Head of Income & Contracts

at  The Robert Jones and Agnes Hunt Orthopaedic Hospital NHS Foundation Trust

An exciting opportunity exists to join our Senior Finance Team at the hospital, taking the lead for a number of key activities: -
Clinical Income (Payment by Results (PbR), Non PbR and Fixed Income), ensuring that all guidance is promptly interpreted, modelled and communicated so as to ensure appropriate infrastructure in place to optimise the recovery of income from the Trust’s full scope of activities.
Interpretation and compliance with the NHS Standard Contract for England and similar for Wales.
Service Line Reporting (SLR and Patient Level Information Costing (PLICs), ensuring high quality information is disseminated to management to support decision making and as part of formal submissions to NHSE to inform tariff and funding decisions.
* banding subject to agenda for change evauation *
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To take the financial lead for Payment by Results (PbR) ensuring that all guidance is promptly interpreted, modelled and communicated so as to ensure appropriate infrastructure in place to optimise the recovery of income from the Trust’s full scope of activities.
To lead complex financial modelling of activity scenarios used to support the setting of both long term financial plans and as part of the annual contract negotiation with the Trust’s diverse set of Commissioners.
co-ordinate preparation for all Contract negotiation and performance meets by ensuring all required performance information submitted, actions completed and required Trust representation in place.
Oversee the process of setting and monitoring of clinical income contracts ensuring that systems are in place to inform, agree, sign and monitor contracts covering the Trust’s wide and diverse contracts portfolio. Ensuring that clinical income is accurately reported within the monthly financial position
The Robert Jones and Agnes Hunt Orthopaedic NHS Trust (RJAH) is one of the leading orthopaedic hospitals in the country, with some of the highest levels of staff and patient satisfaction, as well as a strong reputation for research and innovation.
Joining RJAH is more than just a job – we want our people to have the best opportunities to thrive in their role.
We have a range of fantastic staff benefits on offer to everyone who joins RJAH and you’ll have access to outstanding professional development opportunities and state-of-the-art facilities – including our recently-opened £6 million Headley Court Veterans’ Orthopaedic Centre (the first unit of its kind in the UK).
RJAH has strong links with a range of universities including Staffordshire, Keele, Glyndwr, Chester and Birmingham.
The hospital is located on a site outside Oswestry in Oswestry, just off the A5. The nearest train station is in Gobowen, approximately two miles from the hospital. The station is part of the Chester to Birmingham line.
We are based in North Shropshire, close to the border with North and Mid Wales. It is one of the most attractive parts of the country, with a rich historic culture and excellent transport links. It offers outstanding opportunities for anyone who enjoys an outdoor lifestyle or is looking to raise a family.
1. To take the financial lead for Payment by Results (PbR) ensuring that all guidance is promptly interpreted, modelled and communicated so as to ensure appropriate infrastructure in place to optimise the recovery of income from the Trust’s full scope of activities.
2. As a recognised national pilot organisation, undertake a detailed analysis of proposed changes to the orthopaedic tariff on an annual basis. Provide detailed feedback on specific issues to the national team responsible for tariff management.
3. To lead complex financial modelling of activity scenarios used to support the setting of both long term financial plans and as part of the annual contract negotiation with the Trust’s diverse set of Commissioners.
4. Co-ordinate preparation for all Contract negotiation and performance meets by ensuring all required performance information submitted, actions completed and required Trust representation in place.
5. Oversee the process of setting and monitoring of clinical income contracts ensuring that systems are in place to inform, agree, sign and monitor contracts covering the Trust’s wide and diverse contracts portfolio. Ensuring that clinical income is accurately reported within the monthly financial position.
6. Responsible for the collection of income and interpretation of policy relating to non-contracted activity, high costs drugs and appliances, ensuring that robust data capture processes and internal relations with clinical teams are maintained.
7. Managing required prior approval processes and funding requests in line with commissioner requirements prior to the episode of care taking place.
8. Responsible for advising Delivery Units in respect of in month activity and income performance and highlight relevant variances.
9. Maintain local prices to ensure appropriate re-imbursement of activity forms part of the annual contract negotiation.
10. Develop new contracting arrangements linked to cost of delivery and management of risk working closely with the Head of Finance and Operational Director of Finance.
11. Responsible for the development and maintenance of the Trust’s contracts register to ensure that the Trust’s diverse range of contracts is pro-actively managed.
12. Lead the review of changes to the NHS acute contract, and ensure stakeholders are fully aware of the impact of any changes to the contract. Provide advice on issues within the contract that may impact on the trust’s ability to meet the requirement of the contract.
13. Support delivery unit business partners in developing NHS provider to provider contracts. Develop standardised contract documentation; provide advice, training and support to enable service managers and clinicians to produce detailed service specifications.
14. To represent the Trust at commissioner meetings monthly and ad hoc, challenging and influencing commissioner behaviour where required.
15. To maintain a log of commissioner requests, acting as the central contact for contracting colleagues ensuring that internal responses are generated in a timely fashion.
16. Working with commissioners to ensure that the annual contracts contain appropriate DQIP’s and SDIP’s in relation to the Trusts services.
17. Working with clinical and nursing leads to ensure that CQUIN requirements are met and evidence presented to commissioners in a clear manner to ensure payment. Where necessary supporting with the development of templates to facilitate this.
18. Responsible for the management of the clinical coding team, ensuring that coding standards are interpreted accurately and met through regular audits. Ensuring that coding is undertaken in a timely and effective manner supporting the Trust clinical income position.
19. To be responsible for the timely and accurate production of the Trust’s annual National Cost Collection (NCC).
20. Accountable that costing standards within the Trust are compliant with best practice and identify gaps and areas for continual improvement by working closely with divisional managers and clinical leads to understand cost drivers and behaviours.
21. Responsible for the production of the Trust’s Service Line Reporting based on costing undertaken at a patient level and provide summary commentary and analysis on the drivers for quarterly movements to be included in reports to the Executive Team, Trust Board and Delivery Units
22. To be the Trust lead for financial benchmarking both internally and externally and be the nominated lead for external costing groups.
23. Accountable for ensuring quarterly SLR performance meetings are held with clinical staff and managers ensuring that actions are undertaken to act on opportunities identified and discussed.
24. Be responsible for the development and implementation of information systems and feed large volumes of complex information into the Trusts Service Line Reporting. Ensuring that allocation methodologies are accurate and understood to translate financial information into recognised service level performance

Please refer the Job description for details