Head Office

Risk and Assurance Lead

Risk and Assurance Lead

Barbican, London | Hybrid Working | Permanent | Full Time

Competitive salary available, depending on experience
37.5 hours per week

Nuffield Health is the charity that’s building a healthier nation, one day at a time. From award-winning hospitals and fitness facilities to flagship community programmes – we’ll do whatever it takes to look after the UK’s wellbeing. It starts with passion and commitment to quality. It starts with you.

As a Risk and Assurance Lead, your primary responsibility is to own and deliver the Charity’s Internal Audit Programme, providing clear, practical assurance over how well key risks are being managed and whether internal controls are operating as intended.

The role sits within our Legal team and works across hospitals, fitness and wellbeing sites, and central functions. Reporting to the Head of Risk and Assurance, you will plan, deliver and report on internal audit activity, using audit insight to strengthen governance, risk management and internal control.

This is a high‑profile role requiring credibility and hands‑on expertise in internal audit, controls and risk assurance. You will work closely with senior stakeholders, risk and control owners, and external auditors to deliver assurance that supports effective decision‑making by the Executive Committee and Board Audit & Risk Committee.

As Risk and Assurance Lead, you will:

  • Own and deliver the Internal Audit Programme, including planning the annual programme, carrying out reviews, and ensuring audit work is risk‑based, proportionate and adds clear value.

  • Undertake internal audit reviews, testing how key controls operate in practice, identifying weaknesses, and agreeing practical, affordable improvements with management.

  • Track and follow up audit actions, supporting risk and control owners to embed and sustain improvements.

  • Provide clear, timely and evidence‑based reporting on audit findings, themes and control effectiveness to senior management and governance committees.

  • Use audit insight to inform wider risk management activity, including principal and emerging risk discussions.

  • Build strong working relationships with risk owners, senior leaders, and external auditors to strengthen the overall control environment.

  • Contribute to the ongoing development of the risk and assurance framework, ensuring it supports effective assurance and reliable reporting.

  • Support related risk activity, including:

    • Maintaining the Emerging Risk Register and horizon scanning.

    • Developing and interpreting Key Risk Indicators (KRIs).

    • Promoting a risk‑aware and assurance‑focused culture across the organisation.

To succeed in this role, you’ll bring:

  • Proven experience in delivering Internal Audit reviews, including control testing and reporting.

  • Strong understanding of internal control, assurance and risk‑based audit planning.

  • Experience of applying risk frameworks and using assurance to support decision‑making.

  • Confidence engaging with senior stakeholders and challenging constructively where controls are not effective.

  • Ability to analyse complex issues and communicate findings clearly and plainly to senior management and boards.

  • A practical, solutions‑focused mindset and attention to detail.

  • Experience of working in complex or regulated organisations (health, wellbeing or charity environments desirable).

  • Experience with risk or assurance systems/tools (desirable).

  • Experience of emerging risk assessment, horizon scanning or KRIs (desirable).

  • Experience of clinical risk or regulated environments (desirable).

Helping you feel good.

We want you to love coming to work, feeling healthy, happy and valued. That’s why we’ve developed a benefits package with you in mind. Here, you can choose from a range of fitness, lifestyle, health and fitness wellbeing rewards, such as free gym membership, health assessments, retail discounts and pension options.

At Nuffield Health, we take care of what’s important to you.

If you like what you see, why not start your application now? We consider applications as we receive them and reserve the right to close adverts early (for example, where we have received an unprecedented high volume of applications). So, it’s a good idea to apply right away to ensure you’re considered for this role.

Apply today… It starts with you.

Location

London

Contract type

Permanent

Reference

JR0097978

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Rewards & Benefits

Helping you be and feel your best.

Annual Leave

25 days + Bank Holidays, increasing to 27 days after 5 years and to 30 days after 10 years of service.

Nuffield Health Healthcare Plan

Membership is free for employees and you can add partner and dependants at your own cost.

*eligibility criteria applies.

Financial Wellbeing

A range of employee benefits through a Financial Wellbeing provider – including affordable loans repaid through salary, access to your pay when you need it, simple savings, a government Help to Save scheme and money insights.

Cycle to Work Scheme

Save money, get fit and reduce your carbon footprint by taking advantage of this tax-efficient scheme to get a new bike.

Gym Membership

Free membership to any Nuffield Health gym, plus discounted memberships for family members.

Online GP

Discounted access to secure video and telephone GP consultations and a suite of healthcare management tools, provided by digital healthcare company Doctor Care Anywhere.

Relevant Stories

Sharing memorable experiences.

Plan your commute

London

Hints & Tips

Help with your application.

Once you’ve found the right role for you, you can apply online. All you need to do at this stage is submit your CV, a covering email, and a few personal details.

Our recruitment team screens all of the applications we receive. So, if they see that you’ve got the right sort of skills and experience needed for the role, your details will be passed on to the relevant hiring manager. Then, if you fit all the criteria at this stage, you’ll be invited to take part in a video, telephone or face-to-face interview. 

CV

Think about the skills and qualities asked for in the job description and show how you’ve applied those same skills and qualities in other roles. Focus on the things that will make us want to see more of you.

Covering email

Your CV will contain details about why you’d be a good fit for the role, but it’s well worth adding a short, snappy paragraph pulling out the two or three most compelling reasons as to why you’d be perfect for the job in your covering email..

Video interview

The video interview lasts 15-20 minutes if you get to this stage. On the day, look the part, be aware of your surroundings and practice your answers to feel prepared. Most of all, relax and be yourself.

DBS Checks

Some of our roles require a DBS check and they are processed through the Disclosure and Barring Service (DBS) as part of the recruitment process. These checks are to assist employers in making safer recruitment decisions. However, a check is just one part of robust recruitment practice.

Documents

You could be asked to provide proof of vaccinations as part of our Occupational Health pre-employment screening. We know it can be time consuming to get this information if you don’t already have it to hand, so we encourage you to start preparing this information to avoid any delays to the onboarding process.

Your current studies

If you are currently undertaking any strudies, education or apprenticeships, its worth noting there are some training provider we're not partnered with, and therefore potentially unable to support your continued learning. Ensure you share this at interview and for queries contact psc@nuffieldhealth.com

Feedback on applications

Due to the volume of applications we receive we are unable to provide individual feedback from an inital application.

Head Office

Risk and Assurance Lead

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