Deputy CFO

Job Overview

The Deputy Chief Finance Officer (DCFO) supports the Chief Finance Officer (CFO) in developing and delivering the financial strategy of NHS West and North London Integrated Care Board (ICB), acting as a strategic commissioner of health and care services. The DCFO provides executive leadership for system financial planning, stewardship and assurance, ensuring commissioning resources are deployed to maximise population health outcomes, reduce health inequalities and deliver sustainable value for money. The DCFO deputises for the CFO as required.

Main Duties

In addition to the overarching role, the DCFO will:

• Financial leadership & strategy: Provide expert advice and lead the development of strategic financial plans to ensure sustainability, value for money and alignment with wider system goals.
• Governance, control & risk management: Oversee financial reporting, audit, internal controls, counter‑fraud activity and risk management to ensure proper, lawful, and efficient use of resources.
• Planning & performance oversight: Lead financial planning processes, including annual plans, recovery plans and commissioning intentions, ensuring alignment between strategy, performance and operations.
• Business case evaluation: Assess new and existing investments to ensure delivery of expected outcomes, affordability and corrective action where needed.
• Stakeholder engagement & system leadership: Work with external partners and internal teams to support collaboration, negotiation and a financially sustainable local health economy.
• Finance function leadership: Deputise for the CFO, lead and develop the finance function, ensuring consistency, capability and effective delegation across teams.
• Collaboration & communication: Ensure strong links across finance, planning and operational teams to maintain alignment between local and system‑wide priorities.
• Strategic influence: Actively contribute to corporate strategy, shaping decisions to strengthen long‑term financial resilience.

Person Specification

Education/ Knowledge and Qualifications

• Educated to degree level with a Masters or equivalent qualification or experience.
• Full member of one of the individual CCAB bodies or CIMA, maintaining registration and CPD requirements.
• Evidence of Continuing Professional Development.

Communication

• Outstanding communication, negotiation and relationship management skills.
• Resilient, flexible and adaptable.
• Integrity and professionalism.
• Works autonomously within pre‑set deadlines and parameters.
• Proven ability to prioritise and solve problems under own initiative.
• Able to think conceptually to plan flexibly for the longer term and continually identify opportunities for improvement.
• Demonstrable commitment to continuously improve outcomes tackling health inequalities and delivering the best value for money for the taxpayer.
• Embraces effective governance, accountability and stewardship of public money and demonstrates an understanding of the principles of good scrutiny.
• Demonstrates commitment to clinical commissioning, the ICBs and to the wider interests of the health service.
• Demonstrable ability to exercise sound judgement and the confidence to question and challenge information from others who may be experts in their field.
• Ability to understand the limits of his or her management competencies and the wisdom to seek advice when these are reached.

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