The Head of Finance isa critical and senior leadership position within Bourne Health, responsible foroverseeing and delivering all aspects of the Groups financial management.As the largest provider of Primary Care in Croydon, and an at-scale NHSprovider serving almost 100,000 patients across multiple GP surgeries, BourneHealth requires a highly capable, hands-on finance leader who combinesstrategic vision with practical, day-to-day financial management skills.Main duties of the job

The role is pivotal in ensuring that Bourne Health is financially sustainable, compliant, and well-positioned for growth. You will take ownership of all finance functions, includingClaims and income managementPayroll and pensionsInternal and statutory accounts and audit preparationManagement accounts and monthly board finance packsFinancial planning, analysis, and modellingProcurement and cost optimisationFinance systems and policy implementation and management (e.g., Xero, Fathom, Zahara, Barclays.net, and all finance related policies)The Head of Finance will also play a key role in maximising income, minimising costs, improving operational efficiency, and advising the CEO and Board on strategic financial decisions.Unlike traditional corporate roles, this position does not currently have a large finance team. While there are Finance Leads embedded within practices to support with claims and basic bookkeeping, the postholder must be comfortable working in a hands-on capacity, rolling up their sleeves to directly manage processes, reports, and systems.About us

Bourne Health is the largest primary care provider in South West London, serving diverse communities across multiple GP surgeries. We are committed to delivering high-quality, patient-centred care, underpinned by innovation, community engagement, and operational excellence.Job responsibilities

Key ObjectivesEnsure Bourne Healths financial stability and growth througheffective planning, control, and reporting.Provide robust, accurate, and timely financial informationto support Board and operational decision making.Implement efficient and scalable finance systems andprocesses across the Group.To maintain integrity of the Groups financial systems,procedures and reports.Drive income optimisation and cost reduction initiatives,including locum cost management, tracking and coding all income streams whilstguiding management on areas for required improvement against the AnnualOperating Plan / Objectives.Manage all accounting operations and compliance includingaccounts receivable, accounts payable, property transactions management,payroll and pensions management, financial and management accounting.Support the organisation in achieving its vision ofproviding high-quality, patient centred primary care.To develop and ensure that financial policies and proceduresare adhered to, documenting all aspects of the role and related processes to ahigh standard.To undertake Continuing Professional Development (CPD)in-line with relevant professional body requirements, and to maintainprofessional standards within the Group.Other ad-hoc finance team duties as requested by the CEO orBoard.Produce high quality monthly finance packs for the CEO andBoard, including variance analysis, cashflow forecasting, and key performanceinsights.Manage the month end and year-end close processes, ensuringaccurate and timely reporting.Prepare and lead on internal and statutory accountsproduction and annual audit.Ensure compliance with NHS and accounting regulations, tax(corporate and VAT), and statutory reporting requirements.Safeguard Bourne Healths financial data through rigorouscontrols, processes, and documentation.Maintain highly organised financial records, filing systems,and audit trails.2. Financial Planning, Analysis and StrategyDevelop and lead annual budget preparation and forecastingacross the Group.Provide detailed financial modelling and business caseanalysis to support growth, bids, tendering opportunities and servicedevelopment.Participate and lead in financial aspects of tendering fornew business.Conduct strategic financial analysis to drive decisions onpractice performance, service development, and resource allocation.Provide short, medium and long-term comprehensive andintegrated physical resource planning for Bourne Health, its practices andother sites, enabling full potential maximisation of Bourne Healths physicalresources.Identify trends, risks, and opportunities and present theseclearly to the CEO, Board and Senior Management to support decision making.Collaborate with operational leaders to develop and trackkey financial and operational KPIs.Oversee claims processes, ensuring all NHS and other incomestreams are correctly identified, claimed, and reconciled.Develop systems to ensure income is maximised and errors ormissed claims are minimised.Lead initiatives to reduce costs, including locum spendmanagement, procurement efficiencies, and preferred supplier agreements.Streamline processes and eliminate waste.Work closely with operational managers to achieve financialefficiency without compromising care quality.Actively participate and lead on streamlining procurementprocesses with focus towards preferred suppliers, in collaboration with theEstates and Procurement Manager, with the specific objective of cost saving andstandardisation.Manage all financial aspects of Bourne Health estates, itsrelated resources, service charges, utilities and facilities.Manage the relationship with the Groups various landlords aswell as ensuring recoveries as appropriate from NHS England.Lead on enterprise-level management of utilities acrossGroup estates, in collaboration with the Estates and Procurement Manager.Effectively manage accounts receivable and payableactivities, ensuring timeliness and cash flow management.Interpret accounting guidance and Commissionerdirectives/decisions in regard to accounting and funding mechanisms. Assess theimpact and recommend actions that ensure services maximise their income andminimise their costs.Work extensively to ensure sound controls are in place andprocesses are compatible with IFRS financial accounting requirements.4. Finance Systems and Process ImprovementLead on the design, implementation, and ongoing managementand accountability of all finance systems (e.g., Xero, Fathom, Zahara,Barclays.net).Ensure systems are integrated, efficient, and aligned withoperational needs.Continuously review and refine financial processes toimprove efficiency, scalability, and compliance.Identify opportunities for and drive information or qualityimprovements within the Group.Responsibility for the company cash management policies.Provide finance data on demand to support operational andclinical decision-making.5. Payroll and Pensions Management (Supported byoutsourced payroll provider and Finance Leads)Oversee payroll and pensions for all staff across the Group.Ensure accuracy, timeliness, and compliance with relevantlegislation.Hold outsourced payroll providers accountable for servicequality.Support the integration of payroll activity with the HRIS,in collaboration with HR.Continuously optimise payroll processes and documentation.Provide leadership and mentorship to Finance Leads andPractice Managers.Build finance capability across the organisation throughtraining and support.Foster a culture of excellence, integrity, andcollaboration.Support recruitment, onboarding, and performance managementof finance personnel as the team grows.Responsible for effective management of performance,development, objective setting and motivation of staff in the team, focused onexcellence and high-quality.Support practice, senior and service managers inunderstanding their income position and costs, and in the identification andimplementation of income maximisation opportunities as well as cost reductionwhere appropriate.Responsible for development of financial policy andprocedures. Ensure promulgation and adherence.7. Stakeholder EngagementAct as the key finance point of contact for CEO and Board,NHS commissioners, PCSE, NHS Pensions, regulators, external auditors, taxadvisors, and suppliers.Attend key meetings to present financial performance,insights, and recommendations.Person Specification

