Job summary
As we advance our ambitious
strategy, we seek a Chief Finance Officer (CFO) to shape the financial future
of RNOH. This pivotal role requires an experienced finance leader with
strategic vision, commercial acumen, and a commitment to ensuring long-term financial
sustainability while supporting world-class clinical care.
As CFO, you will lead financial
stewardship, commercial strategy - including the growth of private patient
services - and executive oversight of our estate redevelopment portfolio,
ensuring our facilities are fit for the future. Your leadership will drive
major investment programmes, leverage commercial opportunities, and enhance
efficiency and innovation across the Trust. Beyond financial leadership, you
will foster a culture of continuous improvement, championing equality,
diversity, and inclusion to create a workplace where all staff feel valued and
empowered.
We are seeking a candidate with
an outstanding track record of success at or close to Board level in the NHS or
wider public sectors. You will have the energy, focus and ambition to lead our
financial strategy and be part of a high performing Executive team. You will
possess first class financial leadership and influencing skills with the
ability to forge effective working relationships across a wide set of internal
and external stakeholders. This provides a fantastic opportunity to build a
career in a high performing organisation with an ambitious strategic plan.
Main duties of the job
The
Chief Finance Officer (CFO) is an executive director of the Trust Board and a
key member of the Trusts Executive team. They are accountable for the
stewardship of the Trusts financial resources, ensuring long-term financial
sustainability while enabling the delivery of high-quality clinical care and
strategic objectives. This role extends beyond traditional finance leadership
to include executive responsibility for the Trusts commercial
strategyparticularly the development and expansion of private patient
servicesand executive oversight of the estates portfolio, with a focus on
delivering an ambitious estates redevelopment programme.
The CFO will
play a pivotal role in shaping the Trusts future by leading major investment
programmes, leveraging commercial opportunities to generate income that
supports NHS care, and ensuring the estate is fit for 21st-century healthcare.
The post holder will be instrumental in driving value, efficiency and
innovation, while upholding the Trusts strategic direction and values.
Interview date is 11th July 2025.
About us
The Royal National Orthopaedic Hospital NHS Trust (RNOH) is the UKs leading specialist orthopaedic hospital, renowned for providing world leading healthcare to adults and children with complex neuromusculoskeletal (MSK) conditions.
As we advance our ambitious strategy, we seek a Chief Finance Officer (CFO) to shape the financial future of RNOH. This pivotal role requires an experienced finance leader with strategic vision, commercial acumen, and a commitment to ensuring long-term financial sustainability while supporting world-class clinical care.
We also provide RNOH Private Care, delivering exceptional orthopaedic surgery and personalised treatment tailored to the unique needs of our patients. All profits from RNOH Private Care go straight back in to strengthening our NHS services.
Job description
Job responsibilities
The
Chief Finance Officer (CFO) is an executive director of the Trust Board and a
key member of the Trusts Executive team. They are accountable for the
stewardship of the Trusts financial resources, ensuring long-term financial
sustainability while enabling the delivery of high-quality clinical care and
strategic objectives. This role extends beyond traditional finance leadership
to include executive responsibility for the Trusts commercial
strategyparticularly the development and expansion of private patient
servicesand executive oversight of the estates portfolio, with a focus on
delivering an ambitious estates redevelopment programme.
The CFO will
play a pivotal role in shaping the Trusts future by leading major investment
programmes, leveraging commercial opportunities to generate income that
supports NHS care, and ensuring the estate is fit for 21st-century healthcare.
The post holder will be instrumental in driving value, efficiency and
innovation, while upholding the Trusts strategic direction and values.
Please see attached job description and person specification for this role.
Job description
Job responsibilities
The
Chief Finance Officer (CFO) is an executive director of the Trust Board and a
key member of the Trusts Executive team. They are accountable for the
stewardship of the Trusts financial resources, ensuring long-term financial
sustainability while enabling the delivery of high-quality clinical care and
strategic objectives. This role extends beyond traditional finance leadership
to include executive responsibility for the Trusts commercial
strategyparticularly the development and expansion of private patient
servicesand executive oversight of the estates portfolio, with a focus on
delivering an ambitious estates redevelopment programme.
The CFO will
play a pivotal role in shaping the Trusts future by leading major investment
programmes, leveraging commercial opportunities to generate income that
supports NHS care, and ensuring the estate is fit for 21st-century healthcare.
The post holder will be instrumental in driving value, efficiency and
innovation, while upholding the Trusts strategic direction and values.
Please see attached job description and person specification for this role.
Person Specification
Qualifications
Essential
- Fully qualified accountant (e.g. CIPFA, ACA, ACCA, CIMA) with significant post-qualification experience at Board or sub-board level in a large, complex organisation, preferably in the NHS or public sector.
- Deep understanding of NHS finance frameworks, business planning, contracting, and capital investment processes.
Desirable
- Experience of system-level influencing (e.g. ICB, NHSE, regional capital forums).
- MBA or relevant postgraduate qualification. Experience in both NHS and commercial/private sectors.
Experience
Essential
- Exceptional interpersonal and influencing skills, with a proven ability to communicate complex financial and strategic information clearly to a wide range of audiences including Board members, clinical teams, regulators, and external partners. Able to lead through influence and collaboration.
- Advanced analytical and critical thinking skills. Ability to assess financial and non-financial risks, lead investment appraisals, and make sound judgements in ambiguous situations.
- Highly proficient in Excel and financial modelling tools. Familiar with digital systems for financial and estates management.
Desirable
- Experience of applying financial and commercial analysis to strategic decision-making.
- Experience of delivering large-scale estate transformation or major commercial initiatives.
- Involvement in policy development at system or national level.
- Experience in developing business cases for R&D investment or health-tech innovation.
Person Specification
Qualifications
Essential
- Fully qualified accountant (e.g. CIPFA, ACA, ACCA, CIMA) with significant post-qualification experience at Board or sub-board level in a large, complex organisation, preferably in the NHS or public sector.
- Deep understanding of NHS finance frameworks, business planning, contracting, and capital investment processes.
Desirable
- Experience of system-level influencing (e.g. ICB, NHSE, regional capital forums).
- MBA or relevant postgraduate qualification. Experience in both NHS and commercial/private sectors.
Experience
Essential
- Exceptional interpersonal and influencing skills, with a proven ability to communicate complex financial and strategic information clearly to a wide range of audiences including Board members, clinical teams, regulators, and external partners. Able to lead through influence and collaboration.
- Advanced analytical and critical thinking skills. Ability to assess financial and non-financial risks, lead investment appraisals, and make sound judgements in ambiguous situations.
- Highly proficient in Excel and financial modelling tools. Familiar with digital systems for financial and estates management.
Desirable
- Experience of applying financial and commercial analysis to strategic decision-making.
- Experience of delivering large-scale estate transformation or major commercial initiatives.
- Involvement in policy development at system or national level.
- Experience in developing business cases for R&D investment or health-tech innovation.
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.
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).
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.
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).
