Visa sponsorship Home Office sponsor register · Skilled Worker route

This role is listed by an employer that holds a live Home Office sponsor licence on the Skilled Worker route.

Salary for this role£94,356 – £108,814 a year

Health and Care route minimum£25,000 a year

Pay basisNational pay scales (NHS bands)

NHS roles fall under the Health and Care Worker route. Salaries set by national pay scales (NHS bands) at or above the relevant band rate typically meet the occupation's requirement.

Closest occupation match: SOC 1131, Financial managers and directors. Home Office going rate for this occupation: £75,100 a year.

Individual eligibility depends on personal circumstances. These figures are public reference information, not advice or a verdict on this job.

Role description

Job summary

NHS England Midlands works with 40 NHS providers, five ICB clusters and national NHS and DHSC teams. It provides strategic leadership to deliver reform and transformation under the NHS 10-Year Health Plan. It also oversees regional performance across finance, quality, access, productivity, and population health.

The NHS Midlands Finance team collaborates with partners to lead the development and delivery of revenue and capital plans. It oversees provider and ICB budgets, assesses financial risks, supports organisations facing challenges, shares good practice and takes regulatory action when needed.

Main duties of the job

We are seeking a qualified accountant with senior finance experience in the NHS or a related public healthcare organisation to join our Midlands Operational Finance Directorate.

You will work with senior NHS England and local system leaders to oversee financial performance and improvement. You will provide clear financial advice, lead regional planning, monitor performance, and manage risks. You will also work with providers, ICBs and national finance leads to deliver NHS priorities and support action when needed.

You will join an experienced and supportive regional finance team working on major NHS financial, operational, and strategic challenges. The role covers system leadership, financial recovery, planning, business cases, regulation, productivity, transformation, and improvement.

The role offers broad experience and supports progression to more senior NHS finance leadership roles. You will make finance a trusted partner to clinical and operational colleagues. We are looking for someone with relevant financial experience who has led finance teams and has a strong commitment to NHS values and purpose.

About us

NHS England has a wide range of statutory functions, responsibilities and regulatory powers. These are focused on supporting the wider NHS to deliver high quality care, as well as doing those things that are best done once for the whole NHS.

Our staff bring expertise across clinical, operational, commissioning, technology, data science, cyber security, software engineering, education, and commercial specialisms -- enabling us to design and deliver high-quality NHS services.

In March 2025, the Government announced that NHS England and the Department of Health and Social Care will increasingly merge functions, ultimately leading to NHS England being fully integrated into the department.

If you currently work within the NHS and if successful at interview, we will initiate an Inter Authority Transfer (IAT) via the Electronic Staff Record (ESR).This retrieves key data from your current or previous NHS employer to support onboarding, including competency status, Continuous Service Dates (CSD), and annual leave entitlement. You may opt out at any stage of the process.

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

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

We cannot offer visa sponsorship for any vacancies.

Date posted

14 October 2026

Pay scheme

Agenda for change

Band

Band 8d

Salary

£94,356 to £108,814 a year Per annum

Contract

Permanent

Working pattern

Full-time, Part-time, Job share, Flexible working

Reference number

990-MID-EC5991-E

Job locations

Any NHSE Office in Midlands Region

Birmingham

B2 4HQ

United Kingdom

Job description

Job responsibilities

You can find further details about the role, including key responsibilities and accountabilities, alongside the organisational structure and person specification in the attached Job Description and other supporting documents.

For further details / informal visits contact: nicola.hollins@nhs.net

Person Specification

Qualifications

Essential

CCAB or CIMA qualified with extensive experience, full up to date membership and continuing professional development.
Educated to Masters level or equivalent level or equivalent experience of working at a senior level in specialist area.

Knowledge and experience

Essential

Experience at Senior Finance level in the NHS or other public healthcare related industry
Knowledge and experience of current NHS financial frameworks, targets and regimes - provider and commissioner.
Interact, influence and persuade key leaders within organisations to ensure delivery of the financial strategy and in year performance
Subject matter expertise across a number of key areas relating to all aspects of financial governance such as internal audit, counter fraud and internal control and risk management systems
Significant experience of large scale short, medium and long-term planning and performance management processes - supporting both organisations which are succeeding and those which are failing.
Demonstrable experience of managing and prioritising a large budget with solid working knowledge of financial process requirements.
Experience and/or understanding of the UK Health Economy.
Commercially aware, with significant expertise in such as areas as contract management, investment appraisal

Skills Capabilities & Attributes

Essential

Ability to communicate effectively with clinical, academic and all levels of staff High level analytical skills and the ability to draw qualitative and quantitative data from a wide range of sources and present in a clear concise manner.
Demonstrates sound judgement in the absence of clear guidelines or precedent, seeking advice as necessary from more senior management when appropriate.
Highly developed communication skills with the ability to communicate on highly complex matters and difficult situations.
Ability to demonstrate a high level of expertise in providing senior leadership Ability to work on own initiative and organise workload, allocating work as necessary, working to tight and often changing deadlines.
Ability to provide and receive, convey and present highly complex, sensitive and/or contentious information to large groups, responding openly to questions to ensure full understanding and engagement.
Ability to travel across sites where required

Values and behaviours

Essential

Ability to operate in a value-driven style consistent with the values of the public services and specifically with the new organisational values
Works across boundaries, looks for collective success, listens, involves, respects and learns from the contribution of others
Demonstrates honesty and integrity and promotes organisational values.