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• Communication and the establishment of personal credibility at Board level with the clients are central to the job. This is built upon the provision and receipt of routine, highly complex, contentious, and sensitive information of a confidential nature. This will require the use of key skills of negotiation and persuasion, tact, a deep appreciation and understanding of complex and changing client risks, NHS/public sector systems and existing guidance. These skills and requirements will be expected to be constantly developed and enhanced to meet changing environments and requirements. Discussions with senior and non-finance staff forms a substantial element of the job often concerning contentious and complicated financial, control and governance issues at a corporate level.
• Communication will involve negotiating with external agencies. The job involves significant involvement in persuading and negotiating the reasoning behind recommendations with senior staff, up to and including Board level, across a range of disciplines in order to arrive at an agreed position. Communication of findings and advice will be personally and principally delivered through attendance at Director level meetings, committees, or groups of clients through high level presentations and potentially to large groups of staff.
• Work is managed rather than supervised, with the jobholder working within procedures, broad guidelines as defined by the Quality System and Corporate policies but having substantial freedom to act with autonomy and to interpret policies, standards, and legislation.
• The nature of the work necessitates a thorough and concentrated focus on processes to deliver consistent and robust opinions whilst balancing competing priorities. The work pattern is often unpredictable but there is routinely a need to actively participate and lead senior level discussions and workshops requiring high levels of sustained concentration. Meeting competing deadlines is a routine element of the job.
• There is extensive scope for decision making in respect of planning and organising the personal and teamwork schedule, managing priorities, forming judgments on the adequacy and effectiveness of systems, and producing recommendations to deliver improvements. These decisions will be based upon detailed analysis and evaluation of complex systems issues and options across a range of systems. Such analysis will incorporate an assessment of potentially conflicting and multi-layered information e.g., option appraisals, serious disciplinary cases.
• There will be a routine management of staff in the team encompassing work scheduling, coaching, individual and team training, and assignment/project review. This will include coordination of resources across competing priorities in order to achieve agreed objectives. The management role will also incorporate responsibility for elements of disciplinary and grievance; conduct of appraisals and objective setting for allocated staff; conducting recruitment; reviewing work performance and progress; tackling poor performance; and determining work priorities.
• MIAA operates in a unique competitive trading environment always requiring a professional customer-focus and a range of commercial skills of the postholder. This environment creates a business model that requires income to be secured in open competition against multinational consulting and accountancy firms. Income needs to be secured on a regional and national basis to maintain operational and strategic viability.
• There is a requirement to adapt to a range of working conditions at different client sites which may also involve frequent travel, post covid.
• There is the requirement to have responsibility across the function for aspects of the design and adaptation of information systems to deliver the performance and financial targets of MIAA. Also, this responsibility extends to other NHS bodies through audit related consultancy and opinions.
• A substantial element of the job involves utilising a number of offices bases and client computer systems to evaluate systems and produce the Assurance outputs. Those outputs, usually reports, are generated from input and manipulation of financial and other data in word processing, spreadsheet, presentations, and database applications.
• There is increasing demand on the use and development of IT skills and knowledge to effectively deliver plans and review systems.
• Produces, agrees, and oversees delivery of several projects and workstreams across a wide and varied client base that are designed to produce sufficient assurances to fulfil the requirements of the Client needs.
• Manages the planning, conduct, output, and opinions for all work for allocated across a wide and varied client base within agreed deadlines, financial budgets, and quality standards.
• Operates as budget holder for allocated projects i.e., a discrete set of services, requiring the planning and organising of complex activities and programmes to ensure income is recovered, costs contained and outputs delivered. Often these budgeted plans need to be adjusted on an ongoing basis for reporting to Engagement Managers/Director of Delivery as priorities shift.
• Manages and develops the key relationships across a wide and varied client base, particularly at Senior and Director Level
• Provide the principal advice to clients across a wide range of matters including risks management and governance matters, ensuring awareness of MIAA’s extensive range of expertise and support including but not limited to digital, transformation, programme management, healthcare quality, governance, and leadership.
• Responsible for ensuring allocated projects are incorporated into the overall planning of resources and commitments for the function. Plans and organises the work schedule for allocated projects to ensure weekly, monthly, quarterly, and annual timetables are delivered particularly with regard to Client deadlines.
• Personally conducts a range of complex audits/projects for reporting to senior management and the Audit Committee. These will routinely be complicated and multi-layered where sensitive judgements need to be framed in situations where solutions are not clear.
• This will often involve research and development activity. Conducts complex research on behalf of the team and MIAA to develop and pilot approaches to emerging areas.
• Makes recommendations as appropriate often involving significant proposed changes to working practices and procedures following policy implementation across multiple areas, NHS and other organisations. These routinely will involve contributing to service redesign and providing benchmarking information.
• Undertakes complex systems reviews that conclude upon financial control, physical security of cash and the safeguarding of assets.
• Responds to, and often anticipates, queries from clients, which may be of a highly sensitive and highly confidential nature and investigates and reports as necessary to the satisfaction of the client. These queries may relate to complex issues requiring a detailed understanding of complex client risks, NHS systems and existing guidance. This will include advice, information, and guidance for direct use by patients, relatives, or carers.
• Secures added value additional assurance work which enhances the profile and capability of the MIAA.
• Participates in the preparation and delivery of presentations for tendered contracts.
• Routinely directs the work of Principal Auditors and Auditors within the function.
• On occasions, deputises for the Senior Audit Manager.
• Builds effective client relationships across the function’s clients
• Adheres and contributes to the continuous improvement philosophy to ensure we continue to provide a valuable service focused upon client’s needs.
• Fully complies with all aspects of the confidentiality policy.

For further information, please refer to the attached job description and person specification