If you live in Northern Ireland

People in redBefore you try to influence health care services in your area, it’s a good idea to try and understand how they work. 

Find out how Health and Social Care is organised in Northern Ireland, and how you can influence decision making and change.

 

Get heard in Northern Ireland

There are several ways to add your voice to decision making in Northern Ireland. 

HSC Engage

In Northern Ireland the HSC has created Engage.  Engage is the online home for PPE (sometimes referred to in Northern Ireland as stakeholder involvement), within Health and Social Care. Engage should be your first port of call – but you may find that some of the information needs updating.

Your local GP practice

If Engage doesn’t give you the information you need to get involved then ask you GP surgery if they have a patient group.

Your local Health and Social Care Trust

You can visit the website of your local Health and Social Care Trust.  The Trusts have a duty to involve you, and you should find details of how they do this on their website.

Contact your Member of the Legislative Assembly

If you have a specific issue or campaign in mind, you may also want to consider writing to your Member of the Legislative Assembly (MLA).  You can find about MLAs and how you can contact them by visiting niassembly.gov.uk or calling the Northern Ireland Assembly on 028 9052 133.

 

Health care structures in Northern Ireland

In Northern Ireland the NHS is referred to as the HSC (short for Health and Social Care). 

The Department of Health, Social Services and Public Safety has over all authority for health and social care services. Services are commissioned by the Health and Social Care Board and provided by five health and Social Care Trusts - Belfast, South Eastern, Southern, Northern and Western.  Ambulance Services in Northern Ireland are provided by the NI Ambulance Trust.

NHS - Ireland

I am a patient and taking part in these activities allows me to give something back to the community which has supported me.

Find out more

The Department of Health, Social Services and Public Safety

The Department of Health, Social Services and Public Safety is one of 11 Northern Ireland Government Departments.  It has three main business responsibilities: 

  • HSC: policy and legislation for hospitals, family practitioner services and community health and personal social services
  • Public Health: policy, legislation and administrative action to promote and protect the health and well-being of the population
  • Public Safety: policy and legislation for fire and rescue services

Health and Social Care (HSC)

The HSC provides health services, and social care services such as home care services, family and children's services, day care services and social work services.  It does this through its role in overseeing the work of the Health and Social Care Board. 

Health and Social Care Board

The Health and Social Care Board is responsible for commissioning services.  It does this through its five Local Commissioning Groups (LCGs).  These cover the same geographical areas as the Trusts, and focus on planning and resourcing of services for these trusts.  It also takes the lead in managing resources and monitoring the performance within the five Health and Social Care Trusts. 

The Board is also directly responsible for managing services which are not provided by Health and Social Care Trusts – these are GPs, dentists, opticians and community pharmacists.

Health and Social Care Trusts

The five Trusts provide health and social services across Northern Ireland. While the Board commissions services, it’s the Trusts that actually provide them ‘on the ground’.  Each Trust manages its own staff and services and controls its own budget.

The Public Health Agency

The Public Health Agency (PHA) was established in April 2009.  It is the major regional organisation for health protection and health and social wellbeing improvement. It is committed to addressing health inequalities.