Job summary
Income Assistant Accountant
Department: Finance
Band 6 £38,682 - £46,580 per annum
Hours: 37.5 hours per week, all MKUH roles will be considered for flexible working
*Hybrid working arrangement*
Reporting into the Head of Head of Income and Contracting, the Income Assistant Accountant will be responsible for the reconciliation and reporting of Income into the Trust to support optimal understanding of income sources.
They will assist with preparation of monthly management accounts, projections, and performances indicators; analysis of significant variances and trends and providing suggestions for corrective action where appropriate. They will be a primary point of contact for external auditors, providing timely responses and information to support them in their work.
This role would suit a well-rounded, Part Qualified and conscientious Accountant who is proactive in their approach to work. They will be able to demonstrate a sound knowledge of Management Accounting, activity, income, and expenditure forecasts and be able to use well-developed analytical skills to solve complex problems.
We are unable to offer sponsorship for this role
Interview date: 24 February 2026.
Main duties of the job
We care We communicate We collaborate We contribute
"- NHS Survey, 2024''They feel supported in their employers making reasonable adjustments to help them carry out their work, rating an 82.9%
The post holder will support the Head of Income and Contracting as well as other stakeholders for all aspects of Trust income.
The post holder will need to demonstrate accounting and business knowledge, analytical support and clear presentation of financial and business information to clinical and non-clinical colleagues. He/she will constructively and positively challenge all aspects of income reporting to ensure efficiency and effectiveness.
About us
Milton Keynes University Hospital, in proud partnership with the University of Buckingham, is a University Teaching Hospital committed to advancing patient care through cutting-edge research and education. With a "Good" rating from the CQC and significant investment underway, this is an exciting time to join our team and grow your career.
As a medium sized general hospital, we provide a full range of general medical and surgical services, including a busy Emergency Department, Maternity, and Paediatrics. As the population of our city and surrounding areas continues to grow rapidly, we are expanding and enhancing our facilities to meet rising demand and improve access to care for all our communities.
We are also proud to offer a growing portfolio of specialist services. In January 2025 we opened our state-of-the-art Radiotherapy Centre, bringing advanced cancer treatment closer to home. Our services also include neonatology, specialist surgical care, and a wide range of diagnostics, supported by the new Community Diagnostic Centre at Whitehouse Health Centre.
Further investment is underway, including the construction of Oak Wards - a new ward block featuring two 24-bed wards - and the recently approved Women and Children's Centre, set to open by 2030.
Visit our website to explore the latest news and opportunities at MKUH - News - Milton Keynes University Hospital -
For further information about Milton Keynes please visit - Visit Milton Keynes
Job description
Job responsibilities
Clinical Income and Other Income
- Monitor all income sources working closely with Commissioners and providing monthly income reconciliations, working closely with divsions and Finance Business Partners on income allocation.
- To assist in the preparation of monthly management accounts, reports, projections and performance indicators; analysing and investigating all significant variances, undertaking trend analysis and making recommendations for corrective action where appropriate.
- Management of Sales ledger matching direct income to internal sales invoices
- Raise ad hoc invoices including contract income with supporting schedules.
- Reconcile Commissioners payment schedules.
Private Patient & Overseas Clinical Income
- Line management fo the Private Patient Officer ensuring that to ensure that income is maximised and that Trust systems and processes are efficient and effective and up to date with the latest regulations.
- Support the personal and professional development of the Private Patient Officer.
SLR / PLICs
- Provide support to the PLICS and costing team as required including developing financial reporting systems and processes to provide information as required.
Other Duties
To work autonomously, within defined parameters, using own initiative to make operational decisions
To provide technical advice as appropriate, in relation to accounting policies related to income
To keep up to date comprehensive procedure notes to support all aspects of work performed.
The job description is not intended to be exhaustive and it is likely that duties may be altered from time to time in the light of changing circumstances and after consultation with the post holder.
Please refer to the job description for further details.
Job description
Job responsibilities
Clinical Income and Other Income
- Monitor all income sources working closely with Commissioners and providing monthly income reconciliations, working closely with divsions and Finance Business Partners on income allocation.
- To assist in the preparation of monthly management accounts, reports, projections and performance indicators; analysing and investigating all significant variances, undertaking trend analysis and making recommendations for corrective action where appropriate.
