Benefits of SAS doctor jobs in the NHS UK

  • April 06, 2023
 

Specialty and Associate Specialist (SAS) doctors are employed in the NHS in a non-training post. An SAS doctor will have at least four years of postgraduate training, at least two of which will be in a relevant specialty. 

SAS doctor jobs in the UK are paid well and the number of posts available in the UK have risen steadily over the past decade. They are an attractive way for both the NHS and IMGs to ensure doctors are secured into posts quickly. 

In this article we will consider the following topics: 

What is a SAS doctor? 

Specialty and Associate Specialist (SAS) doctors fill NHS service roles which sit outside of Specialty Training pathways. These roles are non-training ‘service’ roles where the doctor has at least four years of postgraduate training, at least two of those being in a relevant specialty.

A variety of terms can be applied to SAS doctors, including specialty doctor, associate specialist and staff grade. 

It is worth noting however that not all non-training medical roles (service posts) are SAS doctors. Service roles are available across all grades and can be commonly referred to as Trust doctors. 

Could I take a training post instead?  

Yes of course. Training posts in the NHS are very attractive however competition for places on these posts is highly competitive. 

As such for IMGs interested in securing a place on a training post in the NHS, we advise that they should obtain a trust doctor or SAS doctor post, depending on experience, for 1 – 2 years. Following which you will be able to apply for a training post, for which you will be given priority. 

Not only will this approach give you the best chance of securing excellent training and career progression opportunities in the NHS, it will also give you the chance to settle in to the UK, get to know your trust better, and help you understand the training post that will suit you the most. 

SAS doctor jobs also offer very competitive rates, so whilst you are getting to know the NHS and settling into life in the UK, you can also ensure that you are financially rewarded.

What are the benefits to a SAS role?

Less competition and a route to Specialty Training

The majority of IMGs are keen to enter the specialty training pathway at some point, but competition for these positions is very high. Places are offered to UK based applicants first, then EEA applicants, finally followed by Non-EEA applicants.

As such, it can be difficult to get a training post when applying for your first NHS role. 

However, competition for service roles is not nearly so competitive and following completion of one year as a Specialty doctor you can enter into the first group of applicants for specialty training.

Allowing you time to settle into the UK and NHS

Taking a service role can be a great way to allow yourself time to bed into NHS and UK culture in the first months following your move. By taking on a new culture, employer and healthcare system all at once, you may feel more comfortable taking on a SAS post, avoiding all the extra commitment and learning associated with a training role.

Quicker route to securing your first post

For overseas doctors applying for SAS posts, the process can be quicker. Less competition and a high demand for doctors will ensure that IMG Connect can secure you interviews quickly. 

Financial reward

SAS posts typically offer competitive salaries, with some harder to fill locations able to offer additional incentives. Speak with your IMG Consultant for more information. 

More patient focused roles and less responsibility

SAS roles are usually more focused on meeting NHS service requirements compared to trainee roles. Many doctors simply prefer a role where they can spend more time with patients and doing the job they love, without the pressured commitment to training, admin and competition that a training role brings.

Balance between work and personal life

When taking a SAS post, additional working hours and on call commitments can be optional. 

You will also be given the option to increase your overall hours through weekend and shift work, which will increase your overall take home pay. 

In most circumstances it is up to you how you want to approach balancing a life at home with work commitments & financial rewards. 

Freedom to consider all parts of the UK

Entering a training post is not only a commitment to the programme over a number of years, but also the geographical location that the deanery covers.

By taking a service role instead, you could complete a one-two year contract, but realise the area is not for you. At this point you could take a new contract and not have to worry about giving up your hard-earned place on the training programme. 

Remember, it is vital that all contracts are honoured and not only will breaking contract have a negative impact on your CV but may also damage your chances of securing your next post. 

Specialist Registration is still possible

Specialist registration is still possible via the CESR route as some hospitals or Trusts will offer SAS doctors the support required with their CESR applications. However, it is likely to be a much longer process when not taking the training pathway.