Qualifications

Professional accounting qualification (ACA, CIMA, ACCA, or equivalent).Degree in Accounting, Finance, or related discipline.Experience

Significant post-qualification experience in a senior finance role (minimum 5 years).In-depth understanding of NHS primary care finance, including GP practice claims, PCN finances, and NHS contractual mechanisms.Proven track record of producing accurate, insightful financial reports for Board level audiences.Experience implementing and managing finance systems (ideally Xero, Fathom, Zahara).Excellent IT skills, particularly advanced Excel and financial modelling.Strong leadership skills with the ability to manage and develop a dispersed team.Highly organised, with exceptional attention to detail.Excellent communication skills (written and verbal) rapid communication is keyEffective presentation of financial and non-financial information and leading financial discussions up to Board level (ensuring non-finance people understand clearly what is being presented)Communicating and leading on change process/management throughout the GroupSupporting management in understanding the breadth and limits of the finance functionStrong report writing skillsStrong interpersonal, persuasion and influencing skillsComfortable working in a fast-paced, dynamic environment with tight deadlines.Self-starter with a proactive, hands-on approach.Ability to work under pressure with strict deadlines.Attention to detail and diligent approach to work.Confidence to use own initiative, plan and prioritise work; Self-motivatedExcellent time management and deadline oriented.Proactive and innovative approach to problem solving.Experience in a multisite healthcare or NHS provider organisation.Knowledge of NHS Provider Selection Regime and NHS Standard Contracts and NHS APMS Contracts.Experience in change management and process improvementDisclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

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