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Senior Accountant (Technical) @ NHS Cornwall and Isles of Scilly Integrated Care Board

Bodmin, England, GBHybridFull-timeJob reference D9471-26-0005
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About this role

Job summary

NHS Cornwall and Isles of Scilly and NHS Devon are responsible for planning, funding and improving NHS services for the people of Devon, Plymouth, Torbay, Cornwall and the Isles of Scilly.

With an annual budget of around £5 billion, our purpose is to improve health, tackle inequalities and ensure services remain sustainable for future generations.

Since 2025, our two organisations have been working together, with a shared board, leadership team and staffing structure. While both ICBs remain separate statutory organisations, we operate as a single team to address some of the biggest challenges facing health and care across the peninsula.

At the heart of our work is partnership. We work closely with NHS trusts, primary care, local authorities, universities, the voluntary, community and social enterprise (VCSE) sector, and many others to develop local services.

We also involve people with lived experience to shape services around the needs of communities across Devon, Cornwall and the Isles of Scilly. Through these partnerships, we support innovation, improve access to care and help create healthier places where people can thrive.

Covering a diverse geography of cities, towns, rural communities and island populations, we stand together with a shared purpose: to improve the health and wellbeing of the people we serve.

Main duties of the job

The Finance directorate plays a pivotal role in ensuring robust financial stewardship and supporting digital transformation.

The directorate will contribute to the cluster's strategic direction, drive system-wide transformation, and champion collaboration across sectors and geographies. It provides financial, contracting, procurement and infrastructure leadership to deliver the greatest value, quality and impact for the population. It also develops insights into the cost behaviour and value achieved from commissioning services to inform strategy and the better allocation of resources.

As part of this role, there will be a requirement to work in a matrix and flexible way across multiple areas/teams to support business needs. The objectives of the role will be regularly reviewed to align to organisational priorities.

About us

We're looking for people who share our commitment to improving health, reducing inequalities and making the best use of public resources.

Whatever your role, you'll be working alongside colleagues, partners and communities to help shape how health and care services are planned and delivered.

We offer the opportunity to work across a large and diverse geography, drawing on the expertise of colleagues from across the peninsula and collaborating with a wide range of NHS, local authority, voluntary sector and community partners.

We are committed to creating an inclusive workplace where everyone feels respected, supported and able to contribute.

We offer flexible and hybrid working arrangements, opportunities for personal and professional development, and access to a range of NHS employee benefits, wellbeing support and the NHS Pension Scheme.

Job description

Job responsibilities

Please refer to the Job description for more details regarding this post

Specific duties include but are not limited to:

Advise on the treatment of complex financial arrangements and implications of any taxes(e.g. VAT, PAYE). Provide advice and alternative solutions to ensure the ICB optimises anytax impact.

Responsible for ensuring the delivery of the ICBs Statutory Annual Accounts, meeting all Audit requirements and Accounting Standards and ensuring that they provide a true and fair view.

Prepare monthly (and adhoc) financial monitoring returns are submitted to NHSE in line with notified deadlines.

Co-ordinate the inclusion of provider data into the system financial returns and summarise system financial position.

Ensure that the ICBs financial governance policies are kept up to date and relevant making recommendations where appropriate. Interpret and take account of national guidance where relevant.

Manage the financial reporting team including matters of staff wellbeing.

Ensure standing operating procedures are kept up to date and are reviewed at least annually.

Be prime interface with internal and external audit ensuring that auditor are able to accessthe records that they need in order to deliver their fieldwork; draft recommendations in response to matters arising from audits.

Overall lead for CIP reporting and design and delivery lead for relevant budget area.

Working where necessary across other teams to co-ordinate the planning, delivery, measurement and reporting of CIP for the ICB.

Management of the ICB reported risk position working with other teams where necessary.

Person Specification

Qualifications

Essential

  • Educated to masters' level or equivalent level of experience of working at a senior level in specialist area.
  • Evidence of continued professional development.
  • Qualified CCAB accountant.
  • Member of relevant professional bodies, if applicable.

Knolwedge and skills

Essential

  • Extensive knowledge of specialist areas, acquired through a post graduate qualification or equivalent experience or training.
  • Must have an understanding of the background to and aims of current healthcare policy and appreciate the implications of this.
  • Ability to support the budget setting for a number of teams/services across a directorate.
  • A strong understanding of the relationship between NHS organisations and wider system, regional and national organisations.
  • Good communication skills for delivering key messages to a range of stakeholders both internal and external (including outside the NHS) to the organisation, some at very senior level.
  • Ability to use informed persuasion to influence and negotiate on difficult and controversial issues including performance and change.
  • Must be able to provide and receive highly complex, sensitive or contentious information, negotiate with senior stakeholders on difficult and controversial issues, and present complex and sensitive information to large and influential groups.
  • Ability to produce and present concise yet insightful communications on highly complex matters for dissemination to senior stakeholders and a broad range of stakeholders as required.
  • Skills for nurturing key relationships and maintaining networks.
  • Ability to identify risks, anticipate issues and create solutions and to resolve problems in relation to project or service delivery.

Experience

Essential

  • Significant experience of successfully operating in a politically sensitive environment.
  • Significant experience of co-ordinating projects in highly complex and challenging environments.
  • Experience of managing risks and reporting.
  • Evidence of success in efficient and effective project and programme management.
  • Experience of developing briefing papers and correspondence at SLT or chief officer level.
  • Experience of monitoring budgets and business planning processes.
  • Evidence of continued professional development.
  • Experience of identifying and interpreting National policy.
  • Experience of researching best practice (globally, private and public sector), interpreting its relevance and processes/ practices which could be implemented successfully to achieve improved performance (advising on policy implementation, where applicable).
  • Evidence of planning and delivering programmes and projects and services on time.
  • Comprehensive experience of project principles techniques and managing successful projects.
  • Experience of managing often complex situations and effectively motivating a team and reviewing performance of the individuals.
  • Experience of identifying and interpreting National policy and leading implementation.
  • Adept at dealing with high uncertainty and frequent change, showing exceptional adaptability and flexibility.

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

NHS Cornwall and Isles of Scilly Integrated Care Board

Address

Exeter / Bodmin / Truro

Bodmin

PL31 2FR

United Kingdom

Employer's website

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

Skills

HealthcarePermanentNHS

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