In summary:

There are many reasons why a SAS post can be a great option for experienced IMGs when considering their first job in the UK, and it is clear that trust doctors are vital to the day to day running of the NHS.

Regardless of the route you wish to take, IMG Connect will support any doctor pursing either path and can offer guidance and advice throughout either process.

So how do I secure a SAS doctor job in the NHS? 

You can apply for SAS doctor roles online via the NHS Jobs websites for England & Wales, Scotland or Northern Ireland.

However, working with IMG Connect can offer more jobs than are available online with the added benefit of an IMG Consultant speaking directly with services on your behalf to expedite the process and negotiate the best doctor salary for you.

For the most comprehensive selection of roles and fastest routes to the UK for Trust Doctors, register an interest or apply for trust doctor roles via our Job Search page on our website.


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An exceptional NHS job opportunity awaits a Middle Grade Microbiologist to join the Microbiology Pathology Department at North Tyneside General Hospital. Northumbria Healthcare NHS Foundation Trust, rated \"outstanding\" by the CQC, offers an innovative environment. The role involves diagnosing and managing infections caused by microorganisms, contributing significantly to patient well-being.

This is an ideal chance for overseas Microbiologists or Middle Grade Doctors to establish themselves in the UK NHS system, with potential CESR support. Suitable for EEA-specialized candidates or experienced IMGs seeking career advancement.

What is the NHS Foundation Trust like?

This NHS Foundation Trust is a dynamic organization with an £180 million turnover, employing 12,000 staff to serve 500,000 people across acute and community healthcare services. Recognized for excellence by the CQC in 2016 and 2019, it primarily serves an urban population but extends its care across a rural expanse from the River Tyne to the River Tweed, offering picturesque landscapes. The Trust operates three major hospitals and numerous community facilities, including the state-of-the-art Specialist Emergency Care Hospital. With ongoing capital investments, it ensures modern, purpose-built facilities and expands its services to meet evolving healthcare needs.

They provide an extensive array of specialties, boasting some of the region\'s largest specialist departments. These include the foremost trauma and orthopaedics service, a significant cardiology department, and one of the region\'s most expansive units for colorectal surgery services.

The NHS Foundation Trust prioritizes supporting its staff in achieving a healthy work-life balance, irrespective of individual circumstances. Applicants unable to work full-time due to personal reasons will still be considered for the position, and adjustments to job responsibilities can be discussed on a case-by-case basis upon appointment.

What is the Department & Team like?

The Clinical Support and Cancer Services Business Unit manages Radiology, Pharmacy, and Pathology departments, as well as cancer services, across several hospitals. These services also extend to six community hospitals. With modern facilities and dedicated staff, the Pathology department, including the microbiology laboratory, benefits from significant capital investment and supports medical education initiatives.

The Microbiology team offers clinical consultation services through various channels such as ward rounds, telephone, email, and multi-disciplinary team meetings. They collaborate closely with Infectious Diseases, Infection Prevention and Control, Public Health teams, and the laboratory. Encouragement for networking with Consultant Microbiologists in the Newcastle area is given to improve patient care across organizational boundaries.

The microbiology laboratory holds a central position within the hospital complex. It comprises 240 m² of laboratory space and 74 m² of office space, established during the hospital\'s original construction in 1987. Specimens from clinical areas within the North East site are transported to the laboratory via a vacuum air tube system, while collections from GP practices and other hospital sites across the region are managed through regular courier and van services.

Life like in North East

The North East of the UK offers a diverse landscape, blending urban hubs like Newcastle and Sunderland with picturesque rural areas. Residents enjoy a vibrant cultural scene, from historic sites like Durham Cathedral to sandy beaches along the Northumberland coast. The region hosts reputable universities such as Newcastle University and Durham University, complemented by excellent schools. Transportation links are robust, with rail and road networks connecting to major cities and airports like Newcastle International Airport. Housing options range from city center apartments to suburban family homes and quaint countryside cottages, catering to varied lifestyles and preferences.
 

