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Do you want to keep abreast of the latest in NHS finance and find out what your colleagues around the country are doing when faced with similar challenges?
HFMATalk is the podcast for you. In every episode we will explore the topics that are of interest to you and shine a light on good practice in NHS finance and governance.

The Healthcare Financial Management Association (HFMA) is the professional body for finance staff working in healthcare. For 70 years it has provided independent support and guidance to its members and the wider healthcare community.
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37: In conversation with Julian Kelly
In this latest episode, Mark Orchard speaks to the most senior NHS finance professional in England, Julian Kelly, chief finance officer for NHS England and Improvement. Julian reflects on his career journey, what motivates him, and what it has been like to lead the NHS finance profession through one of the most challenging periods in the health service’s history. This episode was recorded on Friday 16 July 2021
September 13, 2021
36: In conversation with Professor Alan Brace
Mark Orchard speaks to Professor Alan Brace, former director of finance in the department of health and social care within the Welsh government, and 2014 HFMA Finance Director of the Year. Newly retired, Alan reflects on his journey, his experience working in a variety of senior finance roles within his local Welsh community, and what he is most proud of as he looks back on a fantastic career.
August 2, 2021
35: In conversation with Paul Baumann CBE
Series host Mark Orchard speaks to Paul Baumann CBE, receiver general and chapter clerk for Westminster Abbey and former chief financial officer for NHS England. Throughout his career Paul has spent more than 30 years in senior finance roles both within the NHS and within the private sector. In a fascinating conversation, Paul discusses his career journey, his love of music, his brief acting career, and much more.
June 18, 2021
34: In conversation with Sandra Easton
In the second episode of this brand new series, Mark Orchard, chief finance officer at Portsmouth Hospitals University NHS Trust, has an in-depth conversation with Sandra Easton, national director of operational finance and performance at NHS England and NHS Improvement. They discuss her career so far, how she achieves a healthy work-life balance, the need to build upon existing work to improve diversity and inclusion within NHS finance, and much more. 
May 14, 2021
33: Preparing for the 2020/21 external audit
Mark Surridge, midlands lead for NHS audit and UK sector lead for local government, and Cathie Eddowes, senior manager, audit quality team – public sector, from Mazars UK discuss the issues that are expected to be important during this years’ NHS external audits. The discussion covers the impact of Covid-19, where auditors are expected to focus their time, and what teams can do to best prepare for this year’s audit.
April 27, 2021
32: In conversation with Hardev Virdee
In the first episode of a brand new series Mark Orchard, chief finance officer at Portsmouth Hospitals University NHS Trust, speaks to Hardev Virdee, group chief financial officer at Barts Health NHS Foundation Trust, about about his life, his career journey, his role models, and much more.
April 14, 2021
31: Preparing the 2020/21 annual report and accounts
HFMAtalk speaks to Ian Ratcliffe, deputy director of sector accounting and consolidation at NHS England and NHS Improvement, about the issues that might be important over the next few weeks and months as NHS bodies prepare their annual report and accounts.  This conversation was recorded on Friday 26 March 2021.
March 30, 2021
30: Delivering NHS services through a social enterprise
HFMAtalk speaks to Richard Mellor, director of finance at Locala Community Partnerships, a community interest company based in Kirklees. Richard discusses what being a community interest company means, how they work with the NHS, the freedom they have to be more innovative, and some of the challenges they face. Community interest companies are a type of  social enterprise. You can find out more about social enterprises, and their role in supporting the NHS in their local communities, via the NHS Confederation's website here
January 25, 2021
29: A clinical perspective on the impact of Covid-19 (11 January 2021)
As 2021 begins with Covid-related hospital admissions rising at a rapid rate and the country in a new national lockdown, HFMAtalk catches up with Sanjay Agrawal, consultant in respiratory medicine and intensive care at University Hospitals Leicester NHS Foundation Trust, to discuss this wave from a clinical perspective. Note: this episode was recorded on 8 January 2021.
