Freelance Financial Analysts in United KingdomFreelance Financial Analysts in United Kingdom
Data Engineering and Automation
$25k+
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Data Engineering and Automation
Automating Your Data with SQL, Alteryx & Python
Automating Your Data with SQL, Alteryx & Python
Financial & Tech Writer | CFA Charter | 15yrs experience
Financial & Tech Writer | CFA Charter | 15yrs experience
UK Healthcare IT Project Support Consultant
New to Contra
UK Healthcare IT Project Support Consultant
Cover image for Cloud EHR Modernisation Programme Business
Cloud EHR Modernisation Programme Business Case & Financial Model Verified • 🔗 IT Project Manager NHS • 23/08/2026 Overview Innovate Health IT, a 500-bed acute NHS Trust, faced significant challenges with its aging on-premises EHR system, including rising costs, frequent outages, limited scalability, and poor interoperability, which hindered operational resilience and clinical safety. The candidate was tasked with evaluating a strategic transition to a modern cloud-based EHR platform to address these critical issues and align with national digital transformation mandates. What I did Developed a detailed 5-year financial model, including cash flow projections, Net Present Value (NPV), and Return on Investment (ROI), explicitly adhering to HM Treasury Green Book guidance for public sector projects. Conducted a comprehensive options appraisal comparing current on-premises, cloud-based, and hybrid EHR solutions, detailing their respective pros and cons. Performed a sensitivity analysis on key financial variables (subscription cost, migration cost, productivity gains) to assess financial viability under different scenarios. Identified and mitigated key risks associated with cloud EHR transition through a structured RAID log, proposing specific mitigation strategies. Designed a benefits realization plan, outlining KPIs, ownership, governance, and reporting cadences for tracking both cashable and non-cashable benefits. Authored a strategic business case highlighting national NHS mandates (EPR 2025, Shared Care Record, DSPT, Cyber Strategy) and their influence on the recommendation. Outcomes & deliverables Produced a comprehensive business case document recommending a cloud-based EHR transition for Innovate Health IT. Developed a detailed 5-year financial model demonstrating a negative NPV of –£2.90M and an ROI of –64%, typical for strategic NHS EPR programs. Identified 5 key risks and their mitigation strategies within a structured RAID log. Outlined a benefits realization plan with clear KPIs for tracking both cashable and non-cashable benefits like improved clinical safety and cybersecurity. Provided a clear, data-backed recommendation for the cloud EHR, emphasizing strategic alignment over purely financial returns. Impact I developed a detailed business case for a major NHS Trust, justifying a strategic shift to a cloud-based Electronic Health Record (EHR) system through rigorous financial analysis and strategic alignment, securing buy-in for a critical digital transformation. Tools & methods Excel/Google Sheets (financial modeling), NHS Green Book (discount rate guidance), Risk Assessment Frameworks, Benefits Realization Frameworks Reflection I learned that while traditional financial metrics (NPV, ROI) may appear negative for NHS EPR modernization due to the nature of non-cashable benefits, the strategic imperative for improved resilience, cybersecurity, and interoperability often outweighs these financial limitations, necessitating a nuanced approach to business case development.
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Bookkeeping & VAT Returns for UK Businesses
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Bookkeeping & VAT Returns for UK Businesses
Financial models & advisory for investors and SMEs
Financial models & advisory for investors and SMEs
Fullstack React/C# Industry Expert
Fullstack React/C# Industry Expert
Qualified Firm Providing Top-notch Accountancy Services
Qualified Firm Providing Top-notch Accountancy Services