomes of operational strategies and report on financial performance to the board and stakeholders and regulators as appropriate.
  • Effectively manage financial agreements between the Trust and its stakeholders to ensure appropriate recovery of costs.
  • Oversee all financial systems and internal controls, including the development and modification of accounting systems when required.
  • Maintain stringent liquidity controls through a process of tight and cost effective cash management procedures in order to minimise the utilisation of the Trust’s credit facilities.
  • Meet agreed targets and objectives, and deliver within defined costs, timescales and resources.
  • Ensure maximum value for money from the Trust’s assets and resources (physical and financial) through effective deployment and investment, where appropriate.
  • Apply rigorous generally accepted commercial disciplines and techniques in assessing viability of investment proposals.
  • Develop and implement effective and innovative ways of producing information for budget holders, educating those who commit resources to promote the most effective use of resources in line with the needs of the service.
  • Identify and deliver cost improvement programmes.
  • Maximise income from oversea visitors and private patients.
  • As a Trust member of One Public Estate work with the Director of Estates and Facilities to maximise the value of the Estate.
  • Support merger and acquisition opportunities through assistance with strategic assessments, financial evaluation, bid negotiation and post-merger integration.

Operational Management

  • Develop the five-year capital programme and in year management of the financial spend to meet CRL.
  • Manage the contracting process and function to ensure the provision of supplies and procurement functions for the Trust.
  • Ensure the provision of a comprehensive internal audit service to the Trust.

Staff Management

  • Manage, motivate and provide professional leadership to members of the Finance directorate.
  • Develop effective working relationships and communications with staff and ensure that staff are motivated, developed, supported and respected.
  • As a driver for equality and diversity, both as an employer and provider of services, ensure effective procedures and policies are in place and promoted.
  • Facilitate and provide training opportunities for Finance staff to ensure the Trust has appropriately skilled staff to meet its requirements and ensure that these functions are adequately resourced.
  • Determine when to change and when to consolidate, understand the impact of change on people and manage it with sensitivity.

Communication and Relationships

  • Maintain relationships with external professional advisers including but not limited to the Trust’s lawyers, auditors, and others.
  • Manage the relationships with the internal and external audit functions and, with the Chief Executive Officer, playing a leading role in liaison with the NHS Improvement and other regulatory bodies, the Clinical Commissioning Groups, and the Sustainability and Transformation Partnership.
  • Maintain relationships with providers of Finance. Ensure that the Trust’s financing profile is cost effective and long and short term requirements are properly matched.
  • Provide advice and support to the Trust’s governance structures as required, including the Board of Directors, Finance and Performance and Audit Committees.
  • Develop and maintain a strong sense of accountability to stakeholders throughout the Trust.



Information Governance

In accordance with the Trust’s privacy notice for employees, the Trust will hold computer records and personnel files relating to you which contain personal data.  The Trust will comply with its obligations under the General Data Protection Regulation and all other data protection legislation.  The data the Trust holds will include employment application details, references, bank details, performance appraisals, holiday and sickness records, salary reviews and remuneration details and other records, (which may, where necessary, include special category data and criminal offence data relating to your health, data held for ethnic monitoring purposes, and regarding DBS checks).  The Trust requires such personal data for personnel administration and management purposes and to comply with its obligations regarding the keeping of employee records.  The privacy notice sets out the Trust’s legal basis for processing your personal data.  Your rights of access to this data are prescribed by law.

You will familiarise yourself with the Trust’s data protection policy which sets out its obligations under the General Data Protection Regulation and all other data protection legislation.  You must comply with the Trust’s data protection policy at all times and you agree that you will only access the systems, databases or networks to which you have been given authorisation.   The Trust will consider a breach of its data protection policy by you to be a disciplinary matter which may lead to disciplinary action up to and including summary dismissal.  You should also be aware that you could be criminally liable if you disclose personal data outside the Trust’s policies and procedures. If you have any queries about your responsibilities in respect of data protection you should contact the Trust’s Data Protection Officer.

Information Security

All staff must adhere to the requirements of the Trust’s Information Security Policy, which covers the deployment and use of all of the Trust’s electronic information systems (i.e. all computers, peripheral equipment, software and data).  In serious cases, failure to comply with the Policy may result in disciplinary action and could also result in a criminal offence.

Health and Safety at Work Act (1974)

You are required to take reasonable care for your health, safety and welfare and that of other people who may be affected by your actions or omissions.  These responsibilities apply at all times whilst you are at work or on duty and apply to all Trust premises and also whilst working in the community or on any other Trust business.

Equal Opportunities and Equalities Legislation

It is the policy of London North West University Healthcare NHS Trust that no user of service, present or future employee or job applicant receives less favourable treatment on the grounds of their sex, perceived or actual sexual orientation, marital status, race, religion or belief, age, creed, colour, nationality, national origin, ethnic origin, or disability, or on the grounds of their association with someone in one of these groups; nor is disadvantaged by any conditions or requirements which cannot be shown to be justified.

Patient and Public Involvement

Section 11 of the Health & Social Care Act 2001, places a duty on NHS organisations to involve and consult patients, the public and other stakeholders in the planning and ongoing development of services. It is the responsibility of each member of staff, clinical and non-clinical to appropriately involve and consult patients, the public and other stakeholders.

Risk Management

You are required to contribute to the control of risk and use the incident reporting system to alert the Trust of incidents or near misses that may compromise the quality of services.

Corporate / Clinical Governance

It is the duty of every employee to fulfil their individual clinical governance responsibilities and their expected contribution to ensuring that the Trust complies with benchmarked standards for quality of clinical care.