January 11, 2021
Episode 28: HFMA 2020 preview with Mark Knight
In a special episode, Mark Knight, chief executive of the HFMA, looks ahead to the 2020 HFMA annual conference. He talks about what delegates can expect, what he is most looking forward to and the value of the NHS finance community coming together.
November 19, 2020
27: A conversation between Caroline Clarke and Sanjay Agrawal: part 2
Sanjay Agrawal, consultant in respiratory medicine and intensive care at University Hospitals of Leicester NHS Trust, and Caroline Clarke, group chief executive of Royal Free London NHS Foundation Trust, have a follow up conversation to their initial discussion earlier this year. They discuss how things have changed in their organisations over the last few months and how they are each preparing for the second wave of Covid-19. They also look ahead to the HFMA 2020 Annual Conference.
November 12, 2020
26: Cost improvement and efficiency savings across the NHS
HFMAtalk joins a discussion between three finance directors about cost improvement programmes and efficiency savings. Sarah Connery, Lincolnshire Partnership NHS Foundation Trust; Chris Sands, Derbyshire Community Health Services NHS Foundation Trust; and Ian Moston, Northern Care Alliance discuss the impact of the pandemic and how this will affect efficiency programmes in the coming year.
October 26, 2020
25: The impact of Covid-19 on mental health
Andy Bell, deputy chief executive at the Centre for Mental Health, and Marsha McAdam, mental health advocate and peer ambassador for the Centre, discuss the impact of the pandemic on mental health, how people’s mental health needs should be met going forward, and the importance of taking this opportunity to ensure people receive the support they need as the lasting impact on mental health becomes clear.
July 23, 2020
24: Covid-19 in Scotland
Craig Marriott, deputy director of finance at NHS Lothian and HFMA Scotland branch chair, discusses the impact and response to Covid-19 in Scotland, highlighting some differences compared to the rest of the UK. He also talks about the challenges and opportunities presented to finance staff across the organisation as a result of the pandemic.
June 24, 2020
23: Covid-19 in Northern Ireland
Maureen Edwards, director of finance, estates and capital planning at Belfast Health and Social Care Trust, provides local insight into how healthcare services within Northern Ireland have been impacted by Covid-19, as well as discussing the varied challenges that her trust - as a provider of the full range of health and social care services - faced in tackling the pandemic.
June 17, 2020
22: Covid-19: a view from Hertfordshire
David Bacon, director of finance at Hertfordshire Community NHS Trust, gives a local perspective on Covid-19. He discusses the impact on community services across the county, as well as how finance teams are re-examining processes as the new business as usual model is developed.
June 9, 2020
21: The impact of Covid-19 on primary care
Professor James Kingsland, general practitioner, honorary professor at the University of Central Lancashire, and a founding member of the National Association of Primary Care, discusses the impact of Covid-19 on primary care and how the workforce have adapted to manage the response. He also talks about the role of primary care networks and uses his experience of disaster medicine to consider how the NHS will recover from the pandemic.
June 4, 2020
20: A clinical perspective on the impact of Covid-19 (2 June 2020)
As services begin to resume across the NHS, Sanjay Agrawal, consultant in respiratory medicine and intensive care at University Hospitals of Leicester NHS Trust, gives his latest insight into the ever-present threat of Covid-19, how hospital services must change as a consequence of the pandemic, and the differences that patients are likely to see when they visit hospital.
June 2, 2020
19: Auditing the 2019/20 annual accounts during Covid-19
Debbie Paterson, policy and technical manager at the HFMA and Mark Stocks, head of public sector assurance at Grant Thornton, talk about adjustments that have been made to the audit of the 2019/20 annual accounts as a result of the pandemic, both within the accounts, and to the auditing process itself. Debbie and Mark also discuss issues that have arisen to the audit process so far, as well as changes already being planned for next year’s audits. Note: This podcast was recorded before NHSE&I's Statement to support provider and commissioner forecasting was published on 27 May 2020.
May 28, 2020
18: The local authority and social care response to Covid-19
Rob Whiteman, chief executive of CIPFA, discusses the local government response to Covid-19. As the NHS and social care have worked together closely to support their local communities, Rob talks about this positive working relationship as well as how the pandemic has impacted almost every facet of service delivery within social care.
