NHS SAS Doctors’ Pay across the United Kingdom

  • June 24, 2024
 

For international doctors looking to work in the UK, it is important to understand the salary you will be offered with your NHS job and how this can be different depending on the country you are working in within the UK.  

The NHS follow pay guidelines that are used to fairly and uniformly determine consultant pay, however, these do differ across countries in the UK.  

What is an SAS doctor?

SAS stands for Staff grade, Associate Specialist, and Specialty Doctor. They will have at least four years of full-time postgraduate training, two of which have been in their relevant specialty. 

They are experienced and senior doctors in fixed term or permanent posts (outside a training pathway). 

Many SAS doctors have made a positive choice to step into a SAS position from a traditional consultant training pathway. This could be for reasons such as geographical stability or wanting to familiarise themselves with the NHS system before working up to a consultant position. 

SAS doctors maintain their skills through the CPD system and there are routes, through gaining CESR (Specialist Registration) or applying for a training post, for SAS doctors to become consultants if they wish to. 

Basic Pay

Specialist Grades and Specialty Doctors in England and the other home countries have their own contracts in place for senior doctors. These contracts are based on a full-time work commitment of 10 programmed activities (PAs) per week, each having a time-tabled value of four hours.  

The basic pay thresholds in the UK are shown below: 

England

SAS doctors currently earn a basic rate of between £59,175 and £95,400  as Specialty Doctors and from £96,990 to £107,155 as Specialist Grade doctors in England. 

Specialty Doctor 

Years of experience 

Basic Salary 

0 (min) 

£59,175

£68,174 

£75,998 

£84,121 

10 

11 

12 

£95,400

13 

14 

15 

16 

17 

 

Associate Specialist / Specialist Grade 

Years of experience 

Basic Salary 

0 (min) 

£96,990 

£100,784 

£107,155

The most recent full pay circular for England can be found here

Scotland

SAS doctors currently earn a basic rate of between £47,905 and £89,329 as Specialty Doctors and from £67,163 to £109,259 as Associate Specialists in Scotland.

Specialty Doctor 

Scale point  

Basic Salary 

£61, 690 

£61,690

£61,690 

£73,593 

£73,593 

5

£73,593 

6

£78,099 

7

£78,099 

£78,099 

£87,115 

10

£87,115 

11

£87,115 

12

£96,129 

13

£96,129 

14

£96,129 

15

£96,129 

16

£96,129 

17

£96,129 

 

Associate Specialist 

Years of experience 

Basic Salary 

£96,990 

£96,990 

£96,990 

£100,784 

£100,784 

5

£100,784 

6

£100,784 

 

The most recent full pay circular for Scotland can be found here

Wales

SAS doctors currently earn a basic rate of between £56,346 and £90,000 as Specialty Doctors and from £91,500 to £101,089 as Specialists in Wales.

Specialty Doctor 

Pay Scale Point

Basic Salary 

01

£59,727

02

£59,727 

03

£59,727 

04

£68,810

05

£68,810

06

£68,810

07

£76,708

08

£76,708

09

£76,708

10

£84,905

11

£84,905

12

£84,905

13

£95,400

14

£95,400

15

£95,400

16

£95,400

17

£95,400

18

£95,400

 

Specialist Grade

Pay Scale Point 

Basic Salary 

01 

£96,990

02

£96,990

03

£96,990

04

£100,784

05 

£100,784

06

£100,784

07

£100,784

The most recent full pay circular for Wales can be found here

Northern Ireland

SAS doctors currently earn a basic rate of between £52,530 and £82,400 as Specialty Doctors and from £83,945 to £95,275 as Associate Specialists in Northern Ireland.

Specialty Doctor

Years of experience 

Basic Salary 

Pay Point

0

 

£59,175

 

1

 

1

2

3

 

£68,174

 

2

4

5

6

 

£75,998

3

7

8

9

 

£84,121

4

10

11

12

 

£95,400

5 - top

13

14

15

16

17

 

Specialist Doctor

Years of experience 

Basic Salary 

Pay Point

1

 

£96,990  

 

1

 

2

3

4

 

£100,784 

 

2

5

6

7

£107,155 

3 (top)

 

The most recent full pay circular for Northern Ireland can be found here

Job Planning and Programmed Activities

As part of your contract, your job plan will be created in partnership with your new NHS employer. This is an annual agreement that sets out your duties, responsibilities and objectives for the length of your contract. 

