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All Executive Senior Management (ESM) and Senior Medical Leader contracts must be signed by the Director of Human Resources and Organisation Development (HR and OD) at NHS Improvement (NHSI).

The Director of HR and OD holds a joint contract of employment for both NHS England (NHSE) and NHSI and therefore has the authority to sign the contracts on behalf of both organisations.

Contract Types 
Contract Types  
NHSE / Monitor ESM Contract This contract is issued to all ESM candidates.
Internal NHSI Senior Medical Leaders Contract This contract is issued to internal Senior Medical Leader candidates moving to these terms, who are currently employed by NHSI.
Internal NHSE Senior Medical Leaders Contract  
Internal NHSE Senior Medical Leaders Contract