May 26, 2020
17: Covid-19: A commissioning perspective
Mark Bakewell, chief financial officer for both Liverpool and Knowsley CCGs, shares his experience of the pandemic. Discussing the challenges that his organisations have faced, Mark emphasises the value of system working, supporting the wider health economy and the role of emerging primary care networks in the region.
May 21, 2020
16: The national response to Covid-19 - A perspective from NHS England & Improvement
Sandra Easton, director of operational finance and performance at NHS England & Improvement, and Marcus Thorman, chief financial officer at the Royal Marsden NHS Foundation Trust, discuss the need to simplify NHS finance processes and governance during the pandemic, and what was required to put these national changes into place quickly and effectively.
May 19, 2020
15: Covid-19: A view from Plymouth
Sarah Brampton, director of finance at University Hospitals Plymouth Foundation Trust, discusses their organisational response to the pandemic and how a culture of empowerment has allowed them to make quick and effective decisions in response to the challenges presented.
May 15, 2020
14: The estates’ and facilities’ response to Covid-19
Anthony Robson, finance director at QE Facilities, talks about the impact of Covid-19 on estates and facilities services across the NHS. He discusses how his organisation has supported the NHS both in responding to the unique challenges presented, but also in helping protect other organisations against fraud during the pandemic.
May 14, 2020
13: A clinical perspective on the impact of Covid-19 (6 May 2020)
Sanjay Agrawal, consultant in respiratory medicine and intensive care at University Hospitals of Leicester NHS Trust, starts to look ahead at a post-Covid NHS. He discusses the impact on other services, the importance of the public continuing to utilise the services they need, and the challenges organisations may face as they balance reintroducing wider patient care with allowing staff and teams the chance to recover from the pandemic.
May 6, 2020
12: A conversation between Sanjay Agrawal and Caroline Clarke
Sanjay Agrawal, consultant in respiratory medicine and intensive care at University Hospitals of Leicester NHS Trust, and Caroline Clarke, group chief executive of Royal Free London NHS Foundation Trust, talk one on one about Covid-19 and what they have learned about their respective Trusts, the NHS, and themselves during the pandemic. In a fascinating conversation, they cover topics ranging from the NHS of the future, the politics surrounding Covid-19 responses, Sanjay’s love of jazz, and pies.
April 30, 2020
11: The local impact of Covid-19 in the West Midlands
This episode’s focus is on the West Midlands, one of the areas most affected by Covid-19 outside of London. We hear two perspectives of the local impact on services and finance teams, one from Ros Preen, director of strategy and finance at Shropshire Community Health NHS Trust, and the other from Susan Rollason, chief finance officer at University Hospitals Coventry and Warwickshire NHS Trust.
April 28, 2020
10: A clinical perspective on the impact of Covid-19 (22 April 2020)
Sanjay Agrawal talks about how staff are pulling together to tackle the pandemic and the impact that it is having on them. He also discusses the research that is going on to treat Covid-19 and to combat the disease in the future. Sanjay is a HFMA trustee and a consultant in respiratory medicine and intensive care at University Hospitals of Leicester NHS Trust.
April 22, 2020
9: Covid-19 beyond the United Kingdom
As a global pandemic, Covid-19 is impacting nearly every country across the world. In this episode, Shaun Eldridge, president of HFMA Australia and Joe Fifer, chief executive of HFMA USA share their knowledge and experience of the response in their countries and its impact across the healthcare system.
April 21, 2020
8: Covid-19: the impact on community services and the role of a non-executive director
This episode of HFMAtalk hears two different perspectives on the pandemic. First Mike Jennings, chief financial officer at Sussex Community NHS Foundation Trust, describes how community services have had to change to address Covid-19 from a very early stage. Then, Ian Turner, non-executive director at Devon Partnership NHS Foundation Trust discusses the role of a non-exec in supporting the organisation to maintain good governance, without getting in the way.
April 17, 2020
7: A clinical perspective on the impact of Covid-19 (14 April 2020)
After four days of working in intensive care, Sanjay Agrawal shares his experience and reflections on the reality of caring for people who have Covid-19. Sanjay is a HFMA trustee and a consultant in respiratory medicine and intensive care at University Hospitals of Leicester NHS Trust.
