Head of Financial Strategy and Business Development

Job overview

Are you an experienced senior finance professional ready to shape the future of healthcare services in East Sussex? We are seeking an outstanding senior finance leader to join East Sussex Healthcare NHS Trust as our Head of Financial Strategy and Business Development. This is a pivotal role in driving our Trust’s strategic, financial, and service planning agenda.

This is a high‑impact leadership position working at the heart of our Finance Directorate. You will lead the development of robust business cases, own the Trust’s medium-term financial plan, and oversee costing and service line reporting-ensuring our resources are aligned to deliver excellent patient care and long‑term sustainability.

Why Join ESHT?

You’ll be part of a forward‑thinking and supportive Finance leadership team, playing a central role in shaping future clinical and financial sustainability for services across East Sussex. We offer flexible working, professional development opportunities, and the ability to make a tangible impact on patient care.

If you’re an experienced senior finance professional looking for a strategic leadership role with real influence and you’re passionate about driving financial and strategic excellence in healthcare, we’d love to hear from you.

Main duties of the job

About the Role

As a senior member of the Finance Directorate, you will lead three critical areas:

Business Development

• Provide expert technical advice, training, and governance on service development proposals.
• Lead or coordinate major strategic business cases, working closely with the Strategy & Transformation Directorate.

Financial Strategy

• Lead development of the Trust’s Medium-Term Financial Plan.
• Shape the financial components of major business cases and trust-wide strategic initiatives.
• Lead the Trust’s costing and service line reporting (SLR) function, supporting informed decision-making across the organisation.
• Drive complex financial modelling and scenario planning

Business Planning

• Lead the Trust’s annual business planning cycle, designing the approach, templates, analysis and governance.

What We’re Looking For

• A CCAB‑qualified accountant with significant post‑qualification experience.
• Proven experience in senior NHS finance, complex financial planning, and business case development.

• Strong analytical, communication and influencing skills — able to translate highly complex financial information into compelling insights.
• A collaborative leader with experience developing teams and driving organisation‑wide change.

• Expertise in developing complex or strategic business cases, financial planning, costing and service line reporting.

Detailed job description and main responsibilities

Please refer to the job description attached.

If you have any questions about this position please do not hesitate to contact us.