Keston and Moorings Medical Practice

Head of Finance

The closing date is 28 September 2025

Job summary

The Head of Finance is a critical and senior leadership position within Bourne Health, responsible for overseeing and delivering all aspects of the Groups financial management. As the largest provider of Primary Care in Croydon, and an at-scale NHS provider serving almost 100,000 patients across multiple GP surgeries, Bourne Health requires a highly capable, hands-on finance leader who combines strategic 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, including

  • Claims and income management
  • Payroll and pensions
  • Internal and statutory accounts and audit preparation
  • Management accounts and monthly board finance packs
  • Financial planning, analysis, and modelling
  • Procurement and cost optimisation
  • Finance 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.

Details

Date posted

19 September 2025

Pay scheme

Other

Salary

Depending on experience Competitive

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

A1332-25-0007

Job locations

Purley War Memorial Hospital

856 Brighton Road

Purley

Surrey

CR8 2YL


Portland Medical Centre

184 Portland Road

London

SE25 4QB


Fieldway Medical Centre

Danebury

New Addington

Croydon

CR0 9EU


Esher Green Surgery

Esher Green Drive

Esher

Surrey

KT10 8BX


Thornton Road Surgery

299 Thornton Road

Croydon

CR0 3EW


Job description

Job responsibilities

Key Objectives

Ensure Bourne Healths financial stability and growth through effective planning, control, and reporting.

Provide robust, accurate, and timely financial information to support Board and operational decision making.

Implement efficient and scalable finance systems and processes 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 whilst guiding management on areas for required improvement against the Annual Operating Plan / Objectives.

Manage all accounting operations and compliance including accounts receivable, accounts payable, property transactions management, payroll and pensions management, financial and management accounting.

Support the organisation in achieving its vision of providing high-quality, patient centred primary care.

To develop and ensure that financial policies and procedures are adhered to, documenting all aspects of the role and related processes to a high standard.

To undertake Continuing Professional Development (CPD) in-line with relevant professional body requirements, and to maintain professional standards within the Group.

Other ad-hoc finance team duties as requested by the CEO or Board.

1. Financial Management & Reporting

Produce high quality monthly finance packs for the CEO and Board, including variance analysis, cashflow forecasting, and key performance insights.

Manage the month end and year-end close processes, ensuring accurate and timely reporting.

Prepare and lead on internal and statutory accounts production and annual audit.

Ensure compliance with NHS and accounting regulations, tax (corporate and VAT), and statutory reporting requirements.

Safeguard Bourne Healths financial data through rigorous controls, processes, and documentation.

Maintain highly organised financial records, filing systems, and audit trails.

2. Financial Planning, Analysis & Strategy

Develop and lead annual budget preparation and forecasting across the Group.

Provide detailed financial modelling and business case analysis to support growth, bids, tendering opportunities and service development.

Participate and lead in financial aspects of tendering for new business.

Conduct strategic financial analysis to drive decisions on practice performance, service development, and resource allocation.

Provide short, medium and long-term comprehensive and integrated physical resource planning for Bourne Health, its practices and other sites, enabling full potential maximisation of Bourne Healths physical resources.

Identify trends, risks, and opportunities and present these clearly to the CEO, Board and Senior Management to support decision making.

Collaborate with operational leaders to develop and track key financial and operational KPIs.

3. Income Maximisation & Cost Optimisation

Oversee claims processes, ensuring all NHS and other income streams are correctly identified, claimed, and reconciled.

Develop systems to ensure income is maximised and errors or missed claims are minimised.

Lead initiatives to reduce costs, including locum spend management, procurement efficiencies, and preferred supplier agreements.

Streamline processes and eliminate waste.

Work closely with operational managers to achieve financial efficiency without compromising care quality.

Actively participate and lead on streamlining procurement processes with focus towards preferred suppliers, in collaboration with the Estates and Procurement Manager, with the specific objective of cost saving and standardisation.

Manage all financial aspects of Bourne Health estates, its related resources, service charges, utilities and facilities.

Manage the relationship with the Groups various landlords as well as ensuring recoveries as appropriate from NHS England.

Lead on enterprise-level management of utilities across Group estates, in collaboration with the Estates and Procurement Manager.

Effectively manage accounts receivable and payable activities, ensuring timeliness and cash flow management.

Interpret accounting guidance and Commissioner directives/decisions in regard to accounting and funding mechanisms. Assess the impact and recommend actions that ensure services maximise their income and minimise their costs.

