Cambridgeshire and Peterborough NHS Foundation Trust

Cost and Income Accountant

The closing date is 10 December 2025

Job summary

This post is restricted to applications from NHS and ICB employees only.

The overarching aim of this post is to be a role model effectively act as the Trust's financial lead responsible for providing proactive and interventional financial leadership to the Commissioning, Contracting, Costing, Information/performance management and Business Development teams, in respect of income and service line reporting.

The role will be an integral part of the Finance Team providing support to the Assistant Director of Finance and provide a reliable and responsive financial management service to ensure the provision of high-quality financial advice and information to Service Managers, Senior Managers and other stakeholders.

The Cost and Income Accountant is responsible for the successful financial monitoring of all Private Patients and Overseas Visitor income and activity including continual development and improvement of financial management practices in these income streams.

The role will also include line management and development of staff.

Main duties of the job

Manage the relationship with the Lead Commissioner at a technical financial level and provide cover for the Assistant Director of Finance in this relationship at Operational level.

Responsible for negotiations and responses to contractual challenges from Commissioners, and proactive in making changes to improve this process.Ensure that the Trust is compliant with the terms of the contract and where not help quantify the potential risks and liabilities.

Production, review and update of contract finance schedules for specified contracts, ensuring inclusion of all contract variations and contract changes.

As part of the month end process provide variance analysis and identify areas for investigation. Support the Financial Management teams to identify the financial consequences of changes on the Trust's Income and Expenditure budgets.

Support the development, implementation and operation of Service Line Reporting (SLR) across the wider organisation to produce accurate, timely and reliable management information to facilitate Service Line Management and drive forward service improvements and efficiencies. This will include overseeing the national cost collection return.

About us

Cambridgeshire and Peterborough NHS Foundation Trust is a health and social care organisation dedicated to providing high-quality care with compassion to improve the health and wellbeing of the people we care for, as well as supporting andempowering them to lead a fulfilling life.

Our clinical teams deliver many NHS services, not only via inpatient and primary care settings, but also within the community. These services include children's, adult and older people's mental health, forensic and specialist mental health, learning disabilities, primary care and liaison psychiatry, substance misuse, social care, research and development.

To achieve our goal, we look to recruit high-calibre candidates who share our vision and values. As an equal opportunities employer, we encourage applications from all sectors of the community, particularly from under-represented groups including people with long term conditions and members of our ethnic minority and LGBTQ+ communities.

Please be advised we reserve the right to close adverts earlier than the closing date should we receive sufficient applications.

Regrettably, we cannot offer sponsorship for all our job roles. If you apply for a role that we cannot offer sponsorship for, unfortunately, your application form will be rejected from the process.

Details

Date posted

26 November 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£55,690 to £62,682 a year per annum pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

310-MCORP-7589493

Job locations

Kingfisher House

Kingfisher Way, Hinchingbrooke Business Park

Huntingdon

PE29 6FH


Job description

Job responsibilities

Please review the attached Job Description and Person Specification for more details for this opportunity.

Manage the relationship with the Lead Commissioner at a technical financial level and provide cover for the Assistant Director of Finance in this relationship at Operational level.

Responsible for negotiations and responses to contractual challenges from Commissioners, and proactive in making changes to improve this process.

Ensure that the Trust is compliant with the terms of the contract and where not help quantify the potential risks and liabilities.

Production, review and update of contract finance schedules for specified contracts, ensuring inclusion of all contract variations and contract changes.

Finance representation at specific contract negotiation meetings and subsequent contract performance monitoring meetings, leading on presentation of financial information and responsibility for resolution of financial queries.

Overall responsibility for maintaining a central finance record for all sales and purchase agreements in collaboration with the Commissioning, Contracting and Business Development team, and acting as a focal point for all associated contact from the team.

Job description

Job responsibilities

Please review the attached Job Description and Person Specification for more details for this opportunity.

Manage the relationship with the Lead Commissioner at a technical financial level and provide cover for the Assistant Director of Finance in this relationship at Operational level.

Responsible for negotiations and responses to contractual challenges from Commissioners, and proactive in making changes to improve this process.

Ensure that the Trust is compliant with the terms of the contract and where not help quantify the potential risks and liabilities.

Production, review and update of contract finance schedules for specified contracts, ensuring inclusion of all contract variations and contract changes.

Finance representation at specific contract negotiation meetings and subsequent contract performance monitoring meetings, leading on presentation of financial information and responsibility for resolution of financial queries.

Overall responsibility for maintaining a central finance record for all sales and purchase agreements in collaboration with the Commissioning, Contracting and Business Development team, and acting as a focal point for all associated contact from the team.

