The Board of Trustees is HFMA’s supreme decision-making body. The Trustees are accountable for the governance of the Association. The Board meets every quarter and its role is to manage the affairs of the Association as well as receiving reports from the Chief Executive and Finance Director. 

The Board is made up of fifteen members. There are currently five officer posts elected by nomination from the Branches. These are the President, two Vice-Presidents, Immediate Past President and Chair of the HFMA Audit and Finance Committee (previously Honorary Treasurer).

There are three regional trustees, drawn from branch members in Northern Ireland, Wales and Scotland. The remaining trustees are drawn from the membership and are selected by the Appointments and Remuneration Committee taking into account the requisite skills required by the Board. Members apply by an open application process. 

The following individuals make up the 2019/20 HFMA Board of Trustees:
Caroline Clarke

Caroline Clarke, president 

Caroline Clarke was formerly director of strategy at NHS North Central London. Prior to that she was an associate partner in KPMG's health strategy team. She has spent most of her career in NHS finance, having been director of finance at the Homerton University Hospital NHS Foundation Trust and City and Hackney Primary Care Trust.

Caroline has been the trust’s chief finance officer since 2011 and in 2012 she was made the finance director of the year by the Healthcare Financial Management Association.  She was appointed the trust’s deputy chief executive in 2012. Caroline was made chief executive of the Royal Free NHS Foundation Trust in 2019. 

Caroline is currently a member of the advisory board to The Learning Clinic, and sits on the CIPFA health panel.

She is also the national lead for the Best Possible Value Programme, part of the future focused finance which ensures that the finance professionals of tomorrow have access to the best skills and tools to support high quality patient care.

Bill Gregory

Bill Gregory, immediate past president 

Bill joined Lancashire Care NHS Foundation Trust in February 2015, as Chief Finance Officer.  A Chartered Accountant with experience of working across the NHS and private sector, he has 20 years of experience as a director in healthcare for acute hospital, mental health and community service organisations.   His current responsibilities include financial management, IT, estates, planning and business development in his current role.  He is also member of the finance and general purpose committee at the University of Lancaster.

Owen Harkin_circle

Owen Harkin, vice president 

A graduate of the University of Ulster, Owen began his career in the Finance department of the Western Health and Social Services Board in Derry in 1988. He progressed through a series of finance roles within the health service (based in Belfast and Omagh) before taking up the position of Deputy Director of Finance at Altnagelvin Hospitals Health and Social Services Trust in December 1995.

Owen was Chief Finance Officer at the Western Education and Library Board from January 2004. He returned to the health and social care sector in April 2010 as Assistant Director of Finance with the Health and Social Care Board (HSCB). He also served as Acting Director of Finance with HSCB from May 2013 to May 2014). He took up his current role, as Director of Finance of the Northern Health and Social Care Trust, in September 2015.

Owen is a member of the Chartered Institute of Management Accountants and is currently the Chairman on the Northern Ireland Branch committee of the Healthcare Financial Management Association.

Lee bond - News Alert

Lee Bond, vice president 

Lee was appointed Chief Financial Officer at Hull University Teaching Hospitals NHS Trust in March 2013.

Prior to this he was a Director of Business Delivery within Hull University Teaching Hospitals NHS Trust and before that, Director of Finance at Central Manchester University Hospitals NHS Foundation Trust. His previous financial posts include Sherwood Forest Hospitals NHS Foundation Trust and Sheffield Children’s NHS Foundation Trust.

Kim Li

Kim Li 

Kim has been the Director of Finance at South Warwickshire NHS Foundation Trust (SWFT) since 2016. SWFT has just been rated as Outstanding Overall by the CQC, as well as, Outstanding for its Use of Resources. Prior to this Kim was the Deputy Director of Finance and had a key role in the Trust's financial turnaround, its successful Foundation Trust application and the integration of Community services. Kim is also a Non-Executive Director of SWFT’s wholly owned subsidiary SWFT Clinical Services Limited.

