Senior Finance Manager

Go back East and North Hertfordshire Teaching NHS Trust

The closing date is 16 February 2026

We are recruiting a Senior Finance Manager who will lead the delivery of a comprehensive financial management and business partnering service for a significant & complex portfolio within East and North Teaching Hertfordshire NHS Trust. The role will provide high-quality, timely, & insightful financial reporting & analysis on both a monthly & ad hoc basis, enabling effective decision-making at Divisional, Trust, and Executive level.

You will support a large, operationally complex Division comprising surgical specialties & clinical support services. A core element of the role will be to apply strong commercial & analytical skills to understand the relationship between activity, income, & cost drivers, supporting the optimisation of income streams & the effective management of expenditure.

The role will play a key part in supporting service development, transformation, major change programmes, providing senior financial business expertise to assess affordability, value for money, and financial risk. The post holder will ensure that business cases, investment proposals, & transformation plans are financially robust, deliverable, and aligned with the Trust's financial strategy and wider NHS regulatory framework.

This role would particularly suit a candidate with strong commercial or corporate finance experience who is motivated to apply their skills within a complex, purpose-driven NHS environment.

The post holder will be a senior member of the Trust's Finance Directorate, providing strategic and operational financial leadership to support the delivery of high-quality, safe and sustainable patient care within a complex acute hospital environment.

The post holder will work closely with senior clinical & operational leaders, acting as a trusted advisor and strategic partner to drive financial performance and service sustainability.

The Senior Finance Manager will lead on the development, delivery and monitoring of robust financial plans aligned to Trust strategy, national NHS priorities and regulatory requirements. They will provide expert financial advice to Executive Directors, Divisional Leadership Teams and senior clinical leaders, influencing decision-making at the highest level.

The role is responsible for ensuring strong financial governance, control and performance management across designated portfolios, including oversight of budgets, forecasting, cost improvement programmes (CIPs), business cases and long‑term financial planning. The post holder will play a key role in driving financial recovery, productivity and value for money, balancing financial sustainability with service quality and patient outcomes.

The post holder will be expected to operate with a high degree of autonomy, exercising sound judgement in complex and often ambiguous situations, and contributing to the overall strategic leadership of the Trust.

At East and North Hertfordshire Teaching NHS Trust, we are proud of the range of general and specialist services we provide and our 6,000 or so dedicated staff ensure our patients get the best care. Our ability to be flexible and innovative in the way in which we work and deliver our services to our catchment has never been more important than it is now.

We run the following hospitals:

• The Lister Hospital, Stevenage
• New Queen Elizabeth II (New QEII), Welwyn Garden City
• Hertford County, Hertford

We have ambitious plans to become an outstanding, patient‑led Trust where dedicated staff provide high‑quality, compassionate care to our patients. We continue to undergo significant transformation and our staff and patients are at the heart of delivering this ambitious agenda.

We are committed to a positive work life balance for our employees. This means that any employee is entitled to seek to work flexible working patterns and we are committed to listen and consider all requests. Such requests, of course, have to be made and considered formally, and will need to be balanced against service needs, but our starting point will always be to find ways to…