Infection Control and Hospital-acquired Infection

Infection Control is everyone’s responsibility. All staff, both clinical and non-clinical, are required to adhere to the Trust’s Infection Prevention and Control Policies and make every effort to maintain high standards to infection control at all times thereby reducing the burden of Healthcare Associated Infections including MRSA. In particular all staff have the following key responsibilities:

  • Staff must wash their hands or use alcohol hand rub on entry to or exit from all clinical areas and between each patient contact.
  • Staff members have a duty to attend infection control training provided for them by the Trust.
  • Staff members who develop an infection that may be transmissible to patients have a duty to contact Occupational Health.

Safeguarding Children and Vulnerable Adults

We all have a personal and a professional responsibility within the Trust to identify and report abuse.  The abuse may be known, suspected, witnessed or be limited to raised concerns.  Early recognition is vital to ensuring the patient is safeguarded and any other people (children and vulnerable adults) who may be at risk.  The Trust’s procedures must be implemented, working in partnership with the relevant authorities.  The sharing of information no matter how small is of prime importance in safeguarding children, young people and vulnerable adults. As an employee of the Trust you have a responsibility to ensure that:

  1. you are familiar with and adhere to the Trusts procedures and guidelines for safeguarding children and vulnerable adults.
  2. you attend safeguarding awareness training and undertake any additional training in relation to safeguarding relevant to your role.

Staff Commitment to Patient Care

You are expected to ensure that patients’ needs, experience and safety come first and to treat patients, carers, visitors, and colleagues with dignity and respect.

Health Records

Clinical staff must keep accurate and clear information which is essential for the proper care of patients.  Clinical and non-clinical staff who handle or use, case notes are individually responsible for the confidentiality, tracking, filing and good order of the case note at all times as outlined in the Medical Records Policy and the Information Lifecycle Management Policy. For further information refer to; Department of Health website-Records Management; NHS Code of Practice- 2006

NHS Constitution and Code of Conduct for Managers

Staff are required to act in accordance with the legal duties and expectations relating to their responsibilities to the public, their patients and colleagues set out in section 3b of the NHS Constitution and pages 98-109 of the Handbook to the NHS Constitution. For Managerial staff, including anyone with supervisory responsibility, the core standards of conduct set out in the NHS Code of Conduct for NHS Managers (2002) or any subsequent amendments.





  • Masters qualification or to demonstrate an equivalent level of experience in management· Certified accountant with recognised professional qualification·Evidence of continuing personal and professional development.


  • Knowledge of the NHS Improvement Single Oversight Framework and the importance of the Chief Financial Officer accountabilities



  • Experience of strategic leadership of transformational organisational change and culture in challenging economic and fiscal times
  • A minimum of 5 years’ experience of working successfully at a Board level in a complex organisation
  • Experience of developing effective strategies such as asset management and performance, managing these strategies in a complex political environment
  • Experience of delivering the financial benefits of transformation and CIPs
  • Evidence of developing effective and influential relationships with both internal and external stakeholders
  • Evidence of delivering consistently sound financial control, analysis and results based on information and performance
  • Demonstrable ability to contribute and provide credible input across the Board’s corporate agenda
  • Commercial and innovation experience of driving private patient income


  • Experience as a Board level NHS Finance Director

Skills and Abilities


  • A highly effective leader of professionals, whether within the NHS, wider public or commercial sectors, against a changing context of national policies and drivers
  • An understanding of and interest in healthcare, a commitment to NHS principles and the aims of the Trust and the wider local community
  • High level of work organisation, self-motivation, drive for performance and improvement, and flexibility in approach and attitude
  • Ability to think and plan strategically, tactically and creatively and to prioritise work programs in the face of competing demands
  • Strong interpersonal skills and the ability to negotiate, influence and persuade some key stakeholders e.g. Clinical Commissioning Groups
  • High level negotiating skills and holding others to account for the delivery  of their financial targets

Personal Attributes


  • Business acumen and commercial awareness.
  • Full commitment and exemplar of the Trust’s HEART values and behaviours.
  • The confidence and motivation to continuously improve Trust financial performance and plan for and address challenges as they are forecast or arise.
  • Flexible in attitudes and behaviours to support team working and delivery of objectives.
  • A strong sense of personal and team accountability coupled with a clear understanding of the boundaries around delegated authority, responsibility and accountability.
  • A strong sense of commitment to openness , honesty and integrity in undertaking the role.
  • A commitment to improving patient services through an ability to sustain a clear performance focus and achieving demanding goals.
  • Strong level of resilience.
  • Complies with Fit and Proper Persons Regulation.
  • Self-motivated, tenacious and resilient to pursue organisational goals.

For a downloadable copy of the job description and person specification, including organisation structure charts, please click here.


How to apply

Anderson Quigley is acting as an advisor to London North West University Healthcare NHS Trust. An executive search process is being carried out by Anderson Quigley in addition to the public advertisement.

Should you wish to discuss the role in strict confidence, please contact our advising consultant at Anderson Quigley: Helene Usherwood or +44(0)7719 322 669.

The closing date for applications is Monday 3rd June 2019. 

Applications should consist of:

  • A full CV.
  • A covering letter (maximum of 3 pages) setting out your interest in the role and details of how you match the experience criteria of the person specification.
  • Please include current salary details and the names and addresses of two referees. Referees will not be approached until the final stages and not without prior permission from candidates.
  • As part of your application please follow this link to complete an Equal Opportunity Monitoring Form.
  • Please complete a Fit and Proper Person Self Declaration Form here.

Completed applications should be uploaded at using the reference AQ525.

Closing date Noon on Monday 3rd June 2019
Preliminary Interviews by AQ w/c 17th June 2019
Final Interviews w/c 1st July 2019