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Interim NHS executive jobs UK — C-suite leadership for NHS trusts, ICBs and health authorities. CEO, CFO, CIO, COO roles for transformation, turnaround and CQC improvement.
The NHS employs interim executives extensively across its 223 trusts, 42 ICBs (Integrated Care Boards), and numerous arm's length bodies. Unlike the private sector, NHS interim appointments follow specific governance frameworks and procurement routes that executives need to understand.
Live interim positions across NHS trusts, ICBs, and health organisations. Filter by location, specialty, or organisation type.
NHS Interim Management and Support (NHS IMAS) is the official NHS framework providing interim management support across England. It offers pre-vetted executives at standardised rates.
Many trusts also work with specialist interim recruitment firms for urgent needs, specific expertise, or when IMAS cannot provide suitable candidates quickly enough.
NHS organisations must follow procurement rules for interim appointments. Direct awards are possible under £50,000 (approximately 40 days at £1,250/day). Above this, framework agreements or competitive processes may be required. Always check with your procurement team.
| Role | Typical Day Rate | Monthly Equivalent |
|---|---|---|
| Interim CEO (Trust) | £1,500 - £2,000 | £32,500 - £43,300 |
| Interim CFO | £1,200 - £1,500 | £26,000 - £32,500 |
| Interim COO | £1,000 - £1,400 | £21,700 - £30,300 |
| Interim CIO/CNIO | £900 - £1,300 | £19,500 - £28,200 |
| Interim Medical Director | £1,200 - £1,600 | £26,000 - £34,700 |
| ICB Executive Director | £1,000 - £1,500 | £21,700 - £32,500 |
Note: Rates shown are inside IR35 via umbrella company or agency PAYE. Monthly equivalents based on 21.7 working days. Actual rates depend on urgency, location, and specific challenges. London and specialist trusts typically pay 10-20% above these ranges.
The vast majority of NHS interim executive roles are inside IR35, meaning you'll be treated as an employee for tax purposes despite being on a temporary contract.
Important: Always factor in umbrella company fees (£15-25/day), employer's NI (13.8%), and lack of pension contributions when comparing NHS interim rates to permanent salaries. A £1,500/day inside IR35 rate yields approximately £185,000 net annually.
Everything you need to know about interim executive roles in the NHS
We connect NHS organisations with experienced interim executives who understand the unique challenges of healthcare leadership. From CQC improvement to digital transformation, our executives have delivered in the NHS before.