Senior Accountant (Technical) in Bodmin

Job overview

NHS Cornwall and Isles of Scilly and NHS Devon are responsible for planning, funding and improving NHS services for the people of Devon, Plymouth, Torbay, Cornwall and the Isles of Scilly.

With an annual budget of around £5 billion, our purpose is to improve health, tackle inequalities and ensure services remain sustainable for future generations.

Since 2025, our two organisations have been working together, with a shared board, leadership team and staffing structure. While both ICBs remain separate statutory organisations, we operate as a single team to address some of the biggest challenges facing health and care across the peninsula.

At the heart of our work is partnership. We work closely with NHS trusts, primary care, local authorities, universities, the voluntary, community and social enterprise (VCSE) sector, and many others to develop local services.

We also involve people with lived experience to shape services around the needs of communities across Devon, Cornwall and the Isles of Scilly. Through these partnerships, we support innovation, improve access to care and help create healthier places where people can thrive.

Covering a diverse geography of cities, towns, rural communities and island populations, we stand together with a shared purpose: to improve the health and wellbeing of the people we serve.

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The Finance directorate plays a pivotal role in ensuring robust financial stewardship and supporting digital transformation.

The directorate will contribute to the cluster’s strategic direction, drive system-wide transformation, and champion collaboration across sectors and geographies. It provides financial, contracting, procurement and infrastructure leadership to deliver the greatest value, quality and impact for the population. It also develops insights into the cost behaviour and value achieved from commissioning services to inform strategy and the better allocation of resources.

As part of this role, there will be a requirement to work in a matrix and flexible way across multiple areas/teams to support business needs. The objectives of the role will be regularly reviewed to align to organisational priorities.

Working for our organisation

We’re looking for people who share our commitment to improving health, reducing inequalities and making the best use of public resources.

Whatever your role, you'll be working alongside colleagues, partners and communities to help shape how health and care services are planned and delivered.

We offer the opportunity to work across a large and diverse geography, drawing on the expertise of colleagues from across the peninsula and collaborating with a wide range of NHS, local authority, voluntary sector and community partners.

We are committed to creating an inclusive workplace where everyone feels respected, supported and able to contribute.

We offer flexible and hybrid working arrangements, opportunities for personal and professional development, and access to a range of NHS employee benefits, wellbeing support and the NHS Pension Scheme.

Detailed job description and main responsibilities

Please refer to the Job description for more details regarding this post

Specific duties include but are not limited to:

Advise on the treatment of complex financial arrangements and implications of any taxes(e.g. VAT, PAYE). Provide advice and alternative solutions to ensure the ICB optimises any tax impact.

Responsible for ensuring the delivery of the ICB’s Statutory Annual Accounts, meeting all Audit requirements and Accounting Standards and ensuring that they provide a ‘true and fair view’.

Prepare monthly (and adhoc) financial monitoring returns are submitted to NHSE in line with notified deadlines.

Co-ordinate the inclusion of provider data into the system financial returns and summarise system financial position.

Ensure that the ICBs financial governance policies are kept up to date and relevant –making recommendations where appropriate. Interpret and take account of national guidance where relevant.

Manage the financial reporting team including matters of staff wellbeing.

Ensure standing operating procedures are kept up to date and are reviewed at least annually.

Be prime interface with internal and external audit ensuring that auditor are able to accessthe records that they need in order to deliver their fieldwork; draft recommendations in response to matters arising from audits.

Overall lead for CIP reporting and design and delivery lead for relevant budget area.

Working where necessary across other teams to co-ordinate the planning, delivery, measurement and reporting of CIP for the ICB.

Management of the ICB reported risk position working with other teams where necessary.