Assistant Finance Manager | The Royal Marsden NHS Foundation Trust


Company:	The Royal Marsden NHS Foundation Trust
Salary:	£47,951 - £56,863 Per Annum
Hours:	Full-time
Location:	Chelsea, SW3 6JJ
Job type:	Contract
Posting date:	2 Nov 2026
Closing date:	2 Dec 2026

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Summary

The Assistant Finance Manager plays a pivotal role in supporting the Finance and Operational teams across The Royal Marsden NHS Foundation Trust. The postholder will provide high-quality financial analysis, budgeting, forecasting, and support to budget holders and senior managers, enabling informed decision-making and financial sustainability.

Working closely with operational leaders, the role combines Technical Financial expertise with Business Partnering responsibilities, helping services understand financial performance, manage risks, identify opportunities, and achieve financial targets. The successful candidate will take ownership of the month end process for their areas of responsibility, assist with annual planning and medium-term financial strategy while supporting continuous improvement across finance systems and processes.

• Produce monthly budget statements and management reports for a diverse portfolio of budgets.

• Deliver accurate forecasting, variance analysis, and financial performance reporting.

• Support budget holders and senior managers with financial advice and business partnering.

• Contribute to annual budget setting and long-term financial planning.

• Analyse the financial impact of activity changes, capacity variations, and service developments.

• Assist in developing business cases and investment proposals.

• Deputise for the Finance Manager when required.

• Promote financial awareness and compliance with Standing Financial Instructions (SFIs).

• Drive improvements to financial systems, reporting, and processes.

The Royal Marsden NHS Foundation Trust is a world-leading cancer centre. Our role is to offer our patients the best cancer care available anywhere in the world, and to continue to make a global contribution to finding better ways of diagnosing and treating cancer. We employ over 4,500 staff in a diverse range of careers including nursing, medical, science, radiography, pharmacy, occupational therapy, finance and administrative services. We have two hospitals – one in Chelsea, London, and one in Sutton, Surrey – as well as a Medical Daycare Unit in Kingston Hospital.

At The Royal Marsden, we deal with cancer every day, so we understand how valuable life is. When people entrust their lives to us, they have the right to demand the very best. That's why the pursuit of excellence lies at the heart of everything we do.

At the heart of the hospital is our dedicated team. We offer a stimulating and dynamic working environment, a wide range of staff benefits, learning and development opportunities and clear career pathways. There are opportunities to work flexibly across a range of areas and specialities and we welcome flexible working requests from point of hire to support employees work life balance. We are looking for employees who aspire to excellence, share our values and can play a crucial role in our on-going achievements.

For further information on this role, please see the attached detailed Job Description and Person Specification

• To be responsible for the production of the monthly budget statements and associated reports for a wide range of budgets in accordance with agreed timetables

• To develop and maintain an integrated financial performance report, including a year end forecast, highlighting key variances and trends in activity and finance, commenting on influencing factors and advising on any necessary management action.

• To meet regularly with budget holders and Senior Managers to assess financial performance and to provide financial management information, analysis and advice to them regarding key risks and

critical success factors in achieving financial targets.

• To ensure budget holders and managers have an awareness of financial performance requirements, including the need for budgetary control and adherence to SFIs, and to provide financial awareness training where necessary.

• To assess the impact on income and expenditure of any in-year changes in activity levels, resulting from changes in referral patterns (NHS or private patients) or changes in available capacity (e.g.

ward or theatre capacity).

• To assist in the preparation of elements of business cases as required.

This advert closes on Sunday 8 Nov 2026

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