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An outstanding opportunity for a psychiatrist to join Forensic Psychiatry Department as Specialty Doctor that has received outstanding ratings from the CQC on three occasions. You will offer psychiatric input and conduct assessments, both psychiatric and physical, for patients on two wards. One ward is a self-contained low secure rehabilitation unit situated away from the main hospital premises, while the other is a medium secure rehabilitation ward. This role offers exposure to a broad spectrum of clinical presentations, including personality, affective, anxiety, psychotic, neurodevelopmental, and substance-related disorders. Moreover, it provides a platform for developing knowledge and understanding of forensic mental health sections. This position also offers CESR support for those seeking progression within the UK NHS Jobs system.

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What is the NHS Trust like?

The Mental Health NHS Trust is a leading provider of mental health service serving a population of 1.2 million. With five main inpatient sites and 25 community locations, they offer comprehensive support for both mental and physical health needs, catering to young people and adults alike. From managing phobias and anxiety to addressing conditions like bipolar disorder and schizophrenia, their services are diverse and inclusive. They integrate community health services with mental health care, enabling simultaneous treatment of conditions such as diabetes and mental health issues, promoting holistic patient care.

Forensic Psychiatry Team & Department

The Forensic Service enjoys a stellar reputation, earning an \'Outstanding\' rating from the Care Quality Commission. The Forensic Service delivers care in low and medium secure environments, featuring specialized facilities such as the National Stalking Clinic and the Fixated Threat Assessment Centre (FTAC). These services focus on evaluating and managing risks for prominent individuals. 

The inpatient service consists of one acute assessment and treatment medium secure male 4 4 ward, four treatment and intervention medium secure male wards, one female medium secure ward, one medium secure and one low secure male learning disability ward, one low secure male FICU ward and 4 low secure male wards. There are currently 25 Consultant Forensic Psychiatrists in post, working with 5 senior psychiatric trainees who rotate with posts at other forensic psychiatric services in the region. There are 5 junior psychiatric trainees, coming from the UCH training schemes. The service currently employs 10 specialty doctors, working in the prisons and in the rehabilitation parts of the service.

Life in the area

The area offers a blend of urban and suburban living, providing both rural escapes and city conveniences. Residents can explore scenic parks or enjoy activities at different parks. The area boasts a range of quality schools and easy access to universities like Middlesex University. Transport links are excellent, with frequent trains to central London and nearby cities, as well as efficient connections to major airports. Housing options vary from historic cottages to modern apartments, catering to diverse preferences and lifestyles.

Career Development and Opportunities Available

With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, RCPsych exams, get involved in active research and many aspects of CPD. 

Participation in research and educational activities will be encouraged.

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • Experience of working in Forensic Psychiatry (Desirable)

Non-EEA Candidates:

  • MRCPsych
  • Experience of working in Forensic Psychiatry (Desirable)

UK based applicants

  • Experience of working in Forensic Psychiatry (Desirable)
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An excellent opportunity to join the dynamic team at an esteemed organization recognized for its excellence by the CQC. This is an opportune moment to become part of the Acute Medicine and Medicine Specialties Teams. With a strong history of achievements, they are committed to delivering exceptional patient-centered care. They seek a passionate and driven Acute and General Physicians to contribute to their mission of providing top-tier medical care across various clinical settings. This is a high performing and supportive department for overseas doctors new to the NHS, or UK-based doctors looking to further careers in the UK.

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What is the Department & Team like?

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The Acute & General Medicine Department boasts modern and well-equipped facilities, designed to optimize patient care and comfort. They have a 30-bedded Acute Medical Assessment Unit. On average, their department handles a significant number of acute and general medicine cases each year, reflecting the trust and confidence placed in their services by the community they serve. They prioritize patient safety, quality of care, and efficient service delivery, ensuring that each patient receives personalized attention and tailored treatment plans to facilitate their recovery and well-being.