Work extensively to ensure sound controls are in place and processes are compatible with IFRS financial accounting requirements.

4. Finance Systems & Process Improvement

Lead on the design, implementation, and ongoing management and accountability of all finance systems (e.g., Xero, Fathom, Zahara, Barclays.net).

Ensure systems are integrated, efficient, and aligned with operational needs.

Continuously review and refine financial processes to improve efficiency, scalability, and compliance.

Identify opportunities for and drive information or quality improvements within the Group.

Responsibility for the company cash management policies.

Provide finance data on demand to support operational and clinical decision-making.

5. Payroll & Pensions Management (Supported by outsourced payroll provider and Finance Leads)

Oversee payroll and pensions for all staff across the Group.

Ensure accuracy, timeliness, and compliance with relevant legislation.

Hold outsourced payroll providers accountable for service quality.

Support the integration of payroll activity with the HRIS, in collaboration with HR.

Continuously optimise payroll processes and documentation.

6. Leadership & Team Development

Provide leadership and mentorship to Finance Leads and Practice Managers.

Build finance capability across the organisation through training and support.

Foster a culture of excellence, integrity, and collaboration.

Support recruitment, onboarding, and performance management of finance personnel as the team grows.

Responsible for effective management of performance, development, objective setting and motivation of staff in the team, focused on excellence and high-quality.

Support practice, senior and service managers in understanding their income position and costs, and in the identification and implementation of income maximisation opportunities as well as cost reduction where appropriate.

Responsible for development of financial policy and procedures. Ensure promulgation and adherence.

7. Stakeholder Engagement

Act as the key finance point of contact for CEO and Board, NHS commissioners, PCSE, NHS Pensions, regulators, external auditors, tax advisors, and suppliers.

Attend key meetings to present financial performance, insights, and recommendations.

Job description

Job responsibilities

Key Objectives

Ensure Bourne Healths financial stability and growth through effective planning, control, and reporting.

Provide robust, accurate, and timely financial information to support Board and operational decision making.

Implement efficient and scalable finance systems and processes 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 whilst guiding management on areas for required improvement against the Annual Operating Plan / Objectives.

Manage all accounting operations and compliance including accounts receivable, accounts payable, property transactions management, payroll and pensions management, financial and management accounting.

Support the organisation in achieving its vision of providing high-quality, patient centred primary care.

To develop and ensure that financial policies and procedures are adhered to, documenting all aspects of the role and related processes to a high standard.

To undertake Continuing Professional Development (CPD) in-line with relevant professional body requirements, and to maintain professional standards within the Group.

Other ad-hoc finance team duties as requested by the CEO or Board.

1. Financial Management & Reporting

Produce high quality monthly finance packs for the CEO and Board, including variance analysis, cashflow forecasting, and key performance insights.

Manage the month end and year-end close processes, ensuring accurate and timely reporting.

Prepare and lead on internal and statutory accounts production and annual audit.

Ensure compliance with NHS and accounting regulations, tax (corporate and VAT), and statutory reporting requirements.

Safeguard Bourne Healths financial data through rigorous controls, processes, and documentation.

Maintain highly organised financial records, filing systems, and audit trails.

2. Financial Planning, Analysis & Strategy

Develop and lead annual budget preparation and forecasting across the Group.

Provide detailed financial modelling and business case analysis to support growth, bids, tendering opportunities and service development.

Participate and lead in financial aspects of tendering for new business.

Conduct strategic financial analysis to drive decisions on practice performance, service development, and resource allocation.

Provide short, medium and long-term comprehensive and integrated physical resource planning for Bourne Health, its practices and other sites, enabling full potential maximisation of Bourne Healths physical resources.

Identify trends, risks, and opportunities and present these clearly to the CEO, Board and Senior Management to support decision making.

Collaborate with operational leaders to develop and track key financial and operational KPIs.

3. Income Maximisation & Cost Optimisation

Oversee claims processes, ensuring all NHS and other income streams are correctly identified, claimed, and reconciled.

Develop systems to ensure income is maximised and errors or missed claims are minimised.

Lead initiatives to reduce costs, including locum spend management, procurement efficiencies, and preferred supplier agreements.

Streamline processes and eliminate waste.

Work closely with operational managers to achieve financial efficiency without compromising care quality.

Actively participate and lead on streamlining procurement processes with focus towards preferred suppliers, in collaboration with the Estates and Procurement Manager, with the specific objective of cost saving and standardisation.

Manage all financial aspects of Bourne Health estates, its related resources, service charges, utilities and facilities.

