NHS England

Director of Operational Finance

The closing date is 12 February 2026

Job summary

An exciting opportunity has arisen for a highly skilled, experienced and motivated Director of Operational Finance to join our dynamic team in the East of England. This role is both a leadership role within the regional team and across the region supporting the delivery of statutory duties and financial performance. The post holder will report directly to the NHS Regional Director of Finance and deputise for them as required along with leading the rest of the regional finance directorate.

The scope of the role encompasses support for both our systems and our internal regional financial responsibilities. Holding systems to account for delivering effective operational and medium-term financial plans which are integrated with service recovery priorities, workforce, productivity and operational capacity. The role will also support the activities of the regional team and support the finance directorate through the current changes to our operating model. Both our systems and the region need to deliver agreed financial performance trajectories and strengthen financial sustainability of delivering services within allocated resources across the NHS.

The post-holder will play a pivotal role in steering and supporting ICS delivery within available resources, working in conjunction with finance leads from across the region, within the regional team and nationally to aligning expectations and support delivery.

Main duties of the job

  • Ensure the provision of expert, evidence based financial and business advice to regional and national colleagues.
  • Lead financial planning,assuranceand oversight, working closely with regional colleagues to help systems/organisations deliver their financial targets and service plans, through the provision of oversight,adviceand support.
  • Support the delivery of regional financial targets ensuring that systems/organisations have effective plans, supported by effective cost improvement programmes.
  • Lead financial performance management and reporting including revenue,capitaland cash, within national frameworks and policies.
  • Lead value for money and efficiency programmes working closely with national and regional colleagues to ensure use of benchmarking, learning and best practice.
  • Lead the regional Senior Finance Team, liaising with national and regional colleagues - advising on strategy, planning and performance, provision of expert, evidence based financial and business advice to the regional team ensuring that national reporting and accounting/governance requirements are delivered.
  • Support and deputise for the Regional Finance Director producing,implementingand articulating a clear financial strategy for the region, mandate requirements and national financial frameworks, resourceassumptionsand investment priorities.

About us

The NHS England board have set out the top-level purpose for the new organisation to lead the NHS in England to deliver high-quality services for all, which will inform the detailed design work and we will achieve this purpose by:

  • Enabling local systems and providers to improve the health of their people and patients and reduce health inequalities.
  • Making the NHS a great place to work, where our people can make a difference and achieve their potential.
  • Working collaboratively to ensure our healthcare workforce has the right knowledge, skills, values and behaviours to deliver accessible, compassionate care
  • Optimising the use of digital technology, research, and innovation
  • Delivering value for money.

If you would like to know more or require further information, please visithttps://www.england.nhs.uk/.

Colleagues with a contractual office base are expected to spend, on average, at least 40% of their time working in-person.

Staff recruited from outside the NHS will usually be appointed at the bottom of the pay band.

If you are successful at interview, we will run an Inter Authority Transfer (IAT) in the Electronic Staff Record system (ESR). This transfer gathers valuable information from a previous or current NHS employer to support the onboarding process, including; statutory and mandatory competency status, Continuous Service Dates (CSD), and annual leave entitlement. You will have the opportunity throughout the recruitment process to inform us if you do not consent.

Details

Date posted

22 January 2026

Pay scheme

Very senior manager (VSM)

Salary

£100,000 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

990-EOE-19447-I

Job locations

Cambridge

CamLife Business Park

Fulbourn

CB21 5XA


Job description

Job responsibilities

  • Oversee and assure the financial planning and redesign of services within the locality, particularly largescaleand complex service reconfigurations, ensuring business cases are subject to rigorous financial appraisal, are financiallyviableand provide value for money.
  • Ensure thatappropriate adviceis provided to systems/organisations on national approaches to financial planning and performance for both capital and revenue.
  • Ensure rigorous appraisal of system/organisation financial plans to ensureviableand that financial risks have been soundly evaluated and mitigated.
  • Ensure robust systems are in place tomonitorfinancial performance tomaintaina clear and up-to-date view of the financial position.
  • Ensure that systems,processesand information flows provide effective early warnings of potential failures in service quality,financial management,partnershipsand performance. Take a risk-based approach, in line with national frameworks to intervene toanticipateand avoid such failures.
  • Provide robust forecasts, riskpredictionsand mitigations.
  • Support national teams on planning,reviewingand agreeing cash requirements with systems/organisations within national policy.
  • Play a key role with regional colleagues and work with them to tackle performance risks and issues, ensuring that support to improvement is provided early.
  • Lead financial intervention processesin the event ofmaterial concerns about financial performance and financial risk within national frameworks.
  • Ensure all national reporting requirements arecomplied withto support month end and year end processes.
  • Take the regional lead on finance functions e.g. financial intervention oversight and support, financialefficiencyand resilience programmes.
  • Promote the highest standards of finance professionalism within the region including the development of new initiatives

The successful candidate will bring a blend of operational delivery experience within senior Finance roles, together with strong recent experience and insight in the development of the overall NHS national policy and financial framework within which the region and systems operate. They will demonstrate inclusive and resilient leadership and champion diversity in all areas of their work.

