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Delivery Manager - Assurance

Liverpool University Hospitals NHS Foundation Trust
Merseyside, Cheshire, Wirral, Stoke & Staffordshire Regions
£43,742 to £50,056 per annum
Closing date
22 May 2024

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Other Health Profession
Band 7
Contract Type
Full Time

Job Details

We are looking for enthusiastic audit professionals (CCAB/IIA qualified) to join our successful teams to work across our Cheshire & Mersey Regional Assurance Teams.

Whilst the role is predominantly regional based, you may be required to work across the wider MIAA footprint as part of the role.

(Location 1: - Chester Office CH2 IUL (covering but not limited to Cheshire, Wirral, Stoke & Staffordshire and North Wales Regions)

(Location 2: - Liverpool Office L3 4BL (covering but not limited to Merseyside and Northwest Region)

The Successful Applicant

We want driven people who think creatively about their work, embrace challenges and can resolve complex problems.

The key purpose of this role is to:
  • To support the Senior Audit Managers/Regional Assurance Directors in relation to client management.
  • To direct and supervise staff to deliver Assurance projects and workstreams on time, to budget and to quality standards.
  • To operationally manage a portfolio of Assurance and Solutions projects including highly complex, technical, and confidential pieces of work.
  • To respond to client instructions or queries covering a broad range of issues of including highly complex, technical, and confidential matters.
  • To respond to staff requests for instruction, guidance, and training. Responses may be routine to highly technical and sensitive in nature.

To find out more please email our Regional Assurance Directors - or

Main duties of the job

1. To support the Engagement Managers/Regional Assurance Directors in relation to client management. This will include, but is not limited to, drafting Audit Committee papers, and conducting internal quality assessments.2. To direct and supervise staff to deliver Assurance projects and workstreams on time, to budget and to quality standards.3. To operationally manage a portfolio of Assurance projects including highly complex, technical, and confidential pieces of work.4. To support the Assurance Director through the 3 Regional Delivery teams to deliver and report on Assurance Assignments.5. To respond to client instructions or queries covering a broad range of issues of including highly complex, technical, and confidential matters.6. To respond to staff requests for instruction, guidance, and training. Responses may be routine to highly technical and sensitive in nature.

About us

MIAA is an NHS Shared service, hosted by Liverpool University Hospitals NHS Foundation Trust.MIAA is the predominant provider of internal audit services to over 50+ NHS and public sector organisations in the NorthWest and beyond. MIAA offer clients a number of services in addition to internal audit including Solutions, Anti-Fraud, Technical Risk Assurance, Capital, Clinical Coding, Healthcare Quality Support Unit.

MIAA's budgeted turnover is 12 million, which is demonstrative of the organisation's ambitious and strategic goals.

We pride ourselves in promoting equality and valuing diversity.

All our terms benefit from.
  • Flexible/hybrid working
  • Generous pension scheme
  • Development and protected learning time
  • Career progression

Our Values:-
  • Trust
  • Respect & Compassion
  • Innovation & Excellence

Job description

Job responsibilities

  • 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 MIAAs 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 functions clients
  • Adheres and contributes to the continuous improvement philosophy to ensure we continue to provide a valuable service focused upon clients needs.
  • Fully complies with all aspects of the confidentiality policy.

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

Person Specification



  • Professional accountancy qualification (CCAB) or MIIA qualified or equivalent



  • Demonstrable PQE skills knowledge, experience and expertise which could be in audit (either internal or external). Can be external audit with a large accountancy practice that has included experience of auditing large organisations and management or supervisory role of junior staff. Alternatively, internal audit experience in private or public sector. Must include attendance at Audit Committee and executive director exposure.
  • Must have experience of working in audit and demonstrable understanding of audit role and techniques.
  • Must have experience of managing and supervising staff.
  • Experience of working in NHS or other public sector organisation resulting in a good understanding of systems and processes is desirable for the post. Alternative experience in an equivalent organisation may be acceptable.



  • To demonstrate basic understanding of NHS and wider public sector structures, policies, functions, and systems together with the aptitude to build on that knowledge.
  • Must understand corporate governance, risk management and assurance principles and practice.
  • To demonstrate a full and mature understanding of audit and financial principles and practice together with the aptitude to build on that knowledge.

Personal/Managerial Skills and Qualities


  • Must have excellent oral and written communication skills to enable complicated audit and financial issues to be explained to a range of NHS/client staff, often at a senior level. This will include presentational, negotiation and influencing skills.
  • Must have excellent analytical skills and have the ability to collate complex data from various sources.
  • Must have strong supervision, staff management, coaching and mentoring skills.
  • Must have the ability to negotiate and persuade, sometimes in a setting that is unresponsive or hostile to audit findings.
  • Must have a good level of numeracy, keyboard skills and computer literacy (ECDL or equivalent)
  • Must have the ability to make judgements and recommendations in the context of complex systems and risk and materiality of findings.
  • Must have good time management skills and the ability to work to tight deadlines whilst managing competing priorities.
  • Must have the ability to travel to a range of sites and work in a range of environments.

Employer details

Employer name

Liverpool University Hospitals NHS Foundation Trust


One of MIAA office locations


Merseyside, Cheshire, Wirral, Stoke & Staffordshire Regions


Any attachments will be accessible after you click to apply.



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