There are four basic categories of contractual work which will be included in your job plan: direct clinical care (DCC), supporting professional activities (SPAs), additional responsibilities and external duties. 

There are ways that consultants will be able to earn more than the basic rates above and these can include additional rotas and PAs. This will also be discussed in the creation of your job plan. 

 

Relevant Jobs

105,504- 139,882

A large NHS teaching hospital in the East Midlands is looking for a Consultant in Clinical Oncology with an interest in lung, gynaecology, and/or colorectal cancer. The oncology department comprises a team of over 20 consultants and is supported by a large team of specialty doctors and junior trainees.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.

JOB REQUIREMENTS AND DETAILS

This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration or FRCR are most encouraged to apply.

FRCR (or equivalent) and extensive oncology experience are required for this role, and anyone with an interest in lung, gynaecology, and/or colorectal cancer should apply. The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide comprehensive non-surgical oncology services, including radiotherapy and chemotherapy clinics, for patients across lung, gynaecology, and/or colorectal tumour sites.

  • Participate in the oncology on-call rota (1:12) and provide reciprocal cover for colleagues during periods of leave.

  • Support the education and training of junior doctors, specialty doctors, ACPs, and medical students.

  • Contribute to clinical governance, service development, and research initiatives across the Trust.

LIFE IN THE EAST MIDLANDS

This role is based in the East Midlands, a region that offers the perfect balance of urban convenience and rural charm. Residents can enjoy city living in Derby or find quieter settings in the nearby countryside and villages. The area boasts outstanding schools, excellent transport links, and a wide variety of cultural, sporting, and outdoor activities. With its strong ties to Britain’s industrial heritage and the beautiful Peak District on its doorstep, the East Midlands is a popular choice for healthcare professionals relocating to the UK.

HOW WILL IMG CONNECT SUPPORT YOU?

  • CV Preparation with a bespoke session with one of our specialists

  • Application support with expert knowledge of NHS specialisms & recruitment practice

  • At least two video calling interview preparation sessions

  • Contract and offer negotiations for salary, relocation packages, tenure and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:

  • Document gathering and checking

  • COS and Visa Application support if applicable

  • Support sourcing short- and long-term accommodation

  • Travel Arrangements

£105,504 - £139,882

This exceptional opportunity beckons Consultant Histopathologists specializing in Gynae oncopathology to become integral members of an NHS Trust that is a global beacon in cancer research and treatment. This role offers a chance to contribute to a consultant-led, subspecialist histopathology team, making a significant impact on the forefront of cancer care. We invite enthusiastic candidates to explore this exciting career prospect through NHS Jobs in the UK.

The NHS Foundation Trust, standing as Europe\'s largest comprehensive cancer center, commands an impressive annual budget of £360 million, employing over 3,500 staff, including 335 medical professionals. Acknowledged for its excellence, the Trust consistently ranks among the top four in national surveys, affirming its commitment to delivering high-quality patient care. The Histopathology Department, under the leadership of esteemed professionals, manages a substantial caseload, processing around 21,000 surgical pathology accessions annually. This involves the examination of approximately 280,000 slides, with a notable 1,000 cases annually seeking second opinions, underscoring the department\'s dedication to providing comprehensive diagnostic support.

This role is tailor-made for ambitious consultants looking to expand their career horizons. The well-funded department is a hub for impactful research, underscored by its recognition in a recent CQC report as an area of outstanding practice. The NHS Foundation Trust has a strong reputation for education and training, supporting junior doctor training programs across various specialties.