- Management of Sales ledger matching direct income to internal sales invoices
- Raise ad hoc invoices including contract income with supporting schedules.
- Reconcile Commissioners payment schedules.
Private Patient & Overseas Clinical Income
- Line management fo the Private Patient Officer ensuring that to ensure that income is maximised and that Trust systems and processes are efficient and effective and up to date with the latest regulations.
- Support the personal and professional development of the Private Patient Officer.
SLR / PLICs
- Provide support to the PLICS and costing team as required including developing financial reporting systems and processes to provide information as required.
Other Duties
To work autonomously, within defined parameters, using own initiative to make operational decisions
To provide technical advice as appropriate, in relation to accounting policies related to income
To keep up to date comprehensive procedure notes to support all aspects of work performed.
The job description is not intended to be exhaustive and it is likely that duties may be altered from time to time in the light of changing circumstances and after consultation with the post holder.
Please refer to the job description for further details.
Person Specification
Qualifications and knowledge
Essential
- Educated to degree level in a relevant subject (e.g. accountancy or financial discipline) or equivalent knowledge and experience
- Part Qualified (CCAB) Qualification or demonstrable equivalent experience plus knowledge, experience and expertise in a finance management role.
- Up-to-date knowledge and experience of the NHS income and contracts
Desirable
- 2 years' finance experience in an NHS organization
Experience
Essential
- Evidenced continuous professional development record
- Highly developed and demonstrable knowledge of management accounting and accounting procedures within the NHS
- Experience of developing activity, income and expenditure forecasts, including the modelling of different scenarios
Desirable
- Experience in staff line management and development
Skills
Essential
- Advanced user of Microsoft Excel, required to design new and/or improve existing financial monitoring systems
- Expert analytical skills to solve highly complex financial and non-financial problems
- Computer literate with experience of using Microsoft office applications
- Ability to interpret highly complex information, including national financial policies
- Ability to manage extensive data sets, and detailed financial information
Personal and people development
Essential
- Excellent interpersonal and communication skills.
- Confident in dealing with people at all levels of the organisation.
- Ability to work as part of a team
- Ability to work to strict deadlines
- Ability to use initiative, work autonomously, and demonstrate flexibility
- Well organised, a completer/ finisher with the ability to multi-task complex issues
Communication
Essential
- Ability to explain complex financial terminology to both finance and non-finance colleagues.
- The ability to interpret complex numerical data and present information to non-finance professionals.
- Clear and accurate written and verbal communication skills.
Specific requirements
Essential
- Able to perform the duties of the post with reasonable aids and adaptations
Person Specification
Qualifications and knowledge
Essential
- Educated to degree level in a relevant subject (e.g. accountancy or financial discipline) or equivalent knowledge and experience
- Part Qualified (CCAB) Qualification or demonstrable equivalent experience plus knowledge, experience and expertise in a finance management role.
- Up-to-date knowledge and experience of the NHS income and contracts
Desirable
- 2 years' finance experience in an NHS organization
Experience
Essential
- Evidenced continuous professional development record
- Highly developed and demonstrable knowledge of management accounting and accounting procedures within the NHS
- Experience of developing activity, income and expenditure forecasts, including the modelling of different scenarios
Desirable
- Experience in staff line management and development
Skills
Essential
- Advanced user of Microsoft Excel, required to design new and/or improve existing financial monitoring systems
- Expert analytical skills to solve highly complex financial and non-financial problems
- Computer literate with experience of using Microsoft office applications
- Ability to interpret highly complex information, including national financial policies
- Ability to manage extensive data sets, and detailed financial information
Personal and people development
Essential
- Excellent interpersonal and communication skills.
- Confident in dealing with people at all levels of the organisation.
- Ability to work as part of a team
- Ability to work to strict deadlines
- Ability to use initiative, work autonomously, and demonstrate flexibility
- Well organised, a completer/ finisher with the ability to multi-task complex issues
Communication
Essential
- Ability to explain complex financial terminology to both finance and non-finance colleagues.
- The ability to interpret complex numerical data and present information to non-finance professionals.
- Clear and accurate written and verbal communication skills.
Specific requirements
Essential
- Able to perform the duties of the post with reasonable aids and adaptations
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.
