Very senior managers

Information for employers on very senior managers (VSMs) and the VSM pay framework.

8 June 2022

For queries relating to very senior managers (VSM), including the very senior managers pay framework and Non-Executive Directors (NEDs), please contact NHS England and NHS Improvement directly.

Additional resources can be found on their respective website:

NHS England and Improvement also provide guidance on NHS Trust Chair and NED pay.

NHS Employers is not responsible for the Very Senior Managers (VSM or NEDs) pay and cannot provide support on these queries.

For queries about the ESM pay framework for Senior Managers in the Department of Health and Social Care’s Arm’s Length Bodies, please contact