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Full-time temporary NHS leadership for Trusts in transition. CQC improvement programmes, financial recovery, and digital transformation. £600-£1,200 daily rates.
Browse 40+ NHS leadership opportunities
Healthcare management positions available
Trust-wide leadership & turnaround
£1,200-£1,800/day
Demand: HighPatient flow & operational efficiency
£900-£1,300/day
Demand: Very HighFinancial recovery & planning
£850-£1,200/day
Demand: HighTrust improvement programmes
£1,000-£1,500/day
Demand: HighQuality & patient safety
£700-£1,000/day
Demand: MediumMajor change programmes
£800-£1,100/day
Demand: GrowingWorkforce transformation
£750-£1,050/day
Demand: MediumEPR & digital transformation
£900-£1,300/day
Demand: GrowingOrganization types with highest demand
High demand
Hospital transformation
Growing
Service improvement
Medium
Integration projects
High demand
Operational efficiency
New sector
System leadership
Medium
Clinical excellence
Trusts rated Inadequate or Requires Improvement hire interim leaders for 9-12 month turnaround programmes. Full-time engagement to address quality failures, implement action plans, and achieve CQC re-rating.
NHS Trusts in deficit or facing financial crisis hire interim Finance Directors and Turnaround Directors for 12-18 months to implement recovery plans, negotiate with commissioners, and achieve financial sustainability.
Trusts implementing Electronic Patient Records (EPR) systems hire interim Chief Digital Officers and Programme Directors for 12-24 months to lead major technology implementations and digital transformation programmes.
Trust mergers require interim executives to integrate operations, harmonize systems, align cultures, and deliver merger benefits over 12-24 month periods.
When senior executives leave suddenly, Trusts hire interim leaders for 3-6 months to maintain continuity while conducting permanent recruitment searches.
During winter pressures, some Trusts bring in interim operational leaders to manage surge capacity, improve patient flow, and reduce A&E wait times.
Skills that command premium rates
Most NHS interim roles are governed by framework agreements with standardized rate cards. NHS Professionals, Crown Commercial Service, and regional frameworks set maximum day rates by band and role type.
NHS organizations are subject to public sector IR35 rules. The hiring Trust determines IR35 status using HMRC's CEST tool. Most senior interim roles fall inside IR35.
Understand your take-home as an NHS interim leader
See how IR35 status affects your earnings as a interim executive
Umbrella company or deemed employment - taxed like an employee
Limited company - optimal salary + dividends structure
Important: This calculator provides rough estimates for illustration only. IR35 status is determined by the nature of your working arrangement, not by choice. Always consult with a qualified tax accountant or IR35 specialist before making financial decisions.
Tax rates based on 2024/25 UK tax year. Outside IR35 assumes optimal limited company structure. For official guidance, see gov.uk/IR35 or use HMRC's CEST tool.
Common questions about NHS interim roles
40+ NHS Trust and healthcare leadership opportunities