16 Balancing act: supporting finance leaders to deliver on short- and long-term priorities
Appendix A: Methodology This publication is the result of a programme of work led by a partnership between the HFMA and Newton which involved input from several sources to truly understand the pressures faced by finance leaders today and the opportunities and tools they could consider in support of their local residents, patients and staff. Understanding
Collaboration The approach to this project was shaped by engagement and co-design with key HFMA forums as set out above. National, regional and local finance leaders have been involved in this work through attendance as part of scoping, roundtables and review. The project aims to support discussions on NHS reform and the 10-year health plan and we would welcome the opportunity to engage further with the Department of Health and Social Care (DHSC) and NHS England colleagues as delivery plans are developed.
At the centre of this is rich insight provided by engagement with over 40 chief financial officers and other finance leaders from around the country. This was sourced from several of the HFMA’s existing forums including the Financial Recovery Group, Policy and Research Committee and ICB Finance Group along with five roundtables held online and at HFMA events between November 2024 and February 2025. During these engagements, participants were asked to share their experiences of driving multi-year change in their systems and organisations within the current financial climate, including the things which were impeding or enabling progress with these endeavours. The publication is designed to reflect the breadth and depth of their views, experiences and examples of good practice. Practical application Key messages from the engagements are supplemented with the following to support the practical application of principles: • Case studies: examples included in this publication have been sourced from a combination of the roundtables, subsequent one-to-one conversations with finance and operational leaders who delivered the programmes, as well as change programmes undertaken by Newton. • Further resources: to support finance leaders to take further practical action from the insights within this report, where relevant, industry tools, frameworks and models are linked.
The HFMA and Newton would like to thank all of those who have kindly contributed to this project.
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