Directorate Accountant

Directorate Accountant (Income)

The closing date is 05 July 2026

This is an exciting opportunity for a motivated and skilled finance professional to join our Income team. As a large tertiary centre, Newcastle Hospitals delivers a wide range of specialised and core services, creating a complex income landscape where you can develop expertise and make a real impact.

Working within a large NHS organisation, you will play a key role in delivering a high‑quality income accounting service, supporting the Trust's c £1.7bn income plan. You will lead on monthly income reporting and contract monitoring, turning data into clear, accurate insight to support operational and strategic decision‑making.

As line manager you will lead the day‑to‑day running of the Income team, support and develop staff, and build strong, trusted relationships with financial and operational colleagues. You will contribute to income planning, forecasting and contract negotiations, helping to maximise income and strengthen financial performance.

We are looking for someone with strong technical accounting skills, experience in a complex organisation, and the ability to interpret and communicate complex financial information. Knowledge of the NHS finance regime and income systems (e.g. SLAM) would be advantageous.

• Lead and manage a small team, supporting performance, development and workload planning
• Oversee month‑end and year‑end processes, ensuring accurate and timely income reporting
• Produce and review financial and activity reports, including contract monitoring and key reconciliations
• Support the preparation of forecasts, budgets and the annual income plan
• Provide expert advice to corporate and operational stakeholders, identifying risks and opportunities
• Liaise with external organisations to resolve income queries, support contract management and improve cash flow
• Contribute to the development and improvement of income processes, systems and reporting
• Support Trust‑wide financial initiatives and respond to national policy and income guidance
• Ensure strong financial controls and data quality across income systems and reporting
• Deputise for the Income and Cost Accountant as required

• Ensure delivery of a high‑quality Income Accounting service
• Produce accurate, timely and appropriate monthly financial and performance management information for the Income/Contracts department
• Produce monthly activity and finance performance information (Contract Monitoring) to the highest quality, including validations and reconciliations
• Lead support in the annual development of the Trust Income plan of c £1.7bn, including complex financial modelling using SLAM
• Contribute to statutory and mandatory reporting requirements, ensuring adherence to Trust policies, governance guidelines and national standards
• Support negotiation with NHS/external organisations over invoicing/income issues, resolving disputes to facilitate payment and improve cash‑flow
• Support the development of the finance function in response to national policy drivers (e.g. Healthcare funding, overseas visitors, counting and coding requirements)
• Liaise with internal and external auditors to address queries and issues
• Maximise Trust Income through effective planning, forecasting and negotiation of activity plans, prices and contract terms
• Contribute to the planning, development and implementation of financial and operational IT systems (e.g. Civica suite, Ledger, SLAM)
• Maintain financial and information systems for accurate healthcare income and activity information to inform Trust‑wide and divisional decision‑making
• Review systems, processes and controls to ensure they are fit for purpose, identify risk areas and develop rectification plans
• Facilitate service line reporting by identifying income at the patient level and integrating it into the reporting framework
• Coordinate finance staff in the Income team on specific projects, providing technical training and delegating work
• Lead the day‑to‑day running of the Income Team, acting as a line of enquiry for staff
• Lead on the training, development and performance of the staff within the team
• Lead on other projects or…