Living in London, a vibrant metropolis, provides a unique lifestyle enriched by cultural diversity. Residents can explore scenic spots like Hyde Park and the Thames River. World-renowned schools, including Imperial College London and University College London, contribute to the city\'s intellectual vibrancy. Excellent transport links facilitate easy travel within the city and to major cities and airports. Housing options, ranging from historic townhouses to modern apartments, accommodate diverse preferences, ensuring a comfortable and enriching life for medical professionals in the heart of London.

Apply now for a dynamic career at the forefront of cancer care, complemented by the vibrant and diverse urban lifestyle offered by the capital city.

AM I ELIGIBLE FOR THIS ROLE?

Non-EEA candidates: 

  • FRCPath
  • Experience in Histopathology (sub specialised in Gynae oncopathology)

EEA candidates: 

  • Specialist certification in Histopathology
  • Experience in Histopathology (sub specailised in Gynae oncopathology)

UK candidates: 

  • CCT, CESR or within 6-12 months of specialist registration 
  • Experience in Histopathology (sub specialised in Gynae oncopathology)

 

83,519 - 126,025

A hospital in the Channel Islands is looking for a Staff Grade Doctor in General Medicine with interests in Respiratory, Renal, or Care of the Elderly. The department comprises a team of consultants and is supported by a large team of middle-grade doctors. This role is open to both international applications and UK-based doctors, though those with European Specialist or MRCP qualifications are most encouraged to apply.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

Full registration with the General Medical Council and a minimum of 2 years of post-qualifying experience are required for this role, and anyone with an interest in Respiratory, Renal, or Care of the Elderly should apply. The salary will be between £58,742 and £97,050 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide high-quality care across both inpatient and outpatient services within the chosen specialty.
  • Participate in the middle-grade tier rota, including on-call duties.
  • Support the clinical management of patients in various units, including emergency and intensive care.
  • Collaborate with consultants and multidisciplinary teams to ensure continuous service improvement.

LIFE IN THE CHANNEL ISLANDS

The hospital is located in a vibrant town, with popular residential areas offering both urban and rural living options. The region offers excellent schools, efficient transport links, and a wide range of leisure activities for both adults and families, including beautiful beaches, sports facilities, and cultural events. The area has a rich history, having been a strategic location during World War II and now boasting a unique blend of cultural influences.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV Preparation with a bespoke session with one of our specialists
  • Application support with expert knowledge of NHS specialisms & recruitment practice
  • At least two video calling interview preparation sessions Contract and offer negotiations for salary, relocation packages, tenure and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:

  • Document gathering and checking COS and Visa Application support if applicable
  • Support sourcing short- and long-term accommodation
  • Travel Arrangements Family support for finding schools and any other aspects of pastoral care
105,504 - 139,882

A UK-based mental health service is seeking a Consultant Child & Adolescent Psychiatrist to join their Neurodevelopmental Team. This is a part-time (0.8 FTE), permanent post, offering an exciting opportunity to take on a senior clinical leadership role within a well-established specialist service for children and adolescents with complex neurodevelopmental conditions.

The team operates within a multidisciplinary framework, delivering comprehensive assessments, pharmacological treatment, and evidence-based care for young people. The role is ideal for experienced consultants looking to shape service delivery while maintaining strong clinical involvement.

This opportunity is also open to international applicants, particularly those eligible for inclusion on the GMC Specialist Register and who will be applying via CESR.

JOB REQUIREMENTS AND DETAILS

  • Job Title: Consultant Child & Adolescent Psychiatrist – Neurodevelopmental Team

  • Contract: 8 Programmed Activities (PAs) per week – Part-Time

  • Contract Type: Permanent
  • Salary: £105,000 – £139,000 (pro rata, dependent on experience)

Applicants must have:

  • Full GMC registration with a licence to practise
  • GMC Specialist Register in Child & Adolescent Psychiatry
  • Section 12(2) MHA approval, or a willingness to complete this upon appointment
  • Experience working in child, adolescent, or neurodevelopmental psychiatric services
  • Strong leadership, multidisciplinary collaboration, and communication skills
  • The ability to travel independently across service sites, including schools and service users\' homes

CORE DUTIES OF THIS ROLE

  • Lead on psychiatric assessments, diagnosis, and pharmacological treatment planning for young people with complex and/or high-risk neurodevelopmental presentations.

