Mid Cheshire Hospitals NHS Foundation Trust

Associate Director for Financial Improvement

The closing date is 18 March 2026

Job summary

As a highly visible leader and member of the Trust's Senior Leadership Team (SLT), the Associate Director of Financial Improvement will oversee the development, delivery and reporting of the organisation's Cost Improvement Programme (CIP), providing the necessary assurance to the Chief Finance Officer (CFO) and the rest of the Executive Team through the Executive assurance governance structure.

The Associate Director of Financial Improvement will lead the DMO team to identify and develop a robust portfolio of financial efficiency and improvement schemes that deliver the Trust's mandated Cost Improvement Programme (CIP) target each year. The role will support all Trust divisions and corporate services to transform service delivery and realise recurrent financial savings. In addition this role will oversee the Trusts RPA programme and delivery, and lead on the Trusts Costing strategy.

Main duties of the job

Responsibility for the monitoring and reporting of the Cost Improvement Programme and its component projects and schemes, working collaboratively with partners and engaging a wide range of internal and external stakeholders across from a range of public, voluntary and community sectors.

To support the Divisions and the Trust in identifying projects and programmes of work that will deliver CIP targets, providing an integral part of the organisation's SLT to drive agreed priorities and support the operational change required across all partners to deliver the Cost Improvement Programme.

Lead on the Trust use and deployment of Patient Level Information & Costing System (PLICS) , national cost collection returns and use of national financial benchmarking.

Oversight of the Trust's RPA - including the management of the contract, pipeline work and delivery of agree projects.

About us

Mid Cheshire Hospitals NHS Foundation Trust provides comprehensive hospital and community services for East Cheshire (population 399K) and West Cheshire and Chester (population 357K). Our services include planned and unplanned/emergency care, cardiac and critical care, child health, maternity, and intermediate care across Leighton Hospital in Crewe, Victoria Infirmary in Northwich, and Elmhurst Intermediate Care Centre in Winsford.Through our community arm, Central Cheshire Integrated Care Partnership, we deliver extensive services in 26 medical centres and schools in collaboration with Cheshire and Wirral Partnership NHS FT and the South Cheshire and Vale Royal GP Alliance. With 500 beds and around 5,500 staff, we are one of the area's largest employers.

Since the formation of Integrated Care Systems in July 2022, the Trust has become a key partner in Cheshire East & Cheshire West and Chester and in two provider collaboratives, aligning our strategic goals with the Cheshire & Merseyside Integrated Care System.As part of the national New Hospital Programme, we're reimagining Leighton Hospital to create a new health and care neighbourhood, transforming healthcare delivery for a Healthier Future. Learn more on our Healthier Futures website.

At Mid Cheshire, our mission is to inspire hope and provide unparalleled care for the people and communities of Cheshire, helping them to enjoy life to the fullest.

Details

Date posted

04 March 2026

Pay scheme

Agenda for change

Band

Band 8c

Salary

£76,965 to £88,682 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

412-CORP-7837794

Job locations

Leighton Hospital (hybrid role)

Middlewich Road

Crewe

CW1 4QJ


Job description

Job responsibilities

The Associate Director of Financial Improvement is responsible for leading, co-ordinating and managing the end-to-end delivery of the Trusts CIP programme. This includes oversight of all Divisional CIP programmes, cross-divisional, and Trust-wide initiatives and their delivery performance. The role ensures full alignment to Trust, ICS, and national priorities, and is responsible for identifying, developing and delivering sufficient programmes and projects to meet annual CIP targets of approximately £30m across Divisions and Trust-wide schemes.

