External contributor / Duncan Orme

HFMA mentor

Duncan was, until recently, the chief financial officer at Nottingham University Hospital, one of the largest hospital trusts in the United Kingdom with over 15,600 staff and a turnover of £1.5bn.

He is a member of the Costing for Value Institute’s Council and a regular contributor to journals and international conferences on costing and leadership. He also owns and runs a luxury glamping business (DomefromHome.co.uk) with his wife. He is also a Trustee of the Naseby Battlefield Project (Naseby.com).

Previously Director of Finance at St Andrews Healthcare (a charity leading innovation in mental healthcare) and Director of Finance at Northampton General Hospital, Duncan is an experienced leader in finance and a certified Franklin Covey facilitator in “Leadership”, “Trust” and “The 7 Habits highly of effective people”.

Duncan has contributed to journals and conferences on: 

  • Financial turnaround and “Value” using the principles of “Clinical business acumen”.
  • Patient level costing and information systems (PLICS), how to use them to engage clinicians and drive value.
  • “Service line leadership”, the award-winning programme for clinical leadership developed at Nottingham. 
  •  The Integrated care system (ICS) pilot in Nottinghamshire, improving clinical outcomes, value and trust with transparent patient tracking.
  • When away from the office Duncan is authoring a guide to “Clinical business acumen”. He also keeps bees and races his 101-year-old classic sailing boat in North Wales.