The unit is adequately staffed and the working shifts are designed to ensure more doctors are present during the busy period of the day i.e. late evenings. They address the busy winter months by arranging extra locum cover during this busy period. In addition to the acute medicine registrar(s), there is a middle grade doctor, 1 IMT doctor and 4 FY1 doctors with staggered shifts throughout the day. In addition, there will be an on call registrar and 2 on call IMT doctors with staggered shifts. The night team comprises of one registrar, two FY2/IMT and one FY1 supported by an outreach nurse on most nights. 

What is life like in the area?

The North East of the UK offers a diverse mix of rural and urban settings, providing doctors with a range of living options. Residents can explore stunning coastal areas like Northumberland\'s beaches or venture inland to scenic national parks such as the North Pennines. The region is home to respected schools and universities, including Newcastle University. Transportation links are robust, with efficient road and rail networks connecting residents to major cities like Newcastle, Durham, and Sunderland, as well as international airports. Housing options range from quaint cottages in picturesque villages to modern apartments in vibrant city centers, catering to various lifestyles.

Career Development & Opportunities Available
 


ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • Experience of working in Acute & General Medicine

Non-EEA Candidates:

  • MRCP
  • Experience of working in Acute & General Medicine

UK based applicants

  • Experience of working in Acute & General Medicine
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An excellent opportunity to join the dynamic team at an esteemed organization recognized for its excellence by the CQC. This is an opportune moment to become part of the Acute Medicine and Medicine Specialties Teams. With a strong history of achievements, they are committed to delivering exceptional patient-centered care. They are seeking dynamic and motivated Consultant Gastroenterologists to become part of their welcoming and enthusiastic gastroenterology team. This presents a chance to join a dedicated gastroenterology team committed to delivering the highest quality comprehensive service. The service is aiming to broaden its focus on sub-specialty interests such as ERCP/EUS, nutrition, IBD, and Liver disease.

This is a great opportunity for overseas Consultants who want to establish themselves in the NHS, and grow their consultant career. The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.

What is the NHS Foundation Trust like?

The NHS Foundation Trust stands as one of the nation\'s largest integrated healthcare organizations, delivering both hospital and community services to a populace exceeding 650,000 individuals. Renowned for their ambition and innovation, they boast a skilled workforce comprising over 7,000 dedicated colleagues. Operating across two acute sites for hospital services and encompassing centers and community hospitals in six towns for planned care, they extend their services even to patients\' residences. Recognized as a high-performing entity with a history of accomplishments, the Trust has functioned as an integrated acute and community services provider since 2011 and achieved foundation trust status in 2007. Guided by their strategic framework \"Our Patients Matter,\" they articulate their short- and long-term objectives and delineate the path to their realization. This framework underscores their commitment to providing the safest, most compassionate, and seamlessly coordinated care to the communities they serve. Within this NHS Foundation Trust, medical professionals are presented with a plethora of career prospects and exposure to diverse care settings rarely encountered elsewhere. Additionally, they have the opportunity to reside and practice in some of the most culturally rich and picturesque locations across the country!

What is the Department & Team like?

The Gastroenterology department is renowned for its excellence in patient care and comprehensive services. Led by a team of experienced and dedicated consultants, alongside skilled junior doctors, the department provides a wide range of diagnostic and therapeutic interventions for patients with gastrointestinal disorders. This encompasses conditions such as inflammatory bowel disease (IBD), liver disease, gastrointestinal cancers, functional gastrointestinal disorders, and gastrointestinal bleeding. Facilities within the department include state-of-the-art endoscopy suites equipped for various procedures including gastroscopy, colonoscopy, and advanced procedures like endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP). Additionally, the department offers specialized clinics for conditions such as inflammatory bowel disease, hepatology, and nutrition. On average, the department handles a significant number of gastroenterology cases each year, providing timely and effective care to patients across the region. With a commitment to excellence and innovation, the gastroenterology team continues to deliver high-quality care to patients with gastrointestinal disorders.

What is life like in the area?

