NHS operating games

The HFMA's NHS operating games are a set of unique and interactive training tools for NHS staff and suppliers.

The HFMA's NHS operating games are a set of unique and interactive training tools for NHS staff and suppliers. The operating games give the perfect balance of knowledge transfer, real life examples and fun to deliver training sessions.

The games provide a powerful opportunity for healthcare professionals at all levels (NHS and suppliers) to experience some of the key operational, clinical and financial challenges faced by NHS organisations. We have two games currently available*; one is based on acute hospital trusts and community provision, and the other integrated health and social care which focuses on integrated care systems.

The board game versions

Acute with community

This is a great financial management tool where participants manage theoretical trusts and are encouraged to discuss and review their performance and adapt their strategy in order to get the best financial and clinical outcomes. Find out more.

Integrated health and social care 

Focuses on the wider workings of the integrated health economy and allows participants to delve deeper into the challenges faced at system level with the opportunity to redesign parts of the system. Find out more.


* HFMA have also developed board games for Northern Ireland, Wales and another on a Mental Health trust. If you'd like to discuss any of these please do get in touch. Similarly if you’d like to discuss the opportunity of HFMA developing further games not listed above please do reach out to us.

Delivery methods

HFMA delivery day

The day is facilitated at your premises, by HFMA’s high calibre facilitators who have worked in NHS finance at board level for decades. Delegates will get a sound grasp of how money flows through the NHS and how various pressures and challenges can impact on decision making and budgeting. Teams will be managing a trust for a day, with various responsibilities such as managing patients, service lines, clinical staff, funding, assets and relationships with commissioners.

We guarantee a session that is fun, informative, interactive and insightful.

Annual licence option

Want to run training in house?

HFMA also offer the operating game on an annual licence to NHS organisations, supported with a two day ‘train-the-trainer’ course to enable your finance team to run the game. We deliver you a complete game kit with all resources required for you to run your training and then offer continued support throughout the duration of your license during which your team can run the training as many times as you wish.

Want to know more?

Please contact the team on 0117 457 3990 or email us.