The health and care system is under significant financial and operational pressures. Both of which are on the rise.

And with funding increases of at least 5% a year required to meet the NHS’ needs and improve services1, the big question is, what can be done to improve financial sustainability?

Adopting a collaborative approach

To cope with this evolving healthcare environment and to become financially sustainable, the NHS needs to operate as a collaborative local health and social care system. With more effective interventions and care pathways. Patients should only be hospitalised if they need to be. To achieve this requires more holistic and longer-term strategic thinking. Working more collaboratively with local government and the private and third sectors.

As a team, we have been working with the NHS and local authorities for over 30 years. And are the largest employer of CIPFA members and students in the UK. Our national team of NHS specialists provide a range of assurance, tax and advisory services. Our approach combines a deep knowledge of the NHS, supported by a wider understanding of public sector issues. We understand regional differences and, through proactive, client-focused relationships, our teams deliver solutions in a distinctive and personal way. Not through pre-packaged products and services.

Head of Public Healthcare Mark Stocks

+44 (0)121 232 5437

Find out more
Our services

We can help you achieve your objectives with the following services:

External audit

We are the second largest supplier of external audit services to the NHS. And we work with over 150 NHS organisations including Foundation Trusts, Trusts (acute, specialist, mental health, community and ambulance) and Clinical Commissioning Groups.

We can provide you with external assurance services covering:

  • Statutory audit
  • Value for Money audit
  • Quality Account/Report assessments
  • Financial reporting advice/solutions
Internal audit

We offer both an outsourced and a co-sourced service to NHS bodies.

Examples of the internal audit services we can provide you:

  • High quality internal audit across the full range of governance, risk management, and internal control systems
  • Specialist IT, GDPR and Cyber Security reviews
Local counter fraud services

A critical role is played by local counter fraud services in preventing, detecting and investigating fraud in the NHS. We work with a number of NHS clients supporting them in the development of strong business processes in areas such as logistics, supplies, operations, financial and data services.

Our counter fraud specialist team will provide you with the following services:

  • Creating an anti-fraud culture and anti-fraud deterrents
  • Preventing fraud by designing fraud-proof processes and systems
  • detecting fraud through process compliance reviews and data interrogation
  • Advising on sanctions including the appropriate combination of criminal, civil, disciplinary and regulatory sanctions
  • Pursuing redress and recovery of losses as agreed
Healthcare assurance

Our industry leading healthcare assurance team works with national and local healthcare bodies to improve the quality of data and the accuracy of contracts and payments. We have worked with the NHS and private providers for over 10 years to support the effective implementation of the contract payment system.

Examples of the services and advice we can provide you:

  • Contract baseline setting
  • Contract negotiation, collaboration, challenges and assurance
  • Pathway and service reviews
  • Clinical coding and data quality reviews
  • Costing support and tariff setting
  • Analytics
Strategic and commercial advice

We provide strategic, financial and commercial advice to organisations that are keen to embark on commercial opportunities, and can provide specialist advice into the accounting and potential tax implications.

Examples of these services include advice on the following:

  • Development of wholly owned subsidiaries
  • Joint ventures and partnership arrangements
  • Strategic infrastructure and estates
  • Funding options for major projects
Financial assessment and due diligence

We have a proven track record of helping NHS bodies to improve their financial position. Our work includes historical due diligence, financial position assessment, due diligence of business plans and financial forecasts, and financial governance assessments – all tailored to meet the specific needs of our clients.

Our reviews will assess the following:

  • Underlying financial performance
  • Cost improvement plans (CIPs) delivery and development
  • Risks inherent in financial forecasts
  • The consistency of financial forecasts with business plans
  • Opportunities to strengthen financial management and controls
Transaction advisory services

We support NHS bodies going through mergers, acquisitions and divestments by providing advice and assurance before, during and after a transaction.

How we can help you:

  • Developing or reviewing business cases and post-transaction integration plans
  • Performing due diligence
  • Undertaking reporting accountant work
  • Advising on best practice
  • Providing support in transaction planning and execution in compliance with NHS Improvement’s Transactions Guidance
Governance and leadership

We undertake corporate, financial and quality governance reviews, focusing on actions that can deliver rapid and practical improvements, including strengthening your board's capacity and capability.

How we can help you:

  • Well-led reviews
  • Financial governance reviews or investigations
  • Bespoke reviews into specific governance arrangements