Unlocking the Potential of Interim Leadership in Healthcare

In the complex and ever-evolving world of the NHS, leadership plays a pivotal role in navigating challenges and driving transformation. Interim leaders have historically played a significant role in driving change across the public sector. Yet, the term “interim” often carries an unfair stigma, with some perceiving interim managers as costly or temporary solutions and often being compared to large consultancy firms. However, interim leaders are not the same as consultancies—they are individuals that are experts in their field who deliver strategic value, often at a fraction of the cost. They can be deployed to structure change initiatives, but importantly, they often are the ones who drive forward the implementation of change programs that result in financial savings for organisations. At a time of change in the NHS, the ability to deploy flexible solutions in the form of subject matter experts that offer capacity and capability to already under-resourced teams is essential.

Interim leaders bring fresh perspectives and specialised skills to tackle pressing challenges. They will create capacity to drive change and decrease pressure on the already existing leadership team; they offer support and guidance, which will then enhance the skill set of the permanent team. They also offer mentorship, sharing their expertise to upskill existing staff and build resilience within the workforce. This is particularly critical in the NHS, where workforce shortages and burnout are ongoing challenges. By guiding and supporting teams, interims can lay the foundation for a more adaptable and confident workforce. Interim managers can hit the ground running, offering immediate solutions and strategic insight. During periods of change or crisis, they provide stabilisation and direction, guiding organisations through complex transitions. For instance, they may oversee the implementation of new digital tools, identify cost-saving efficiencies, or restructure departments to improve patient outcomes. Their objective stance, free from internal politics, allows them to make unbiased decisions that benefit the organisation as a whole.

One of the greatest misconceptions about interim leadership is the cost. Yes, interim managers may command higher day rates than permanent staff; however, they have to cover all employment costs, employers NI, and don’t receive any pension contributions. The value they bring in terms of efficiency, savings, and expertise far outweighs the initial investment. Compared to consultancies, interims are significantly more cost-effective. Consultants from large firms often involve teams of people working on broad projects, with higher fees and no personal accountability. Often with generic skill sets that have never been tested in the real world of the NHS. In contrast, an interim is a specialist who works directly for the organisation, focusing on clear, achievable goals.

 Healthcare often relies heavily on talent from within its own ecosystem, but looking beyond NHS talent pools can yield transformative results. Interim leaders with cross-sector experience bring fresh ideas and innovative approaches from industries such as digital, data and technology, finance, or HR/OD. For short-term, focused projects—such as reforming operational processes or implementing new systems—NHS-specific experience isn’t always necessary.

 Interim leadership in healthcare is an underutilised resource that has the potential to drive meaningful transformation and reform. By challenging the stigma surrounding interim managers and recognising their unique strengths, the NHS and other healthcare organisations can unlock significant value. Interims are not temporary stopgaps or costly consultants; they are strategic assets who bring expertise, fresh perspectives, and measurable results.

 Whether it’s stabilising teams, optimising operations, or introducing cross-sector innovation, Tile Hill specialises in connecting healthcare organisations with exceptional interim leaders who deliver flexible and impactful solutions. By working closely with clients to understand their unique challenges, Tile Hill ensures the right leader is in place to drive meaningful change and deliver results where they’re needed most. With a proven track record in placing experts who bring fresh perspectives and lasting value, Tile Hill is ready to help healthcare organisations unlock the full potential of interim leadership.