Posted By steve williamson Hi Barry, As a Health & Safety Manager you should expect to go onto a Senior Manager (SMP) grade rather than an Admin and Clerical. Trusts still vary widely, be they Acute, Primary, Special or Mental Health Partnerships but all have their own machiavellian bureaucracies and a pronounced clinical/support culture. If you are coming from a MAPS background the biggest change you will notice is that you will more than likely be a lone ranger. Only the very largest trusts have more than one safety adviser so its quite possible to go from discussing the decontamination of endoscopes straight onto assessing the cleaning out of underground reservoirs. That's one of the aspects I enjoy but I'm wierd. IOSH is working hard to get the Healthcare Specialist Groups going nationwide so there's the opportunity to network with other strugglers. Best of luck, Steve