Purpose and Activities

The Northern Health and Social Care Trust became operational on 1 April 2007.

The Trust is responsible for the delivery of safe and effective health and social care services to a population of approximately 470,000, the largest resident population in Northern Ireland. The Trust also provides services to Rathlin, the only inhabited island off the coast of Northern Ireland.

We employ around 12,000 people.

Funding is secured from a range of commissioners, the main one of which is the Health and Social Care Board.


A highly skilled and professional workforce provides acute services through two hospitals – Antrim Area and Causeway – and community-based health and social care services from four localities which together include approximately 300 facilities including day centres, health centres and residential homes.

Outpatients services are provided from Antrim Area, Causeway, Whiteabbey, Mid-Ulster and Moyle Hospitals and Braid Valley Care Complex, as well as from a range of community settings such as Ballymena Health and Care Centre.

Holywell Hospital, a 115-bed psychiatric hospital in Antrim, provides a range of inpatient mental health and addiction services. The Trust also provides 20 acute mental health inpatient beds in the Ross Thomson Unit in Causeway Hospital.

Accessing services

Our A-Z guide provides contact details and information on all our hospital and community services.

Principal Objectives

The Trust has established principal corporate objectives to give a structured, consistent and concentrated focus to its efforts.

The objectives are in line with ‘Team North’, which evolved in recognition of the tremendous collective effort of all staff during the COVID pandemic.

The objectives are:

Objective 1 – N: Build Northern Partnerships and Integrate care

Objective 2 – O: Continue to improve Outcomes and experience

Objective 3 – R: Deliver value by optimising Resources

Objective 4 – T: Nurture our people, enable our talent and build our Teams

Objective 5 – H: Improve population Health and address health and social care inequalities

Vision and Values

The Trust’s vision is ‘We provide compassionate care with our community, in our community.’

In the delivery, planning and reforming of its services, all staff are guided by the core values of compassion, openness, respect and excellence.’

Our ‘Values for All’ are consistent across all health and social care organisations.

Working Together
We work together for the best outcome for people we care for and support.  We work across Health and Social Care and with other external organisations and agencies, recognising that leadership is the responsibility of all.

Openness and Honesty
We are open and honest with each other and act with integrity and candour.

We commit to being the best we can be in our work, aiming to improve and develop services to achieve positive changes.  We deliver safe, high quality, compassionate care and support.

We are sensitive, caring, respectful and understanding towards those we care for and support and our colleagues.  We listen carefully to others to better understand and take action to help them and ourselves.

Strategic Plan

The Reform and Modernisation Programme (RAMP) is the Trust’s five-year strategic plan. It provides a framework for addressing the challenges faced and is the means by which the Trust delivers its vision – ‘to deliver excellent integrated services in partnership with our community.’ RAMP encapsulates key regional strategies including ‘Transforming Your Care,’ ‘Quality 2020’ and ‘Making Life Better.’ It is also entirely complimentary to ‘Health and Wellbeing 2026 – Delivering Together’ and facilitates transformation through reform of services as one of its three key strands, along with ‘people’ and ‘resources’.

Operating environment

The Trust covers four local council areas – Antrim and Newtownabbey, Causeway Coast and Glens, Mid and East Antrim and Mid-Ulster – making it geographically the largest Trust in Northern Ireland.

The population profile indicates that the Trust has the largest older population and the largest child population, when compared to other health and social care Trusts in Northern Ireland. The population is predicted to increase by 3.6% over the next 10 years, with significant increases in the older population over age 85, and a drop in the number of children and working age adults. This demographic change is evidenced through the increase in frail older people presenting to the Trust’s Emergency Departments and in increased demand for community services.

In addition, the north coast is also popular with older people as a retirement and holiday venue and this tends to increase the number requiring health and social care in the summer months.

Trust Headquarters

The Northern Health and Social Care Trust Headquarters is located at Bretten Hall, Antrim Area Hospital BT41 2RL.

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