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Job overview
GESH Hospital Group | Financial Accounts*
This senior leadership role heads the Capital Accounting function across the GESH Hospital Group, taking responsibility for the accurate recording, reporting, and governance of all capital expenditure, fixed assets, leases, and charitable funds in line with IFRS, NHS policy, and GESH's Standing Financial Instructions.
The postholder provides expert technical advice to senior managers and operational teams, leads the capital sections of the annual accounts, manages internal and external audit processes, and plays a key role in annual capital planning and budgeting. The role also covers IFRS 16 lease accounting, PDC and capital funding advice, and monthly external returns to NHS regulators
A significant element of the role involves managing and developing the Capital Accounting Team, driving continuous improvement in systems, processes, and reporting, and deputising for the Group Head of Technical Accounts when required.
**Ideal candidates** will be fully CCAB or CIMA qualified, with substantial post-qualification experience in capital or financial accounting within a large, complex organisation, strong technical knowledge of IFRS and NHS financial frameworks, and proven team leadership skills. NHS experience is desirable.
Main duties of the job
- Lead the development, implementation, and continuous improvement of capital accounting policies and procedures in line with GESH’s Standing Financial Instructions (SFIs), accounting standards, and national NHS guidance.
- Provide expert advice and professional oversight for all aspects of capital and fixed-asset accounting across GESH, ensuring consistent and compliant application of financial policies.
- Oversee the accounting and reporting of all capital projects, fixed assets, leases, and charitable funds, ensuring compliance with IFRS and NHS policy frameworks.
- Support GESH subsidiaries by providing technical guidance, implementing regulatory or system changes, and ensuring that robust governance and financial controls are maintained.
- Play a leading role in the annual capital planning and budgeting cycle, liaising with senior stakeholders across Estates, Infrastructure, IT, Medical Physics, and other operational teams to ensure realistic, evidence-based capital plans.
- Advise on sources of capital funding, including public dividend capital (PDC), lease financing, and managed service contracts, ensuring that accounting treatment and business-case assumptions comply with IFRS 16 and NHS Improvement requirements.
- Produce accurate and timely capital sections of the annual financial statements and monthly external returns, ensuring all audit requirements and reporting deadlines are met.
Detailed job description and main responsibilities
- ***For further information on this post please refer to the attached Job Description and Person Specification***
Person specification
Skills
Essential
- Excellent analytical, problem-solving, and organisational skills.
- Strong communication skills with the ability to explain complex financial information to nonfinancial staff.
- Proficient user of financial systems and advanced Excel skills.
- Proven ability to manage deadlines and prioritise competing demands.
- Demonstrable leadership, motivation, and coaching skills.
Desirable
- Experience of leading system improvement or implementation projects.
- Ability to influence and negotiate effectively across senior levels.
Knowledge
Essential
- Strong understanding of financial and management accounting principles.
- In-depth knowledge of capital accounting, fixed asset management, and financial reporting standards (including IFRS and NHS guidance)
- Awareness of governance, audit, and financial control frameworks.
Desirable
- Detailed understanding of NHS financial regimes, capital planning, and audit requirements.
- Knowledge of financial system development and automation within a publicsector context.
Qualifications
Essential
- Fully qualified CCAB or CIMA accountant, or equivalent professional qualification.
- Evidence of continued professional development (CPD).
Desirable
- Educated to master’s degree level or equivalent experience.
- Management or leadership qualification.
Training & Experience
Essential
- Significant post-qualification experience in financial or capital accounting within a large and complex organisation.
- Proven experience managing or leading a finance team.
- Experience in preparing statutory accounts, external returns, and audit documentation.
- Strong technical background in reconciliations, reporting, and financial analysis.
Desirable
- Experience gained within the NHS or a large publicsector organisation.
- Experience working with multiple stakeholders and complex reporting structures.
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Applying for this NHS job
This advert is for Group Senior Finance Manager- Capital Accounting with St George's University Hospitals NHS Foundation Trust in London, London, England. It is listed as a Band 8 Manager and corporate role. The advertised salary is £66,274 - £73,496 pa. The contract type is Permanent. The application deadline is 25 Jun 2026.
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