Job description

Job responsibilities

  • Oversee and assure the financial planning and redesign of services within the locality, particularly largescaleand complex service reconfigurations, ensuring business cases are subject to rigorous financial appraisal, are financiallyviableand provide value for money.
  • Ensure thatappropriate adviceis provided to systems/organisations on national approaches to financial planning and performance for both capital and revenue.
  • Ensure rigorous appraisal of system/organisation financial plans to ensureviableand that financial risks have been soundly evaluated and mitigated.
  • Ensure robust systems are in place tomonitorfinancial performance tomaintaina clear and up-to-date view of the financial position.
  • Ensure that systems,processesand information flows provide effective early warnings of potential failures in service quality,financial management,partnershipsand performance. Take a risk-based approach, in line with national frameworks to intervene toanticipateand avoid such failures.
  • Provide robust forecasts, riskpredictionsand mitigations.
  • Support national teams on planning,reviewingand agreeing cash requirements with systems/organisations within national policy.
  • Play a key role with regional colleagues and work with them to tackle performance risks and issues, ensuring that support to improvement is provided early.
  • Lead financial intervention processesin the event ofmaterial concerns about financial performance and financial risk within national frameworks.
  • Ensure all national reporting requirements arecomplied withto support month end and year end processes.
  • Take the regional lead on finance functions e.g. financial intervention oversight and support, financialefficiencyand resilience programmes.
  • Promote the highest standards of finance professionalism within the region including the development of new initiatives

The successful candidate will bring a blend of operational delivery experience within senior Finance roles, together with strong recent experience and insight in the development of the overall NHS national policy and financial framework within which the region and systems operate. They will demonstrate inclusive and resilient leadership and champion diversity in all areas of their work.

Person Specification

Qualifications

Essential

  • CCAB or CIMA Qualified Accountant

Experience and Knowledge

Essential

  • Extensive experience leading significant national, regional or cross-government programmes
  • Experience in operating in fast-paced, complex, highly political environments
  • An in-depth understanding of the NHS system architecture and key levers for change
  • Experience in providing high-quality programme management and briefing outputs to demanding customers

Desirable

  • Demonstrable experience of deputising for Regional Director of Finance in a similar role

Skills and attributes

Essential

  • Proven leadership skills and ability to motivate and lead multi-disciplinary teams
  • Highly developed interpersonal skills, negotiation, conflict management, feedback, partnership working, and coaching skills
  • Excellent communication and presentation skills
  • Ability to build credibility and work collaboratively with leaders in NHS England to ensure resources are aligned behind strategic and operational delivery of objectives
  • Able to make a connection between their work and the benefit to patients and the public
  • oValues diversity and difference, operate with integrity and openness
Person Specification

Qualifications

Essential

  • CCAB or CIMA Qualified Accountant

Experience and Knowledge

Essential

  • Extensive experience leading significant national, regional or cross-government programmes
  • Experience in operating in fast-paced, complex, highly political environments
  • An in-depth understanding of the NHS system architecture and key levers for change
  • Experience in providing high-quality programme management and briefing outputs to demanding customers

Desirable

  • Demonstrable experience of deputising for Regional Director of Finance in a similar role

Skills and attributes

Essential

  • Proven leadership skills and ability to motivate and lead multi-disciplinary teams
  • Highly developed interpersonal skills, negotiation, conflict management, feedback, partnership working, and coaching skills
  • Excellent communication and presentation skills
  • Ability to build credibility and work collaboratively with leaders in NHS England to ensure resources are aligned behind strategic and operational delivery of objectives
  • Able to make a connection between their work and the benefit to patients and the public
  • oValues diversity and difference, operate with integrity and openness

UK Registration

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

Additional information

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

NHS England

Address

Cambridge

CamLife Business Park

Fulbourn

CB21 5XA


Employer's website

https://www.england.nhs.uk/about/working-for/ (Opens in a new tab)


Employer details

Employer name

NHS England

Address

Cambridge

CamLife Business Park

Fulbourn

CB21 5XA


Employer's website

https://www.england.nhs.uk/about/working-for/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Regional Director of Finance

Zoe Pietrzak

zoe.pietrzak@nhs.net

07788547379

Details

Date posted

22 January 2026

Pay scheme

Very senior manager (VSM)

Salary

£100,000 a year per annum

Contract

Permanent

Working pattern

Full-time

Reference number

990-EOE-19447-I

Job locations

Cambridge

CamLife Business Park

Fulbourn

CB21 5XA


Supporting documents

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