Kim is an active member of the HFMA West Midlands Executive Branch and is a past Branch Chair. Kim is an assessor/coach on the Aspiring NHS Finance Leaders National Talent Pool and is studying for the Institute for Leadership & Management Level 7 Certificate in Mentoring and Coaching. Kim is also a qualified facilitator for the NHS Leadership Academy’s 360⁰ Feedback Model.

Alex Gild

Alex Gild

Alex Gild is Director of Finance, Performance & Information at Berkshire Healthcare NHS Foundation Trust. Alex’s organisation provides mental health and community physical health services across Berkshire with a budget of £215m and 4,000 staff.

Alex has been FD at Berkshire Healthcare since the beginning 2011, prior to that being Deputy FD, bringing acute sector and SHA experience, since joining the NHS as a graduate in 1996.

Berkshire Healthcare became an FT in 2007 and integrated the two Berkshire PCTs’ community physical health services in 2011, doubling the size of the Trust with the objective of improving community based services to Berkshire patients. The organisation spans Berkshire operating from 40 sites including 2 PFI hospitals, and works closely with 7 CCGs, 6 local authorities and 2 acute FTs, planning for and facing the future system challenges together with partners.

James Rimmer - News Alert

James Rimmer

James Rimmer has been the Chief Finance Officer at Southampton City CCG since its establishment, he is also the Deputy Chief Executive.

James joined the NHS in 2001 as part of the highly regarded NHS Finance Graduate Training Scheme. He has held numerous senior finance roles working in both the commissioning, and providing, arms of the NHS

James is a professionally qualified accountant, a Fellow of the Chartered Institute of Management Accountants (CIMA) and holds a Master’s Degree in Business Administration and an Honours Degree in Accounting and Finance.

As the Chief Financial Officer for Southampton City CCG James is responsible for ensuring the CCG meets all of its statutory duties in relation to finance, providing expert financial advice to Governing Body Members.

On Behalf on NHS Clinical Commissioners James Co-Chairs the Finance Working Group with Paul Baumann the Chief Financial Officer of NHS England. The finance working group allows engagement between CCG CFOS and the NHS England senior finance team on various national issues.

James has been a trustee of the HFMA since December 2017 and Chair of the HFMA Audit and Finance Committee since December 2016. He is also part of the HFMA South Central Executive Branch.

Sanjay Agrawal

Dr. Sanjay Agrawal

Dr Sanjay Agrawal is a Consultant in Respiratory and Critical Care Medicine at the University Hospitals of Leicester NHS Trust (UHL) and Honorary Senior Lecturer at the University of Leicester.

Sanjay has been Senior Responsible Officer for the ‘Close Partnering’ work stream of the national ‘Future Focused Finance’ programme since 2014 aiming to take the collaboration between finance staff and clinicians to a higher level.

Lee Outhwait

Lee Outhwaite

Lee joined Chesterfield in August 2017.  His role covers finance, procurement, estates and facilities, ICT and the Chesterfield Royal Hospital Charity.  He is also the finance director lead for the Derbyshire STP.  Lee has worked in the NHS, since 1993, in a number of finance roles, in Devon, Hampshire, Surrey, London and Derbyshire. He is a member of the Chartered Institute of Public Finance and Accountancy.

Prior to this role he worked at NHS Improvement, where he was the business director for London. In addition to oversight of London trusts, he was involved in a number of national policy areas. Prior to moving to the NHS Improvement, Lee was director of finance and performance at Derby Teaching Hospitals NHS Foundation Trust, for seven years.

Lee is a Trustee of the Healthcare Financial Management Association, and sits on HFMA's Policy and Research Committee. Lee is also a trustee and honorary treasurer of Women’s Work, a Derbyshire based charity. In addition, he is also currently pursuing a professional doctorate at Keele University, in their Public Policy and Management faculty.

Elizabeth O'Mahony

Elizabeth O’Mahony

Elizabeth O’Mahony is NHS Improvement’s regional director of the South West.  Elizabeth has spent most of career in NHS Finance and worked across a number of provider organisations and in the intermediate tier at a regional and national level.   Elizabeth’s portfolio of financial experience is wide-ranging and includes financial turnaround, provider development and mergers and acquisitions.  She has been actively involved in the development of national financial policy for a number of years.

