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) in its role as a strategic commissioner of health and care services.
The post holder provides delegated 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 will deputise for the CFO as required.
Please note that priority will be given to WNL ICB employees who are affected by the Change Programme, i.e. have an at risk or ring-fence status and this role is a Suitable Alternative Employment (SAE) role, i.e. same band or one band below.
West and North London ICB is committed to promoting equality, diversity and inclusion. We strive to ensure our workforce reflects the rich diversity of the communities we serve, and we strongly encourage applications from candidates from underrepresented groups
We recognise that a healthy work-life balance is essential to the wellbeing and productivity of our staff.
We aim to consider all flexible working requests in a fair and open way, balancing the needs of our organisation with those of our employees. By fostering a flexible working culture, we strive to create an environment where everyone can thrive and contribute to delivering high-quality services for our communities.
We are NHS West and North London . We are the main commissioning NHS organisation for planning and funding health services across our area. Our job is simple: to help people stay healthy and to make sure everyone can get good care when they need it.
We bring together many health and care services across west and north London. This means we help hospitals, GPs, community services, councils and charities work better together for local people.
NHS West and North London (WNL) serves over 4.5 million people and covers 13 London boroughs. (Barnet, Brent, Camden, Ealing, Enfield, Hammersmith & Fulham, Haringey, Harrow, Hillingdon, Hounslow, Islington, Kensington & Chelsea and Westminster)
What we do
We plan and fund local health and care services
We support GPs, hospitals, mental health teams, community clinics and pharmacies.
We work with councils and community groups so care is joined-up and easy to use.
We listen to local people and use their ideas to improve services.
We want health and care to be fair, simple and close to home.
Our strategy
Reducing inequalities
Investing strategically to prevent ill health
Better supporting people with the greatest needs, so everyone stays well
Make care more local and easier to access
Empowered local people that feel more confident about their health and wellbeing
Key responsibilities of the Deputy Chief Finance Officer
- Financial leadership & strategy: Provides expert advice and leads the development of strategic financial plans to ensure sustainability, value for money, and alignment with wider system goals.
- Governance, control & risk management: Oversees financial reporting, audit, internal controls, counter-fraud activity, and risk management to ensure proper, lawful, and efficient use of resources.
- Planning & performance oversight: Leads financial planning processes, including annual plans, recovery plans, commissioning intentions, and ensures alignment between strategy, performance, and operations.
- Business case evaluation: Assesses new and existing investments to ensure delivery of expected outcomes, affordability, and corrective action where needed.
- Stakeholder engagement & system leadership: Works with external partners and internal teams to support collaboration, negotiation, and a financially sustainable local health economy.
- Finance function leadership: Deputises for the CFO, leads and develops the finance function as a professional network, ensuring consistency, capability, and effective delegation across teams.
- Collaboration & communication: Ensures strong links across finance, planning, and operational teams to maintain alignment between local and system-wide priorities.
- Strategic influence: Actively contributes to corporate strategy, shaping decisions to strengthen long-term financial resilience.
