Medical workforce
Contract, grade, job plan, payroll escalation and formal employment processes.
Places, employers and support
HSC trusts and the local SAS map
Use this as an orientation to organisations and support functions—not as a substitute for current local contact directories or clinical pathways.
Service organisations
Five geographic trusts and an ambulance trust
The geographic trusts integrate hospital, community, mental-health and social-care services. Regional services may be hosted by one trust for the whole of Northern Ireland.
01
Belfast Health and Social Care Trust
Belfast and many regional specialist services
Official website ↗02Northern Health and Social Care Trust
Antrim, Causeway and northern localities
Official website ↗03South Eastern Health and Social Care Trust
Down, Lisburn and surrounding areas
Official website ↗04Southern Health and Social Care Trust
Armagh, Banbridge, Craigavon, Dungannon and Newry areas
Official website ↗05Western Health and Social Care Trust
Derry/Londonderry, Enniskillen, Omagh and western localities
Official website ↗06Northern Ireland Ambulance Service Trust
Ambulance services across Northern Ireland
Official website ↗Build your local directory
Six support functions to identify
SAS Advocate
Recognition, wellbeing, dignity, themes and signposting—not therapy, legal advice or union representation.
Education and appraisal
SAS education lead, appraiser, responsible officer, study leave and NIMDTA development routes.
LNC or union
Collective and individual employment representation, contractual questions and local negotiation.
Safety and speaking up
Incident reporting, safeguarding, governance, complaints and the trust’s concern-raising process.
Health and wellbeing
Occupational health, employee assistance, GP, confidential support and urgent routes.
Before the first on-call
Map the regional pathway
Clinical geography
Know which services are local, which are regional, where patients transfer, how advice is obtained and who remains responsible while transfer is pending.
Employment geography
Confirm normal and additional work sites, travel time, cross-site cover, parking, accommodation where relevant and the escalation route for unsafe gaps.