Detailed job description and main responsibilities

The CFO will provide dynamic, visible, strategic leadership to ensure that the ICBs deliver on their statutory financial duties and demonstrate clear value for money against the
allocated population-health budget to maximise improvements in health access, experience and outcomes. They will act as a steward of public money, securing financial balance and measurable return on investment in population-health outcomes
A pivotal element of the role is to cultivate a financially sustainable provider market, rapidly aligning funding to outcome-linked service specifications and oversee sophisticated cost-and-outcome analytics to assure that commissioning services maximise healthcare value.
The CFO portfolio includes executive leadership for:
• Financial strategy and planning
• Financial management and accounting
• Procuring services to deliver against the ICBs objectives and the three shifts
• Contract management to hold providers to account for delivery
• Corporate governance.
The CFO will be corporately accountable to the ICB Chief Executive and professionally accountable to the Regional Finance Director of NHS England.

Corporate executive responsibilities

As a member of the executive team and unitary board of a strategic commissioning organisation the CFO will have a shared purpose and corporate responsibility for developing and delivering the four functions of the national Model ICB 
Each member of the executive team will work together to balance the need for successful delivery across the following four local transition priorities:
1. Delivering in-year plans for finance, quality and performance
2. Establishing the new model ICB and supporting staff through change
3. Developing medium term strategic commissioning plans to deliver the three shifts, with an initial focus on neighbourhood services
4. Creating the environment, conditions and relationships across the systems, places and neighbourhoods to enable partners to lead and deliver.
In order to provide visible and consistent senior leadership to local partnership working, each of the Chief Officers will be aligned to work with one of the five local authority Places through Health and Wellbeing Board etc arrangements.

Role specific portfolio responsibilities

The CFO will be accountable for leading the finance function and matrix working across the organisation to achieve the core purposes of the ICB and contribute to the ambitions of the 10 Year Plan:
• Setting overall financial strategy for the Cluster to inform allocation of resources based on improving population outcomes
• Developing the ICBs annual financial plan within allocated resources to deliver financial balance
• Building the capability for a deep understanding of productivity/unit costs through bottom-up health economic analytics
• Aligning funding with need and impact using actuarial models and bottom-up costing (“should cost principles”)
• Shaping the market through strategic purchasing and development of new payment mechanisms
• Allocating and managing resources through outcome-based contracts
• Ensuring robust and transparent arrangements across the ICBs for financial control, management, accounting and reporting
• Ensure effective governance mechanisms for anticipating, identifying, mitigating and reporting on key financial risks
• Manage internal financial plan delivery PMO function
• Establishing and maintaining effective and proportionate frameworks for oversight of shared services, joint commissioning and delegated budgets
• Managing the ICBs internal corporate governance functions, including office management and health and safety
• Leading on internal and external audit, and fraud
• Acting as the SIRO for the ICBs

Key working relationships

The CFO will be a highly effective communicator operating confidently and adaptably in demanding environments and take a lead in proactively engaging with all system partners and stakeholders.
In particular, they will be required to develop and maintain strong and effective working relationships with the following as appropriate with the CFO role:
• Colleagues within the ICB Cluster executive team
• Non-Executive and Partner Members of the ICB Boards
• Staff across the ICB directorates
• Staff in CSU / shared service and hosted functions
• Commissioning partners in local government, other ICBs across the East and West Midlands, and NHS England
• Providers of commissioned services in NHS trusts, primary care, independent sector, and voluntary sector organisations
• Managerial and clinical leadership of place, collaborative and neighbourhood arrangements across LNR
• Senior professional networks locally, regionally and nationally
• External regulators (e.g. NHS England regional/national teams, CQC)
• Local statutory and partnership forums (e.g. Integrated Care Partnerships, Health and Wellbeing Boards, Health Scrutiny Committees)
• Public and patient networks and forums

Supplementary duties

Reflecting the senior executive nature of the role, the above is only an outline of the roles and responsibilities required of the role. The job holder will carry out other duties as may be reasonably required by the organisation commensurate with the level of the post. In addition, the post holder much at all times have due regard for the organisations policies and procedures relating to the following duties:
• Health and safety
• Data protection and confidentiality
• All age safeguarding
• Equality, diversity and inclusion
• Information management, technology and governance
• Flexible and agile working
• Reasonable adjustments under the Equality Act 2010