An exciting opportunity has arisen for the right candidate to join the Financial Accounts team at Guy’s and St Thomas’ NHS Foundation Trust. The team’s dynamic and collaborative environment will challenge and support you in this broad and varied role. Reporting to the Financial Accounting Manager, you will be expected to execute your work with professionalism and a high level of accuracy. In this rewarding role, you will have the opportunity to grow and develop as you work alongside high calibre experienced staff across the team at all levels. If you are actively studying toward an Accounting qualification or can demonstrate clear intention to embark on a professional accounting study program; have a good working knowledge of finance systems and Microsoft Excel; possess and demonstrate good communication skills and enjoy working independently with minimal supervision and to strict deadlines, this could be the right opportunity you are looking for.

We offer some flexibility working from home with currently two days in our vibrant location near London Bridge. If you're interested in joining our team, please complete our online application form. Please note, we are unable to accept CVs.




• Maintain accurate records of assigned control accounts, escalating discrepancies to senior colleagues.
• Support with internal recharges and accruals under supervision.
• Assist with monthly and annual financial reporting tasks (e.g. reconciliation support, data collation).
• Maintain clear and auditable records of activity performed.
• Liaise with departments across the Trust to follow up finance queries or supporting documents.
• Produce and maintain spreadsheets and summaries using Excel or other tools.
• Work with Accounts Payable, Receivable, and other finance teams as needed.
• Support year-end tasks including reconciliation packs and evidence gathering.
• Comply with Trust financial policies and procedures including deadlines.
• Provide cover for colleagues in the Accounts Assistant team as required.

Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best-known hospitals – Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high-quality care, clinical excellence, research and innovation.

We are among the UK’s busiest, most successful foundation trusts. We provide specialist care for patients including heart and lung, cancer and renal services as well as a full range of local hospital and community services for people in Lambeth and Southwark.

We have a long tradition of clinical and scientific achievement and – as part of King’s Health Partners – we are one of England’s eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research’s biomedical research centres, established with King’s College London in 2007, as well as dedicated clinical research facilities.

We have around 22,700 staff, making us one of the largest NHS Trusts in the country and one of the biggest employers locally. We aim to reflect the diversity of the communities we serve and continue to develop new and existing partnerships with local people, patients, neighbouring NHS organisations, local authorities and charitable bodies and GPs.



1. To understand the Trust’s month-end financial reporting process and to support this process through:



1.1 Control Accounts

o Responsible for an agreed set of control accounts and bank account reconciliations.

o Ensuring that all control accounts assigned are reconciled promptly, accurately and that any necessary corrections are made immediately.

o Ensuring that details of relevant control accounts are effectively communicated to other departments on a timely basis.

o To take the lead in addressing any problems arising from the control accounts including holding meetings and agreeing procedures with departments to resolve issues if necessary.

o Where appropriate to raise invoice and cheque requests.



1.2 Recharges

o Being responsible for the monthly calculation and processing of specific internal recharges in accordance with the month end deadlines.

o Being responsible for specific external recharges.

o Ensuring external recharges are accurately reconciled and

promptly billed using the appropriate VAT classification.



1.3 Accruals

o Ensuring monthly accruals and provisions are calculated,

processed and accurately recorded in the ledger in line with the month end timetable.



2. Responsible for the upkeep of the detailed procedure notes in relation to the month end duties outlined above.



3. Support Agreement of Balances when required.



4. Identify any opportunities for improving the tasks and procedures within your work area and implement changes and improvements to these if required.



5. Responsible for the creation and upkeep of spreadsheets and / or reports from the system, in order to support the month end duties outlined above.



6. Responsible for the preparation of specific areas of the year-end financial accounts including liaising with other departments.



7. Toprovide and receive sensitive or contentious information, including undertaking all, or a combination of, complex calculations for the Staff-Bank accruals, agreement of balance exercise reconciliations when required and complex deposit and control account reconciliations.



8. To be responsible for completing reconciliations and accruals, ensuring reconciling items are cleared in a timely manner which may require persuasive, motivational, negotiating skills to influence staff outside of the Financial Accounts team, and outside of Finance, to resolve issues which they have not prioritized in their teams.



9 Plan and organise workload to meet agreed objectives, priorities and targets under minimal supervision.



10. To support appropriate prioritisation and allocation of work.



11. To support compliance with all performance targets

and ensure work iscompleted to month end deadlines.



12 To carry out any other duties as may be required from time to time.


This advert closes on Sunday 12 Oct 2025