Manage the relationship with the Groups various landlords as well as ensuring recoveries as appropriate from NHS England.

Lead on enterprise-level management of utilities across Group estates, in collaboration with the Estates and Procurement Manager.

Effectively manage accounts receivable and payable activities, ensuring timeliness and cash flow management.

Interpret accounting guidance and Commissioner directives/decisions in regard to accounting and funding mechanisms. Assess the impact and recommend actions that ensure services maximise their income and minimise their costs.

Work extensively to ensure sound controls are in place and processes are compatible with IFRS financial accounting requirements.

4. Finance Systems & Process Improvement

Lead on the design, implementation, and ongoing management and accountability of all finance systems (e.g., Xero, Fathom, Zahara, Barclays.net).

Ensure systems are integrated, efficient, and aligned with operational needs.

Continuously review and refine financial processes to improve efficiency, scalability, and compliance.

Identify opportunities for and drive information or quality improvements within the Group.

Responsibility for the company cash management policies.

Provide finance data on demand to support operational and clinical decision-making.

5. Payroll & Pensions Management (Supported by outsourced payroll provider and Finance Leads)

Oversee payroll and pensions for all staff across the Group.

Ensure accuracy, timeliness, and compliance with relevant legislation.

Hold outsourced payroll providers accountable for service quality.

Support the integration of payroll activity with the HRIS, in collaboration with HR.

Continuously optimise payroll processes and documentation.

6. Leadership & Team Development

Provide leadership and mentorship to Finance Leads and Practice Managers.

Build finance capability across the organisation through training and support.

Foster a culture of excellence, integrity, and collaboration.

Support recruitment, onboarding, and performance management of finance personnel as the team grows.

Responsible for effective management of performance, development, objective setting and motivation of staff in the team, focused on excellence and high-quality.

Support practice, senior and service managers in understanding their income position and costs, and in the identification and implementation of income maximisation opportunities as well as cost reduction where appropriate.

Responsible for development of financial policy and procedures. Ensure promulgation and adherence.

7. Stakeholder Engagement

Act as the key finance point of contact for CEO and Board, NHS commissioners, PCSE, NHS Pensions, regulators, external auditors, tax advisors, and suppliers.

Attend key meetings to present financial performance, insights, and recommendations.

Person Specification

Qualifications

Essential

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

Experience

Essential

  • 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 key
  • Effective 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 Group
  • Supporting management in understanding the breadth and limits of the finance function
  • Strong report writing skills
  • Strong interpersonal, persuasion and influencing skills
  • Comfortable 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-motivated
  • Excellent time management and deadline oriented.
  • Proactive and innovative approach to problem solving.

Desirable

  • 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 improvement
Person Specification

Qualifications

Essential

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

Experience

Essential

  • 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 key
  • Effective 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 Group
  • Supporting management in understanding the breadth and limits of the finance function
  • Strong report writing skills
  • Strong interpersonal, persuasion and influencing skills
  • Comfortable 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-motivated
  • Excellent time management and deadline oriented.
  • Proactive and innovative approach to problem solving.

Desirable

  • 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 improvement

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.

Employer details

Employer name

Keston and Moorings Medical Practice

Address

Purley War Memorial Hospital

856 Brighton Road

Purley

Surrey

CR8 2YL


Employer's website

https://www.kestonmedicalpractice.co.uk/ (Opens in a new tab)

Employer details

Employer name

Keston and Moorings Medical Practice

Address

Purley War Memorial Hospital

856 Brighton Road

Purley

Surrey

CR8 2YL


Employer's website

https://www.kestonmedicalpractice.co.uk/ (Opens in a new tab)

Employer contact details

For questions about the job, contact:

Bourne Health Recruitment Team

swlicb.bournehealthrecruitment@nhs.net

Details

Date posted

19 September 2025

Pay scheme

Other

Salary

Depending on experience Competitive

Contract

Permanent

Working pattern

Full-time, Flexible working

Reference number

A1332-25-0007

Job locations

Purley War Memorial Hospital

856 Brighton Road

Purley

Surrey

CR8 2YL


Portland Medical Centre

184 Portland Road

London

SE25 4QB


Fieldway Medical Centre

Danebury

New Addington

Croydon

CR0 9EU


Esher Green Surgery

Esher Green Drive

Esher

Surrey

KT10 8BX


Thornton Road Surgery

299 Thornton Road

Croydon

CR0 3EW


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Keston and Moorings Medical Practice's privacy notice (opens in a new tab)