The North East of the UK offers a diverse mix of rural and urban settings, providing doctors with a range of living options. Residents can explore stunning coastal areas like Northumberland\'s beaches or venture inland to scenic national parks such as the North Pennines. The region is home to respected schools and universities, including Newcastle University. Transportation links are robust, with efficient road and rail networks connecting residents to major cities like Newcastle, Durham, and Sunderland, as well as international airports. Housing options range from quaint cottages in picturesque villages to modern apartments in vibrant city centers, catering to various lifestyles.

Career Development & Opportunities Available

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • Experience of working in Gastroenterology

Non-EEA Candidates:

  • MRCP
  • Experience of working in Gastroenterology

UK based applicants

  • Experience of working in Gastroenterology
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Seeking a dynamic and motivated Dermatologist to join a Dermatology service in an NHS Foundation Trust rated \"good\" overall by the CQC. The NHS Trust provides a supportive environment for Specialty Doctors in Dermatology, including CESR support for IMGs seeking to establish their careers in the UK. Ideal for EEA-specialized candidates or experienced overseas dermatologists aiming to complete CESR.

What is the NHS Foundation Trust like?

The NHS Foundation Trust operates as a district general hospital. It oversees the management of two hospitals. This NHS Foundation Trust offers an exceptional work environment characterized by numerous dedicated teams committed to delivering top-notch patient care. They have embraced significant changes to their operational approach to effectively address the evolving landscape of the NHS, earning a Good rating from the Care Quality Commission in June 2018.

At this NHS Foundation Trust, they are pioneering the digital health revolution. Since implementing a comprehensive Electronic Patient Record system in 2017, they have embarked on a journey to establish ourselves as the safest, most efficient, and patient-centered trust within the NHS. The Electronic Patient Record system is just one component of their ongoing initiative to cultivate a digital ecosystem within the trust, ultimately striving to become a completely paper-free organization. This modernization endeavor opens up exciting avenues for future research and development in the rapidly evolving field of medicine. By joining the team, you have the opportunity to contribute to this innovative domain dedicated to enhancing patient care through advancements in technology.

Dermatology Team & Department

The Dermatology service sees 16,500 appointments yearly for diagnosing and treating various skin conditions, including skin cancers, lesions, eczema, psoriasis, urticaria, and Vulval conditions. The Dermatology Department is offering outpatient clinics and a comprehensive array of treatments, including minor operations. Additionally, a limited number of clinics and treatments are available at the newly established outpatient facility located in one of their sites.

The Dermatology service currently has over 5000 2ww Outpatient attendances per annum for the diagnosis and treatment of potential skin cancer. Outpatient clinics are run from both sites with an inpatient in-reach service run across their two sites. Facilities within the dermatology department include modern outpatient clinics, diagnostic services, and treatment rooms, ensuring a comfortable and efficient environment for patients and staff alike. They also collaborate closely with other specialties within the trust to provide multidisciplinary care when required, ensuring holistic management of complex cases.

Life in Yorkshire & Humberside

Yorkshire & Humberside offers a diverse mix of rural and urban settings, providing a range of living environments for doctors. Residents can enjoy scenic landscapes, including the Yorkshire Dales and Yorkshire Moors, ideal for outdoor activities like hiking and cycling. The region boasts top-quality schools and universities, such as the University of Leeds and the University of Sheffield. Transportation links are excellent, with easy access to major cities like Leeds, Sheffield, and Manchester via road and rail networks. Housing options vary from quaint villages to bustling city centers, catering to different preferences and lifestyles.

Career Development and Opportunities Available

With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, RCPsych exams, get involved in active research and many aspects of CPD. 

Participation in research and educational activities will be encouraged.

ARE YOU ELIGIBLE FOR THIS ROLE?

All candidates must be GMC registered to be suitable for consideration.

EEA Candidates:

  • Experience of working in Dermatology
  • Relevant primary medical qualification

Non-EEA Candidates:

  • MRCP UK or PLAB
  • SCE dermatology desirable
  • Experience of working in Dermatology

UK based applicants:

  • Experience of working in Dermatology

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