Person Specification

Knowledge & Skills

Essential

  • Excellent communication skills including presentation and summary of complex data into meaningful information for non-finance managers and colleagues.
  • Strong IT skills including Word, Excel and financial systems.
  • Excellent skills in analysing, interpreting, and using highly complex data in order to draw conclusions.
  • Ability to use judgement to compare and evaluate options, and recommend actions based on those evaluations.
  • Effective critical thinking skills, especially for new issues where no precedent to follow.
  • Ability to set clear and concise objectives, prioritise and monitor progress and take appropriate action to achieve outcomes by required deadlines.

Desirable

  • Leadership qualities
  • The ability to negotiate effectively with a wide range of people and professionals up to Board Level, both internally and externally

Education/Qualifications

Essential

  • CCAB qualification
  • Evidence of compliance with institute CPD requirements

Experience

Essential

  • Experience of working in an NHS or similar organisation to understand clinical processes.
  • Substantial financial management experience at a Senior Level.
  • Experience of producing management reporting and the monitoring of financial resources
  • Demonstrate experience or be able to apply the concepts and techniques for these areas: Service Costing, Production of business cases, Budgeting and financial planning, Costing and pricing, Variance analysis and financial reporting.
  • Demonstrable experience of the staff management and developing and direction of a Team
  • Experience of leading projects

Desirable

  • 3 years post qualification financial management experience
  • Knowledge of Service Line Reporting tools and systems
  • Production of National Cost Collection return.
  • Experience in contract negotiations.
  • Experience of using Oracle.
  • Experience of using Synergy 4

Personal Qualities

Essential

  • Proactive
  • Self-aware
  • Has a realistic knowledge of personal strengths and areas for development
  • Flexible and adaptable
  • Problem-solver
  • Autonomous
Person Specification

Knowledge & Skills

Essential

  • Excellent communication skills including presentation and summary of complex data into meaningful information for non-finance managers and colleagues.
  • Strong IT skills including Word, Excel and financial systems.
  • Excellent skills in analysing, interpreting, and using highly complex data in order to draw conclusions.
  • Ability to use judgement to compare and evaluate options, and recommend actions based on those evaluations.
  • Effective critical thinking skills, especially for new issues where no precedent to follow.
  • Ability to set clear and concise objectives, prioritise and monitor progress and take appropriate action to achieve outcomes by required deadlines.

Desirable

  • Leadership qualities
  • The ability to negotiate effectively with a wide range of people and professionals up to Board Level, both internally and externally

Education/Qualifications

Essential

  • CCAB qualification
  • Evidence of compliance with institute CPD requirements

Experience

Essential

  • Experience of working in an NHS or similar organisation to understand clinical processes.
  • Substantial financial management experience at a Senior Level.
  • Experience of producing management reporting and the monitoring of financial resources
  • Demonstrate experience or be able to apply the concepts and techniques for these areas: Service Costing, Production of business cases, Budgeting and financial planning, Costing and pricing, Variance analysis and financial reporting.
  • Demonstrable experience of the staff management and developing and direction of a Team
  • Experience of leading projects

Desirable

  • 3 years post qualification financial management experience
  • Knowledge of Service Line Reporting tools and systems
  • Production of National Cost Collection return.
  • Experience in contract negotiations.
  • Experience of using Oracle.
  • Experience of using Synergy 4

Personal Qualities

Essential

  • Proactive
  • Self-aware
  • Has a realistic knowledge of personal strengths and areas for development
  • Flexible and adaptable
  • Problem-solver
  • Autonomous

Disclosure 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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure 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.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Cambridgeshire and Peterborough NHS Foundation Trust

Address

Kingfisher House

Kingfisher Way, Hinchingbrooke Business Park

Huntingdon

PE29 6FH


Employer's website

https://www.cpft.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Cambridgeshire and Peterborough NHS Foundation Trust

Address

Kingfisher House

Kingfisher Way, Hinchingbrooke Business Park

Huntingdon

PE29 6FH


Employer's website

https://www.cpft.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Assistant Director of Finance

Tendai Mnangagwa

tendai.mnangagwa@cpft.nhs.uk

Details

Date posted

26 November 2025

Pay scheme

Agenda for change

Band

Band 8a

Salary

£55,690 to £62,682 a year per annum pro rata

Contract

Permanent

Working pattern

Full-time

Reference number

310-MCORP-7589493

Job locations

Kingfisher House

Kingfisher Way, Hinchingbrooke Business Park

Huntingdon

PE29 6FH


Supporting documents

Privacy notice

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