  1. To lead the identification and development of key programmes of work that build improvement capability and drive cultural change across the organisation. This will support sustained Trust-wide improvement through the embedding a culture of continuous financial improvement and understanding, forming part of the business-as-usual approach to financial sustainability. The role will work closely with the leads from teams such as Continuous Improvement and Transformation to establish a fully aligned, integrated performance improvement function across the Trust
  2. To lead the identification of priority workstreams, investigation areas, projects and programmes that deliver measurable financial improvements. This will involve detailed analysis of the Trusts full range of data sets, from granular patient level information through to Trust-wide performance data, and the development of robust evidence bases to support the articulation and prioritisation of opportunities with senior Trust leaders.
  3. To lead and maintain robust, effective and transparent governance and reporting systems for the CIP programme. Providing clear assurance to the Trust Board and Executive Team on delivery, risks, mitigations and overall programme performance, and ensuring appropriate escalation and corrective action where delivery is off track.
  4. Toprovide clear and timely escalation to the Chief Finance Officer (CFO) and other relevant Executive Team members and SROs on material risks or issues impacting CIP delivery, Exercise professional judgement to ensure appropriate action is taken to protect the Trusts financial position.
  5. To interpret and utilise highly complex performance, operational and financial information to produce high quality reports and regular briefings for the Executive Team, providing clear assurance on progress, risks and delivery of the Trusts CIP programme. To apply analytics and business intelligence to identify and quantify opportunities for improved financial efficiency, and productivity, supporting service teams to drive operational excellence and deliver sustainable financial improvement across their areas.
  6. Providespecialist leadership and expert input into highly complex financial improvement schemes, projects and programmes, acting as a senior member of relevant Service Improvement project teams, and when required, holding overall responsibility for project delivery. This will include ensuring full compliance with Trust strategic and operational policies and objectives, and taking accountability for completion, quality assurance and formal sign off all relevant Quality Impact Assessments (QIAs) and associated governance documentation.
  7. To act as a specialist Trust wide resource, supporting Clinical Divisions to develop effective CIP programmes and strengthen continuous improvement capability in financial improvement and productivity.
  8. To all CIP related financial risks, including those within the Board Assurance Framework (BAF) and assigned to the CFO, are current and aligned to DMO intelligence and the CIP delivery performance.
  9. To lead, on behalf of the CFO, the development and delivery of the annual, and Medium-Term CIP plans ensuring they are robust, credible and aligned to local system priorities and national requirements and the Trust s strategic objectives and provide a clear and sustainable route to financial recovery.
  10. To lead the Trusts RPA capability on behalf of the CFO, providing oversight of contractual arrangements, pipeline development and delivery of agreed automation projects. This will include ensuring RPA initiatives are strategically aligned, effectively governed and deliver tangible efficiency and financial benefits, while supporting service teams to embed automation as part of wider continuous improvement and transformation activity.
  11. To use strong interpersonal and influencing skills to communicate sensitive, complex, and potentially contentious information in a clear, diplomatic and credible manner to a wide range of internal and external stakeholders. Using specialist knowledge and professional judgement, to regularly present and explain the implications of nation al policy and guidance to diverse internal stakeholders, including both clinical and non-clinical colleagues. Supporting constructive challenge, shared understanding and the development of common strategic vision in an environment where perspectives and priorities may differ.
  12. To provide senior analytical oversight of NHS England Productivity Opportunity Packs, assessing their applicability to the Trust and identifying highvalue opportunities for CIP development. To translate national productivity intelligence into tailored divisional opportunity packs that guide focus on cost reduction, productivity improvement and the delivery of cashout financial benefits.
  13. To undertake any other duties and tasks relevant to the role in line.

Job description

Job responsibilities

The Associate Director of Financial Improvement is responsible for leading, co-ordinating and managing the end-to-end delivery of the Trusts CIP programme. This includes oversight of all Divisional CIP programmes, cross-divisional, and Trust-wide initiatives and their delivery performance. The role ensures full alignment to Trust, ICS, and national priorities, and is responsible for identifying, developing and delivering sufficient programmes and projects to meet annual CIP targets of approximately £30m across Divisions and Trust-wide schemes.

