Head of Contracts and Service Development | Guy's and St Thomas' NHS Foundation Trust

Posting date23 February 2026

Closing date25/03/2026 08:53:06

Salary£85,431 - £97,148 pa inc H.C.A.

LocationLondon, SE1 4YB

CompanyGuys and St Thomas NHS Foundation Trust

Job typePermanent

HoursFull Time

Reference17925520

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Your brief will be to support the Associate Director in managing the main NHSE Contract, but you will also negotiate, manage and develop your own portfolio of Contracts. You will work with NHSE/ICBs to establish and maintain close collaborative working arrangements in addition to working closely with Trust Clinical Groups to ensure their involvement in promoting service developments and in defining Contractual quality and performance standards. The role will lead on Commissioner SDIPs and will play a key role in Quality Metrics. The role will also provide comprehensive advice to Clinical Groups on the development of Trust business and will provide business advice to support Clinical Groups in developing business activities.

The Head of Contracts and Service Development will lead and manage the Contracts and Service Development function, ensuring the effective development, negotiation, and management of highly complex NHS contracts with commissioners. The post-holder will work collaboratively with internal and external stakeholders to shape and improve Trust healthcare services delivering high-quality, patient-centred care in line with NHS priorities and financial frameworks with strategic oversight of Trust-wide service developments.



As a senior leader, the postholder will negotiate Trust NHS Contracts and be responsible, on behalf of the Associate Director of Finance (Contracting) for negotiating, managing and monitoring a portfolio of Contracts with NHSE, Integrated Care Boards (ICBs) and other commissioning bodies, fostering a customer-focused relationship with commissioners and ensuring that the Trust’s highly complex NHS Contracts are negotiated with the best possible terms to the Trust.

Guy’s and St. Thomas’ NHS Foundation Trust is the largest and one of the most prestigious Trusts in the country providing a comprehensive range of secondary services to a local cosmopolitan population and tertiary services to more distant patients from 5 main hospital sites, as well as community sites across South East London.

This role involves working with NHSE/ICBs/Local Authorities to establish and maintain close collaborative working arrangements in addition to working closely with Clinical Groups to ensure their involvement in promoting service developments and in defining Contractual quality and performance standards. The role will lead on quality issues including SDIPs and Quality Metrics.



To provide highly complex technical expertise, guidance, quality assurance and support to Clinical Groups for all service development and commissioner-related activities. The postholder will act as a key link between the Contracting team and Clinical Groups, engaging clinicians and managers in the financial impact of the highly complex National Payment Scheme and the importance of accurate and timely information capture. The postholder will support Clinical Groups on the development of Trust business (including related to commissioner tenders) and will provide casemix analysis and business advice to support Clinical Groups in developing business activities as well as assessing the financial viability and sustainability of services.



To ensure contract documentation is completed, signed, managed, stored and retained as a source of reference.



To liaise and lobby ICBs, NHSE and the Department of Health and Social Care (DHSC) to support the strategic development of the Trust.



Deputise for the Associate Director of Finance (Contracting) and provide professional support to the Contracting team.


This advert closes on Sunday 8 Mar 2026

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