MedPal AI plc
Chief Financial Officer
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The role
Following the resignation of our current CFO, we are appointing a Chief Financial Officer to lead the finance function through MedPal's next phase of growth. This is a hands-on, board-level role in a lean organisation. We are looking for one person who is, at the same time, three things:
- An outstanding plc CFO: credible with the Board, the NOMAD, brokers, auditors, and the market; someone who has owned financial strategy, fundraising, governance, and reporting in a UK listed company of comparable scale.
- A first-class accountant: technically strong, close to the numbers, and personally involved in month-end, cash, controls, audit, and statutory reporting. This is not a role that can be delegated downwards.
- A compelling presenter of the company and its forecasts to investors: able to build the investment case, own the model behind it, and present it with confidence and precision to institutional investors, private client brokers, analysts, and lenders, in London and on the road.
The CEO's expectation is explicit: we want a CFO who does the work, not one who only builds and manages a team. The successful candidate will spend time in the detail of management accounts, cashflow, pharmacy margins, and the forecast model, and will be equally comfortable presenting those numbers to the market the following week.
Key responsibilities
Capital markets, investor relations, and fundraising
- Act as the Group's lead financial voice to the market alongside the CEO: institutional and retail investors, private client brokers, analysts, lenders, and the financial press.
- Prepare and present interim and full-year results, results presentations, investor decks, and roadshow materials; lead investor and broker meetings in London and elsewhere, including extended stays around results and fundraisings.
- Own the investment case and the forecast model that underpins it; be able to defend every assumption in front of an investor.
- Lead equity and debt fundraising from planning through to completion, including placings, subscriptions, warrant and option exercises, debt facilities, and any other capital raising the Board approves.
- Manage the day-to-day relationship with the NOMAD, corporate brokers, registrars, financial PR, and IR advisers; ensure the Group is always ready to raise capital when the opportunity arises.
- Maintain the share, warrant, and option registers and the fully diluted capital table, and ensure they reconcile to all announcements and contractual commitments.
Financial control and accounting (hands-on)
- Personally review, and where necessary prepare, the monthly management accounts, balance sheet reconciliations, and KPI packs for each business unit (NHS pharmacy hubs, care home supply, New Health GLP-1 clinic, technology).
- Own the month-end close: timetable, accruals, prepayments, stock, intercompany, revenue recognition, and margin analysis.
- Prepare and deliver the annual report and financial statements under IFRS, including consolidation, subsidiaries, and any acquired entities.
- Lead the year-end audit and the half-year review; manage the auditor relationship and the resolution of audit findings.
- Review payroll, supplier payment runs, VAT, and corporation tax returns; approve payments in line with the delegated authority matrix.
- Design, operate, and continuously improve financial controls, finance systems, and the chart of accounts so that the function scales with the business and with acquisitions.
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Planning, forecasting, and financial modelling
- Own the Group budget and rolling forecast; build and maintain the integrated three-statement model used for the Board, the NOMAD, and investors.
- Build business cases and financial models for new products, partnerships, pricing decisions, and capital projects (for example, the dedicated GLP-1 fulfilment lines at Sarus Court).
- Produce scenario and sensitivity analysis on GLP-1 volumes, pricing, gross margin, NHS reimbursement, and cash runway.
- Provide monthly performance analysis against budget and forecast with clear commentary on drivers and corrective action.
Cash, treasury, and working capital
- Own the 13-week cashflow forecast and the longer-term cash runway; report cash, headroom, and covenant position to the CEO and Board weekly.
- Manage banking relationships, facilities, FX, and payment platforms; negotiate and monitor debt and asset-finance facilities.
- Drive working capital discipline across stock (including GLP-1 and controlled drugs), NHS and private receivables, wholesaler, and manufacturer payables, and supplier terms.
Governance, plc compliance, and the Board
- Ensure full compliance with the AIM Rules for Companies, the UK Market Abuse Regulation, the Companies Act, and the QCA Corporate Governance Code, working with the NOMAD and company secretary.
- Draft or review the financial content of RNS announcements, trading updates, circulars, and admission or prospectus documents.
- Deliver accurate, timely, and decision-useful Board packs and management information; present the financial position at every Board meeting.
- Support the Audit and Remuneration Committees; own the risk register from a financial perspective; maintain the insider list and dealing code procedures with the company secretary.
- Manage relationships with auditors, tax advisers, lawyers, registrars, insurers, and other professional advisers, and control adviser costs.
Pharmacy and healthcare operations finance
- Provide financial oversight and challenge of the NHS Distance Selling Pharmacy hubs: NHS prescription revenue, reimbursement and clawback, drug tariff margin, category M, purchasing terms with wholesalers and manufacturers, and stock control.
- Own the unit economics of New Health, the Group's GLP-1 clinic: customer acquisition cost, ARPU, retention, cost of goods, and clinic and dispensing margin.
- Support the care home supply business on contract pricing, margin, and cash collection.
- Ensure financial controls support compliance in a regulated environment (GPhC, MHRA, NHS contract requirements, controlled drug regulations) and work closely with the Superintendent Pharmacist and operational leaders.
- Partner with operational managers at Sarus Court and Swaffham to improve dispensing efficiency, labour cost, and margin per item.
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Mergers, acquisitions, and corporate transactions
- Lead financial due diligence, valuation, deal structuring, and completion accounts on pharmacy and technology acquisitions, working with corporate development and external advisers.
- Build acquisition models and integration budgets; deliver post-completion integration of finance, systems, and controls, and track synergy delivery.
- Support the CEO on partnership and commercial negotiations with pharmaceutical manufacturers, payers, and distribution partners.
Team, systems, and leadership
- Lead, develop, and where necessary recruit a small, high-performing finance team; set clear standards of accuracy, timeliness, and accountability.
- Select and implement finance, reporting, and pharmacy-integration systems appropriate to a growing plc.
- Act as a visible, hands-on member of the Executive Team, contributing well beyond finance to strategy, operations, and culture.
What this role is not
This is not a large corporate CFO role where the postholder sets direction and a large team executes. The finance team is small, and the expectations of the CFO's personal involvement are high. A candidate whose primary strengths are team building, delegation, and stakeholder management, rather than personal command of the accounts, the model, and the investor story, is unlikely to be the right fit.
Priorities for the first six months
- Take full ownership of the finance function from the outgoing CFO with no loss of control, reporting quality, or market readiness.
- Personally get underneath the management accounts, cashflow forecast, and Group model; re-base the forecast and present it to the Board.
- Establish relationships with the NOMAD, brokers, auditors, and key investors; lead the next set of results and investor presentations.
- Review controls, systems, and reporting across the pharmacy hubs and New Health and set out a plan to scale them.
- Support the live corporate development pipeline, including completion and integration of current acquisitions and preparation for future fundraising.
Ideal candidate
An experienced plc CFO or Finance Director from a small-cap UK listed company with a market capitalisation of £20m to £250m, ideally with a background in pharmacy, healthcare, or technology, who has personally led fundraisings and presented to the market, and who genuinely enjoys being close to the numbers. Someone who can review month-end with a small team on Monday, rebuild a forecast scenario on Tuesday, and present the company to institutional investors in London on Wednesday. Someone who wants to help build a top-three UK GLP-1 business and a category-leading AI health company, and who wants to share in the value that creates.
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