April 14, 2020
6: The impact of Covid-19 on mental health services
In this episode Suzanne Robinson, executive director of finance at Pennine Care NHS Foundation Trust, discusses the impact of Covid-19 on the day to day delivery of mental health services, and what the pandemic could mean for future demand.
April 7, 2020
5: Covid-19: a view from London
Caroline Clarke, group chief executive at the Royal Free London NHS Foundation Trust and HFMA president shares learning from the London experience of Covid-19 so far and considers how roles have changed to meet the challenge.
April 3, 2020
4: A clinical perspective on the impact of Covid-19 (2 April 2020)
In the second of our podcasts with Sanjay Agrawal, HFMA trustee and a consultant in respiratory medicine and intensive care at University Hospitals of Leicester NHS Trust, Sanjay talks about how learning during Covid-19 might impact how the NHS works in the future. HFMA will be releasing a number of podcasts from people working across different sectors, regions and roles during the pandemic.
April 2, 2020
3: A clinical perspective on the impact of Covid-19 (26 March 2020)
The HFMA is here to support our members, the wider finance community and the NHS throughout the coronavirus outbreak. We recognise that people face many different challenges and part of our role at the HFMA is to help people understand what their colleagues are dealing with, as well as supporting people to feel less isolated in their work and decision making at this time. As part of this it is our intention to produce a range of podcasts that will hear from people working across different sectors, regions and roles. Listening to people speak about the challenges that their organisations are tackling, and their personal experiences of the pandemic can be very powerful. We are all working together to beat Covid-19; we are part of a wider effort even though we may be isolated from our teams. This episode is the first in a series of conversations that we hope to share with you, with Sanjay Agrawal; an HFMA trustee and a consultant in respiratory medicine and intensive care at University Hospitals of Leicester NHS Trust. Sanjay has kindly agreed to talk to us on a weekly basis, if work allows, to document the development of Covid-19 in his trust, sharing their learning and providing a clinical insight into the pandemic.
March 26, 2020
2: Collaborative working between finance and clinical staff
Join Lee Outhwaite, director of finance and contracting at Chesterfield Royal Hospital NHS Foundation Trust, and Sanjay Agrawal, consultant in respiratory medicine and critical care at the University Hospitals of Leicester NHS Trust, as they share their insights into the importance of collaborative working between finance and clinical staff. This episode will cover: A look at how both finance and clinical staff need to understand the business What collaborative working looks like Reaping the benefits of quality improvement projects Using patient-level information and cost data (PLICS) to understand variation Moving to a value-based approach with a focus on population health More information on some of the topics covered in this podcast: HCF article: Roundtable: the right outcomes Blog: Why should finance directors invest in capturing patient-relevant outcomes? Briefing: What finance data is required to drive value at a population level? Briefing: Exploring the role of the NHS finance business partner EVO (Engagement Value Outcome) What is PLICS?  Find out more about the HFMA Healthcare Costing for Value Institute The concept of ‘value’ in healthcare – maximising the outcomes which matter to people at the lowest possible cost – is increasingly seen as a key lever for supporting the delivery of high quality sustainable healthcare. The challenge is how to do this in practice – both at an organisational and system level with the move to more integrated care for local populations. HFMA’s Healthcare Costing for Value Institute supports the NHS to improve costing, turn data into powerful patient-level information, champion multi-disciplinary engagement, and ultimately drive value across patient pathways.
March 4, 2020
1: What do we need to know about leases?
Accounts have been talking about IFRS 16 for so long now that it’s easy to think that everything has been sorted out already, but that’s not the case. Find out what the standard will mean for the NHS and what one NHS foundation trust has done so far. To find out more about IFRS 16: Accounting for leases: why it affects you  Accounting for leases – application of IFRS 16 
January 20, 2020
The podcast for NHS finance
Emma Knowles, director of policy and research at HFMA, tells you more about HFMAtalk, the podcast by the Healthcare Financial Management Association. 
January 8, 2020