NHS Trusts
South Eastern Health and Social Care Trust: Pay
Last updated September 2026 · Independent guidance, not affiliated with NHS England or DHSC
One HSC Trust among five, with ambulance care kept separate
South Eastern Health and Social Care Trust is one of Northern Ireland's five geographic HSC Trusts, integrating health and social care delivery for its area in the way all five do. Worth knowing if you're considering a paramedic or emergency care role specifically: unlike hospital and community services, ambulance transport across Northern Ireland is run centrally by a separate organisation, the Northern Ireland Ambulance Service Trust, rather than by each of the five geographic HSC Trusts individually. Our explainer on how the NHS is structured covers how Northern Ireland's HSC system fits together as a whole.
Pay: the shared UK-wide Agenda for Change scale
South Eastern Health and Social Care Trust pays on the same Agenda for Change bands and points as England and Wales, with the same headline annual uplift applied on the same terms. Northern Ireland has consistently kept its pay settlement aligned with the rest of the UK outside Scotland rather than negotiating independently. See our NHS Northern Ireland pay guide for why, and the NHS Pay Calculator for your exact figure.
No HCAS in Northern Ireland
High Cost Area Supplement, as it applies to London and its fringe, has no equivalent anywhere in Northern Ireland. Pay at South Eastern Health and Social Care Trust is the standard national Agenda for Change rate for your band and point.
A workforce spanning health and social care
Being an integrated HSC Trust means South Eastern Health and Social Care Trust's workforce covers nursing, medicine, allied health professions, midwifery and pharmacy alongside social care staff, all under one organisational structure — broader than a purely acute trust would typically employ directly in England. Our midwifery and allied health professionals guides cover how pay progresses band by band for clinical roles, unaffected by which HSC Trust you work for.
Your employer
South Eastern Health and Social Care Trust is your specific employer, which matters for continuous service in a similar way to trusts elsewhere in the UK. See our redundancy pay guide for general principles, bearing in mind Northern Ireland's HSC system has its own specific procedures.
Frequently asked questions
Is South Eastern Health and Social Care Trust the same kind of organisation as an ambulance trust? +
No. Northern Ireland's five geographic HSC Trusts, including South Eastern, deliver hospital, community and social care services for their area, while emergency ambulance transport across the whole of Northern Ireland is run separately by the Northern Ireland Ambulance Service Trust.
Does South Eastern Health and Social Care Trust pay the same Agenda for Change rates as England? +
Yes — the same national pay spine, bands and pay points apply as in England and Wales, including the same headline annual uplift, since Northern Ireland has consistently stayed aligned with the shared settlement rather than setting its own scale. Scotland is the exception among UK nations.
Is there a High Cost Area Supplement at South Eastern Health and Social Care Trust? +
No — HCAS applies only to London and its fringe under England's arrangements. Pay here is the standard Northern Ireland Agenda for Change rate for your band and point, with no location-based supplement.