Moorfields Eye Hospital, London, Fellowship
Head of Finance
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YOU MAKE US MORE
Join Moorfields Eye Hospital NHS Foundation Trust
At Moorfields, people’s sight matters—and so do the people who make it possible.
For over 200 years, Moorfields has been at the forefront of ophthalmic care, research, and education. With more than 2,300 dedicated team members and over 700,000 patients seen annually across our City Road site and 22 networked sites, we are proud to be a global centre of excellence.
We're also a vibrant community where kindness, equity and excellence shape every aspect of our work. Whether it’s pioneering research through our partnership with UCL Institute of Ophthalmology and Moorfields Biomedical Research Centre or training the next generation of global eye care leaders, we’re united by one mission—delivering world-class eye health, sustainably and at scale.
And we’re just getting started.
From 2027, we’ll move to our brand-new Oriel site in St Pancras, Camden—a state-of-the-art centre that will unite eye care, research, and education under one roof. This groundbreaking facility, developed in partnership with UCL Institute of Ophthalmology and Moorfields Eye Charity, will enable transformative innovation and collaboration like never before.
Could you be part of this future? Make us more.
Job Overview
The postholder will be a key member of the Moorfields Private (MP) Senior Leadership Team (SLT), enabling the team to function effectively.
Moorfields Private is a division of Moorfields Eye Hospital NHS Foundation Trust and provides private eye care services across two sites: (1) Moorfields Private Outpatient Centre (MPOC) – City Road, and (2) Moorfields Private Eye Centre (MPEC) – West End. MPEC operates as a separate commercial legal entity with its own Board, and the post holder will be employed on terms reflecting responsibility for both the Trust's private patient division and this wholly owned subsidiary.
Moorfields Private is led by a senior leadership team made up of a Director of Private Care, Head of Delivery, Head of Marketing & Business Development, Head of Finance, Head of Nursing, Clinical Director and HR Business Partner.
This is a senior position with full responsibility for commercial and financial leadership and services that support Moorfields Private, enabling the delivery of business growth and improving the quality of financial services offered across both sites. The post holder reports operationally to the Director of Private Care, with a professional accountability line to the Chief Financial Officer to ensure financial governance, technical accounting standards and NHS financial policy are maintained.
Main duties of the job
To be responsible for the full financial leadership, management and control of Moorfields Private, spanning both MPOC and MPEC, and covering a circa £26m private patient business.
The role provides a full and robust business analytics and financial support infrastructure for MP, including service line profitability analysis, financial management and accounting, financial systems and reporting, financial governance, risk and compliance, business support and treasury services (billing and pricing), and performance and information.
The post holder will be responsible for the completeness and integrity of MPEC's statutory financial statements as a wholly owned commercial subsidiary with its own Board, in addition to financial management and control of MPOC within the Trust's NHS governance framework – bringing together, for the first time, single-point financial leadership and accountability across MP's full operating model.
The post holder is responsible for the quality of service to patients, alongside the quality and timeliness of finance and performance information provided to managers, clinicians, the MP management team, the Trust Executive Team, the MPEC Ltd Board and the Trust Board.
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Working for our organisation
What’s in it for You?
At Moorfields, we invest in you—your growth, your wellbeing, your future.
You’ll Join a Flexible, Supportive Organisation Offering
- Competitive salary (including high-cost area supplement)
- Membership of the NHS Pension Scheme
- 24/7 independent counselling support
- Career-long learning and development opportunities
- Excellent transport connections
- Access to NHS and Blue Light discount schemes
- Free Pilates classes
- Full support and training to develop your skills
And so much more! To see the full range of benefits we offer please view our Moorfields benefits leaflet.
Detailed Job Description And Main Responsibilities
COMMERCIAL & STRATEGIC FINANCIAL LEADERSHIP
- Own and lead MP's relationships with private medical insurers (PMIs), acting as the primary finance contact for contract negotiations, tariff schedules, and resolution of billing and payment disputes across both MPOC and MPEC.
- Set and own MP's pricing strategy across all payer types – self-pay, insurer and embassy – benchmarking against cost base and competitor positioning, and bringing proposals for adjustment to the Director of Private Care and SLT for sign-off.
- Be accountable for commercial decision-making support to the Director of Private Care and SLT colleagues, leading pricing reviews and shaping negotiations with insurers and other sponsors across both MPOC and MPEC.