Elizabeth’s previous role was director of finance of the NHS Trust Development Authority having previously been Director of Finance for the South West Strategic Health Authority where she developed financial frameworks that contributed to the success of the region.  

She is a fellow of the Association of Chartered Certified Accountants.

Sandra Easton - News Alert

Sandra Easton

Sandra Easton became Director of Operational Finance & Performance (National) at NHS England and NHS Improvement in September having been Chief Financial Officer at Chelsea and Westminster Hospital NHS Foundation Trust since April 2016.

Previously she was Deputy Director of Finance at Imperial College Healthcare NHS Trust. Sandra started her NHS career in 2001 after finishing her degree in Financial Services and has a wealth of experience across acute, tertiary, community and mental health providers. Sandra is responsible for Finance, Procurement and Contracts.  She is an Associate of the Chartered Institute of Management Accountants (AMCA) and a Chartered Public Finance Accountant (CPFA).

Claire Wilson - News Alert

Claire Wilson

Claire is currently the Executive Director of Finance Wirral University Hospitals NHS Foundation Trust.  Prior to this she has held a number of senior roles at local, regional and national level. 

Claire began her career in the NHS on the National Financial Management Training Scheme in 1996. Since then, she has spent most of her career working within the Northwest in a number of NHS provider organisations and at the Strategic Health Authority before going on to spend two years as the Chief of Staff to the Chief Finance Officer of NHS England.  

Before taking up the position of Chief Finance Officer at Liverpool Heart and Chest Hospital, she was the Chief Finance Officer for NHS Bury Clinical Commissioning Group.

Kavita Gnanaolivu

Dr Kavita Gnanaolivu

Dr Kavita Gnanaolivu works for KPMG in the health practice and is a key member of the health consulting leadership team. She leads a diverse range of healthcare improvement projects with a number of Trusts and Health Boards across the country specialising in financial improvement, operational improvement, pathway redesign and service reconfiguration.

Prior to joining KPMG, she spent 3 years in EY’s healthcare practice. She started her career as a doctor but decided to move into healthcare management. She joined the NHS Wales Financial Management Graduate programme in 2001 and after gaining her CIPFA qualifications worked in Cardiff and Vale Health Board through senior management positions before joining EY.

Kavita has been active in HFMA wales for the past 10 years as the Financial Management Research lead during which she facilitated the initiation of the UK-Australia HFMA exchange programme. She has currently taken over as Chair of the HFMA Wales branch.

Simon Crowther - Circle pic

Simon Crowther 

Simon Crowther has been the Executive Director of Finance at Nottinghamshire Healthcare NHS Foundation Trust since 2015 and within this role Simon also has responsibility for procurement, information and estates.

Simon has also previously held board level roles in both provider and commissioning organisations. In addition to this Simon is a former east midlands branch chair, sits on the Policy and Research Committee of the HFMA and is a qualified coaching practitioner. He is an Associate of the Chartered Institute of Management Accountants (AMCA).

David Chandler

David Chandler

David Chandler is the Chief Finance Officer and Deputy Chief Officer for Sunderland CCG. He has worked in the NHS for almost 30 years and has experience in most sectors including acute care, community, mental health and commissioning within Gateshead, Durham and Sunderland. As well as being Chair of the HFMA Commissioning Finance Faculty he is also Chair of the Northern branch of HFMA.

Board Committees

The HFMA Board of Trustees has a number of subcommittees that undertake work on behalf of the HFMA Board. The subcommittees are populated by HFMA Trustees and Staff and all feed back to the Board of Trustees.

Audit & Finance Committee

The Audit & Finance Committee ensures the financial control of HFMA is strong and that good governance of the financial activities of HFMA exists. This is achieved through considering the effectiveness of the company’s internal controls and risk management systems. The Audit & Finance Committee is chaired by the Honorary Treasurer.

Appointments and Remuneration Committee

The Appointments and Remuneration Committee makes recommendations to the Board on applications for Officer Trustee posts and trusteeship. It also provides advice on the recruitment and remuneration of HFMA personnel.


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