Health and social-care delivery sit together in a system with its own Department, trusts and workforce arrangements.
The Northern Ireland desk
Working in HSC Northern Ireland, explained.
Northern Ireland’s integrated Health and Social Care system, Departmental contract documents, pay implementation and development support are distinct. This centre puts the practical sources in one place.
Choose your route
Northern Ireland working guides
Use these pages with the current Department of Health circular and your employer’s local procedure.
01Explore →02Explore →03
Contracts, pay and development
2021 SAS terms, local-contract checks, pay circulars, leave differences, job planning, pensions and NIMDTA support.
Trusts and local support
The HSC organisations, local orientation, SAS advocates, medical workforce, LNC and professional-development routes.
Four-nation guide
Compare charters →Northern Ireland SAS Charter
How to use the November 2015 charter safely alongside current contracts, Portfolio Pathway terminology and local structures.
The Northern Ireland context
Important differences
Contract amendments and pay implementation are published for Northern Ireland. English or Welsh payment timing must not be assumed.
Reformed Specialty Doctor and Specialist contracts have Northern Ireland documentation, models and pay-progression guidance.
The Northern Ireland Medical and Dental Training Agency administers SAS career-development activity and an individual development fund.
Official starting points
Northern Ireland sources
Department of HealthSAS 2021 terms, models and guidance ↗NIMDTASAS Professional Development Fund ↗HSC trust directoryOfficial trust contacts ↗NI SAS CharterCurrent BMA-listed version, November 2015 ↗
Sources checked 8 September 2026.
Ongoing professional development
Prepare for appraisal and maintain your portfolio
Map whole-practice evidence, plan feedback and build a realistic PDP. Keep appraisal, employment progression and specialist registration distinct.
Appraisal, Revalidation & Professional Portfolio →