- Identify, develop and manage commercial partnerships that support MP's growth strategy, including with insurers, embassies, corporate clients, referral networks and other commercial sponsors, ensuring agreements are financially sound and properly governed.
- Review all self-pay, insurer and embassy tariffs against cost and competitor pricing and propose adjustments for implementation, ensuring a coherent tariff strategy across both sites.
- Be responsible for improving financial awareness, performance, cost effectiveness, efficiency and revenue generation across MP, and for maximising the use of MP's assets, through direct advice and education to non-finance leaders.
- Lead on relevant strategic projects, including the production of full business cases for capital investment.
- Validate revenue business cases, appraise investment options and confirm resource requirements, ensuring all financial aspects are correct before business cases are presented to the Management Executive, Trust Management Board and/or MPEC Ltd Board.
- Identify innovative ways of funding services and developments across MP.
- Take a strategic view on budget proposals, advising on the contribution, validity and affordability of plans, and ensuring value for money is secured in the long term.
- Develop and maintain Service Level Agreements and commercial contracts with client organisations, insurers, partners and consultant service providers.
- As a member of the MP Senior Leadership Team, represent the finance function at senior forums and, where required, at Trust Board and MPEC Ltd Board level, deputising for the Chief Financial Officer or Director of Private Care as needed.
FINANCIAL STRATEGY & PLANNING
- In conjunction with the Director of Private Care, define MP's financial strategy, including a five-year (indicative) and annual (detailed) budget for both MPOC and MPEC.
- Co-ordinate and manage the annual setting of MP revenue and capital budgets, liaising with the Trust Executive Team, the MPEC Ltd Board and clinicians to ensure organisational objectives are achieved within the agreed financial plan.
- Produce reports and returns on financial performance for Trust Board-level discussions and decision-making, for the MPEC Ltd Board, and for external and statutory purposes.
- Manage and maintain accurate control records of income, its nature and distribution, across both entities throughout the financial year.
- Be responsible for ensuring appropriate planning is undertaken for capital charge requirements, in consultation with the Trust Financial Controller.
- Take collective responsibility with the SLT for developing and maintaining a robust and viable five-year financial plan for MP.
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FINANCIAL MANAGEMENT, CONTROL & STATUTORY REPORTING
- Lead the production of comprehensive, timely and accurate financial management information across MPOC and MPEC, including written analysis of variances and key performance indicators, in accordance with the department's monthly timetable.
- Be responsible for the completeness and integrity of MPEC's statutory financial statements, ensuring compliance with Companies Act, tax and other regulatory requirements applicable to a wholly owned commercial subsidiary with its own Board.
- Oversee and review the production of monthly management accounts and year-end forecasts for both entities, ensuring a robust audit trail exists throughout.
- Lead input into the year-end accounting cycle for both MPOC and MPEC, including analytical review to support the annual accounts, and act as the key point of contact for internal audit (Trust) and external audit (MPEC Ltd).
- Assure the completeness and integrity of income, relevant costs and financial risks by reconciliation to source systems for admissions, billing, theatres, drugs and diagnostics, among others.
- Be responsible for ensuring internal recharge mechanisms are accurate, up to date and reflect fair usage of any NHS or MP assets.
- Be responsible for ensuring appropriate financial policies and procedures are in place to support effective financial management and adherence to Trust Standing Financial Instructions (SFIs) and MPEC's own governance framework.
- Be responsible for ensuring strong working relationships are in place with budget holders across both sites.
PERFORMANCE & DECISION SUPPORT
- Be responsible for monitoring and improving the processes for financial reporting and recording of activity, ensuring internal and external requirements are achieved.
- Be responsible for ensuring appropriate professional advice is provided where required, and that all budget holders are prioritised and met with regularly.
- Accurately report and analyse the income position of MP through the amalgamation of activity and cost analysis, enabling a holistic appraisal of MP's performance.
- Produce narrative reports identifying the current business position of MP, including activity, finance, staffing, financial forecasting and corrective action plans.
- Identify and review the financial information needs of MP; design, facilitate and chair training for non-finance staff to build financial understanding, including on business case processes.
- Be recognised as an expert on the links between performance targets and MP's financial performance, advising on the cost and income implications of service changes and changes to contracts and tariff across all payer types.
FINANCIAL OPERATIONS
- Lead and manage
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