Head of Income & Contracts

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 Trusts 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 Trusts 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 Trusts 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 Trusts contracts register to ensure that the Trusts 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 trusts 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 DQIPs and SDIPs 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 Trusts 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 Trusts 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.