  1. To lead the identification and development of key programmes of work that build improvement capability and drive cultural change across the organisation. This will support sustained Trust-wide improvement through the embedding a culture of continuous financial improvement and understanding, forming part of the business-as-usual approach to financial sustainability. The role will work closely with the leads from teams such as Continuous Improvement and Transformation to establish a fully aligned, integrated performance improvement function across the Trust
  2. To lead the identification of priority workstreams, investigation areas, projects and programmes that deliver measurable financial improvements. This will involve detailed analysis of the Trusts full range of data sets, from granular patient level information through to Trust-wide performance data, and the development of robust evidence bases to support the articulation and prioritisation of opportunities with senior Trust leaders.
  3. To lead and maintain robust, effective and transparent governance and reporting systems for the CIP programme. Providing clear assurance to the Trust Board and Executive Team on delivery, risks, mitigations and overall programme performance, and ensuring appropriate escalation and corrective action where delivery is off track.
  4. Toprovide clear and timely escalation to the Chief Finance Officer (CFO) and other relevant Executive Team members and SROs on material risks or issues impacting CIP delivery, Exercise professional judgement to ensure appropriate action is taken to protect the Trusts financial position.
  5. To interpret and utilise highly complex performance, operational and financial information to produce high quality reports and regular briefings for the Executive Team, providing clear assurance on progress, risks and delivery of the Trusts CIP programme. To apply analytics and business intelligence to identify and quantify opportunities for improved financial efficiency, and productivity, supporting service teams to drive operational excellence and deliver sustainable financial improvement across their areas.
  6. Providespecialist leadership and expert input into highly complex financial improvement schemes, projects and programmes, acting as a senior member of relevant Service Improvement project teams, and when required, holding overall responsibility for project delivery. This will include ensuring full compliance with Trust strategic and operational policies and objectives, and taking accountability for completion, quality assurance and formal sign off all relevant Quality Impact Assessments (QIAs) and associated governance documentation.
  7. To act as a specialist Trust wide resource, supporting Clinical Divisions to develop effective CIP programmes and strengthen continuous improvement capability in financial improvement and productivity.
  8. To all CIP related financial risks, including those within the Board Assurance Framework (BAF) and assigned to the CFO, are current and aligned to DMO intelligence and the CIP delivery performance.
  9. To lead, on behalf of the CFO, the development and delivery of the annual, and Medium-Term CIP plans ensuring they are robust, credible and aligned to local system priorities and national requirements and the Trust s strategic objectives and provide a clear and sustainable route to financial recovery.
  10. To lead the Trusts RPA capability on behalf of the CFO, providing oversight of contractual arrangements, pipeline development and delivery of agreed automation projects. This will include ensuring RPA initiatives are strategically aligned, effectively governed and deliver tangible efficiency and financial benefits, while supporting service teams to embed automation as part of wider continuous improvement and transformation activity.
  11. To use strong interpersonal and influencing skills to communicate sensitive, complex, and potentially contentious information in a clear, diplomatic and credible manner to a wide range of internal and external stakeholders. Using specialist knowledge and professional judgement, to regularly present and explain the implications of nation al policy and guidance to diverse internal stakeholders, including both clinical and non-clinical colleagues. Supporting constructive challenge, shared understanding and the development of common strategic vision in an environment where perspectives and priorities may differ.
  12. To provide senior analytical oversight of NHS England Productivity Opportunity Packs, assessing their applicability to the Trust and identifying highvalue opportunities for CIP development. To translate national productivity intelligence into tailored divisional opportunity packs that guide focus on cost reduction, productivity improvement and the delivery of cashout financial benefits.
  13. To undertake any other duties and tasks relevant to the role in line.

Person Specification

Qualifications

Essential

  • Qualified Accountant
  • Experience of financial improvement
  • PLICS/SLR leadership

Desirable

  • RPA experience

Technical experience and interview

Essential

  • PLICS/SLR deployment
  • Strengths of inter personal skills
  • RPA experience - process re-design

Desirable

  • Role out and clinical engagement

Experience of CIP delivery

Essential

  • Experience - 2 years min
  • CIP roll deployment
  • Reporting and scrutiny of CIP accounting

Desirable

  • CIP re-deployment
Person Specification

Qualifications

Essential

  • Qualified Accountant
  • Experience of financial improvement
  • PLICS/SLR leadership

Desirable

  • RPA experience

Technical experience and interview

Essential

  • PLICS/SLR deployment
  • Strengths of inter personal skills
  • RPA experience - process re-design

Desirable

  • Role out and clinical engagement

Experience of CIP delivery

Essential

  • Experience - 2 years min
  • CIP roll deployment
  • Reporting and scrutiny of CIP accounting

Desirable

  • CIP re-deployment

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

Mid Cheshire Hospitals NHS Foundation Trust

Address

Leighton Hospital (hybrid role)

Middlewich Road

Crewe

CW1 4QJ


Employer's website

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


Employer details

Employer name

Mid Cheshire Hospitals NHS Foundation Trust

Address

Leighton Hospital (hybrid role)

Middlewich Road

Crewe

CW1 4QJ


Employer's website

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


Employer contact details

For questions about the job, contact:

Deputy Director of Finance - Strategic Finance

Rosalyn Davies

rosalyn.davies@mcht.nhs.uk

01270692852

Details

Date posted

04 March 2026

Pay scheme

Agenda for change

Band

Band 8c

Salary

£76,965 to £88,682 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

412-CORP-7837794

Job locations

Leighton Hospital (hybrid role)

Middlewich Road

Crewe

CW1 4QJ


Supporting documents

Privacy notice

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