  • Provide consultation and guidance to the multidisciplinary team, as well as external agencies including paediatrics, schools, Tier 4 providers, and primary care.
  • Maintain clinical oversight for young people under the care of the team, participating in emergency assessments and the consultant out-of-hours rota.
  • Attend and contribute to weekly multidisciplinary team meetings and clinical formulations.
  • Collaborate with carers, families, and professionals to co-create effective, evidence-based care plans.
  • Support transitions from child to adult mental health services in line with protocol.
  • Fulfil duties under the Mental Health Act, including conducting assessments and contributing to reports and tribunals as required.
  • Maintain clear and timely medical documentation and support audit and quality improvement initiatives.

MANAGEMENT & STRATEGIC RESPONSIBILITIES

  • Provide senior clinical leadership in partnership with the non-medical Clinical Team Lead.

  • Contribute to the development of service-wide clinical guidelines and care pathways.
  • Support service planning and transformation initiatives based on emerging need.
  • Actively participate in governance activities, clinical audit, and performance monitoring.
  • Engage with stakeholders and external partners at strategic and operational levels.

LIFE IN THE REGION

This role is based in a well-connected and scenic part of the UK, ideal for those who enjoy a balance between urban accessibility and countryside living. With excellent road and rail links, London is just 1 hour by train and car, offering easy commuting and travel.

The area is highly attractive for families, with access to top-rated schools, green open spaces, and a vibrant local community. Whether you\'re seeking historic towns, cultural attractions, or tranquil rural retreats, this region offers something for everyone.
 

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect, you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV preparation with a bespoke session with one of our specialists.
  • Application support with expert knowledge of NHS specialisms & recruitment practice.
  • At least two video interview preparation sessions.
  • Contract and offer negotiations for salary, relocation packages, tenure, and more.

Once you have accepted your new role, you’ll be supported by one of our dedicated relocation executives, who will guide you through the process, including:

  • Document gathering and checking.
  • COS and Visa Application support, if applicable.
  • Support sourcing short- and long-term accommodation.
  • Travel arrangements and family support for finding schools and other aspects of pastoral care.
105,504- 139,882

An NHS teaching hospital in Kent is looking for a Consultant in Clinical Oncology with an interest in urology. The Oncology department comprises a team of over 40 Clinical and Medical Oncology consultants and is supported by a large team of middle-grade doctors, fellows, and trainees.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

  • This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist qualifications or FRCR are most encouraged to apply.CCT in Clinical Oncology or equivalent experience, including CESR pathway candidates.

  • The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide high-quality specialist care to melanoma patients attending the Kent Oncology Centre.

  • Attend relevant MDT meetings and coordinate treatment planning with other specialists.

  • Participate in departmental research initiatives and contribute to national and local clinical trials.

  • Contribute to training and supervision of junior doctors and participate in clinical governance activities.

Life in Kent

The area offers the best of both worlds: urban living in towns like Maidstone and Tunbridge Wells, and tranquil countryside villages such as Lenham or Goudhurst.

Kent boasts a wide range of excellent primary and secondary schools, including several grammar schools, and is well connected to London via high-speed rail and road. Residents enjoy easy access to historic castles, the coast, national parks, shopping, and outdoor activities—perfect for both adults and families.

Known as the “Garden of England,” Kent holds historical significance with its Roman heritage, medieval cathedrals, and coastal defense legacy, offering a unique blend of culture and natural beauty.

HOW WILL IMG CONNECT SUPPORT YOU?

When applying with IMG Connect, you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:

  • CV Preparation with a bespoke session with one of our specialists

  • Application support with expert knowledge of NHS specialisms & recruitment practice

  • At least two video calling interview preparation sessions

  • Contract and offer negotiations for salary, relocation packages, tenure, and more

Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you all the way to starting your new role, including:

  • Document gathering and checking

  • COS and Visa Application support, if applicable

  • Support sourcing short- and long-term accommodation

  • Travel arrangements

  • Family support for finding schools and any other aspects of pastoral care

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