Senior Management Accountant (Sponsorship Available) at Guy’s and St Thomas’ NHS Foundation Trust

Employer: Guy’s and St Thomas’ NHS Foundation Trust
Job Title: Senior Management Accountant
Location: London, United Kingdom
Salary: £56,276 to £63,176 a year
Job Type: Full-time
Closing Date: 24 February 2026

Job Summary

NHS London Procurement Partnership (LPP) supports NHS organisations to achieve best value and efficiency through collaborative procurement, strategic sourcing and commercial innovation. The Senior Management Accountant plays a pivotal role in delivering high-quality financial management, strategic analysis and reporting to support effective decision-making across the partnership, working closely with the Senior Finance Manager, Finance Manager and Category Leads.

The post holder will provide expert financial advice, produce management accounts and ensure robust budgetary control and forecasting. The role ensures financial integrity, compliance with Standing Financial Instructions (SFIs), and contributes to strategic financial planning to support the organisation’s objectives.

Main Duties of the Job

Lead the preparation of annual budgets, monthly forecasts and long-term financial plans, producing timely management accounts with clear variance analysis and commentary.

Act as the principal finance partner to designated budget holders, providing expert financial advice, challenge and support on budgets, forecasts, business plans, service developments, cost improvement schemes and option appraisals.

Proactively identify financial risks, cost pressures and savings opportunities, producing robust financial modelling and scenario analysis to support strategic and operational decision-making.

Ensure effective budgetary control through regular monitoring of income and expenditure, maintenance of pay and non-pay budgets, and accurate posting of budgets, actuals, accruals and adjustments to the general ledger.

Prepare and present clear financial reports to non-financial managers, senior leaders and external stakeholders, supporting Executive, Board and regulatory reporting requirements.

Support income management, cashflow forecasting and procurement activity, ensuring strong financial governance, contract oversight and maximisation of commercial return.

Ensure compliance with Standing Financial Instructions, accounting policies and audit requirements, maintaining strong internal controls, risk management and audit trails.

About NHS London Procurement Partnership (LPP)

As an organisation NHS LPP has been hosted by Guy’s & St Thomas’ (GSTT) NHS Foundation Trust since 2012 and provides the legal framework and supporting services under which NHS LPP operates. However, NHS LPP is a membership organisation funded and governed by its members and not GSTT. NHS LPP staff are employed by GSTT.

NHS LPP develops and manages collaborative procurement projects on behalf of its members including acute, community and mental health trusts, as well as CCGs. NHS LPP has a number of members outside of London. This role requires the postholder to manage collaborative procurement within the normal NHS membership but also working with other public sector bodies, advising and managing their procurement processes to deliver benefit to the wider public sector.

The organisation will continue to develop as a centre of commercial excellence that delivers significant and sustainable cost and service improvements to all stakeholders primarily in the London NHS economy but also outside London.

NHS LPP are Proud to be accredited for disability awareness & Investors in People

Job Responsibilities

The production of monthly budget statements and reports for Internal teams

Production of financial forecasts on a monthly basis. This will require a proactive approach to capture actions to address variations from plan, cost pressures and savings opportunities. This will require the ability to assess and form opinions around risk.

Provide financial costings and advice to budget holders in the preparation of Business Plans, proposals for service reconfigurations, service developments, option appraisals and cost improvement schemes.

Ensure that regular communication takes place at the appropriate forums with budget holders with regard to financial issues. This may involve the presentation of both written and oral reports to groups of non-financial managers.

Confirmation of budget during recruitment processes, Variance analyses to ascertain reasons for over and underspends

Budget and actuals uploads onto the Financial General Ledger

Being a part of the annual Business Planning and Budget-setting process

Maintain Pay budgets, and update as required

Any other financial work as required

Work with budget-holders, as well as colleagues within Finance

To deputise, as required, for the Finance Manager of NHS LPP

To undertake other duties as required by the Senior Finance Manager and Finance Manager of NHS LPP

See accompanying Job Description and Person Specification documents for more details.

Person Specification

Qualifications

Essential

Educated to degree level or equivalent knowledge.

CCAB part-qualified or fully qualified accountant (e.g. ACCA, CIMA, CIPFA) or equivalent experience in financial management.

Evidence of continuing professional development relevant to finance and management accounting including budget setting, monitoring, forecasting and variance analysis.

Prince 2 practitioner qualified- or use of similar structured project management methodologies

Desirable

Experience of Project Management

Knowledge of Accounting Standards

Experience

Essential

Considerable relevant experience in a senior administrative position, preferably within the NHS

Demonstrable business, office and facilities management experience.

Experience of managing staff

Practical experience and track record in project management work and in planning and performance reporting across a complex environment.

Desirable

Previous senior administrative experience in other sectors

Experience of procurement or financial management in the NHS

Skills

Essential

Strong administrative management skills in communication, team working and negotiation

Good organisational skills used in planning the work priorities of others

Extensive knowledge of financial management and high level of financial literacy and numeracy.

Highly developed analytical skills with the ability to deal with, analyse and interpret highly complex

Ability to manage and deliver to deadlines and within resources.

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

How to Apply

If this opportunity interests you, head to the company’s official website for full details — click here to submit your application.