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:
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.
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.
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.
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.
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.
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.
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.
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.
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 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.
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.
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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Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
A NHS Trust in the South East of England is looking for a Specialist Doctor in Medical Oncology with an interest in Breast. The Oncology department includes a team of consultants and is supported by a large group of specialty doctors and clinical fellows. This Medical Oncology role is open to both UK-based and international applicants, with those holding FRCR/MRCP especially encouraged to apply.
Anyone requiring portfolio support (formerly known as CESR) can have their needs reviewed on a case-by-case basis.
Doctors with FRCR/MRCP and an interest in breast cancer are encouraged to apply. The salary will range from £96,990 – £107,155.
Deliver high-quality oncology care, including chemotherapy, hormone therapy, and targeted therapy.
Participate in multidisciplinary team meetings and provide leadership for tumour site specialisations.
Supervise and mentor junior medical staff, contributing to teaching and research activities.
Engage in clinical governance and audit work to maintain high standards of care.
This region offers a balance of busy towns and peaceful countryside. There are excellent schools, reliable transport links to London and Europe, and a wide range of leisure activities — including historic sites, coastal attractions, and cultural events. The area combines accessibility with quality of life, making it attractive for professionals and families alike.
When applying through IMG Connect, you’ll receive full support from a specialist recruitment team who will guide you through every step. Support includes:
CV preparation and tailored feedback sessions.
Application support with in-depth NHS and recruitment insights.
At least two video-based interview preparation sessions.
Help with contract discussions and offer negotiations, including relocation packages.
Once you’ve accepted your offer, you’ll have access to a dedicated relocation executive to assist with:
Document collection and checks.
COS and visa support where needed.
Short- and long-term accommodation options.
Travel planning.
Family support, including help finding schools and settling in.
A large NHS Trust in the Midlands is looking for a Consultant Interventional Radiologist with an interest in complex vascular and non-vascular procedures. The Radiology department comprises a team of experienced consultants and is supported by a large team of middle grade doctors. This Interventional Radiology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCR 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
FRCR or equivalent and extensive experience in interventional radiology are required for this role, and anyone with an interest in complex vascular and non-vascular procedures should apply. The salary will be between £105,504 to £139,882 dependent on experience.
CORE DUTIES OF THIS ROLE
Lead a comprehensive range of interventional radiology procedures under consultant supervision.
Assist in the general radiology workload including the Interventional on-call rota.
Lead teaching and supporting junior radiological staff and radiographers.
Lead departmental audit and research activities, with the opportunity to pursue formal research.
LIFE IN THE WEST MIDLANDS
This role is based in the West Midlands, offering access to urban living in cities like Birmingham and more peaceful rural areas such as Solihull and Warwickshire. The region is known for its excellent schools, strong transport links, and a wide variety of leisure activities for individuals and families alike. With a rich industrial heritage, the West Midlands remains one of the UK’s most historically significant and economically vibrant regions.
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:
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:
An excellent NHS job opportunity for an experienced Consultant to join this NHS Trust as a Consultant in Haematology working in an established medical setting in the UK. This NHS job offers CESR Portfolio Pathway support and international applications from IMGs are welcome.
The NHS Trust
The NHS Trust is one of the largest integrated care providers in England, serving a diverse population with a commitment to high-quality care and continuous improvement. The Trust operates across multiple sites, offering a broad range of services through various care groups, including Surgery, Integrated Medical Specialties, Family Health, Community, and Clinical Specialist Services. It provides a dynamic environment that supports innovation, education, and collaboration.
The Haematology Department & Team
The Haematology Department is a forward-thinking unit, staffed by a dedicated team of Consultant Haematologists and Clinical Nurse Specialists. The department focuses on outpatient and day case treatments, with a collaborative approach to inpatient care. It utilizes advanced facilities for a wide range of haematological services and participates in regional MDTs. This new consultant post will primarily be based at one of the main hospital sites but may involve activities across other locations within the Trust.
Continued Professional Development
This NHS job offers further training and accreditation within haematology, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interests. The Trust supports continuous professional development and encourages participation in research and teaching activities. There is a strong emphasis on education with regular clinical meetings, audit sessions, and opportunities for career advancement.
Location
The location is ideal for international doctors and their families, offering affordable living costs, good schools, and a rich cultural heritage. There are numerous recreational activities, from exploring beautiful countryside and national parks to enjoying vibrant community events and historical sites. The area has excellent transport links, including easy access to major cities and convenient connections to international airports.
Am I eligible for this role?
UK based candidates:
EEA candidates:
Non-EEA candidates:
Consultant Psychiatrist – Child and Adolescent Mental Health Service (CAMHS)
South Wales
A dynamic and transformational CAMHS service in South Wales is seeking a Consultant Psychiatrist with a strong interest in child and adolescent mental health. The successful candidate will join a well-established multidisciplinary team delivering specialist care across the region, contributing to service development and clinical leadership within a collaborative and forward-thinking environment. Doctors with MRCPsych, CESR interest, or a European Specialist qualification are encouraged to apply.
This is a fantastic opportunity to work within a progressive mental health service with access to regional tier 4 services and a population of approximately 380,000. The post supports the organisation’s strategic vision to integrate CAMHS more closely into community settings while developing clinical pathways in areas including eating disorders, complex care, youth justice, and neurodevelopmental disorders.
We welcome applications for full-time, part-time, or flexible working arrangements and will support CESR (Certificate of Eligibility for Specialist Registration) development on an individual basis.
JOB REQUIREMENTS AND DETAILS
Salary: £109,725 – £145,478 dependent on Consultant experience.
Full GMC registration with a licence to practise is essential.
Eligibility for inclusion on the GMC Specialist Register or within six months of CCT.
Section 12 approval (or eligibility within 6–12 months).
Experience delivering psychiatric care in CAMHS or related services is required.
A collaborative, developmental, and family-focused approach, with excellent communication and leadership skills, is highly valued.
Opportunities for career development through CPD, peer supervision, quality improvement, and service leadership.
CORE DUTIES OF THIS ROLE
Provide consultant-level psychiatric care to children and adolescents as part of a multidisciplinary CAMHS team.
Lead clinical care planning, review, and treatment delivery in partnership with colleagues across mental health, health, education, and social care.
Work closely with specialist regional services including adolescent inpatient units, eating disorder outreach services, and forensic CAMHS consultation teams.
Participate in the CAMHS consultant on-call rota (with prospective cover).
Contribute to service improvement, pathway development, and integrated working in line with strategic planning goals.
Provide supervision and clinical leadership to junior medical staff and allied professionals.
Participate in annual appraisal, job planning, and revalidation, with access to local peer groups and CPD.
Uphold principles of clinical governance, information governance, and risk management across the CAMHS Directorate.
LIFE IN SOUTH WALES
South Wales offers a rare combination of coastal beauty, green open spaces, and urban convenience. With beautiful landscapes, affordable living, and excellent local amenities, it is an ideal location for professionals and families alike. The region is well-connected by public transport and road networks and offers easy access to nearby cities and airports.
Healthcare professionals in the area benefit from a supportive and inclusive working environment and access to a wide network of services across health, education, and social care.
If you are passionate about delivering outstanding CAMHS care and want to help shape future services in a supportive, innovative setting, we welcome your application. Please note that we may close this post early if sufficient applications are received.
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.
Consultant Psychiatrist – Acute Inpatient Service
South of England | Close to London
An inclusive and progressive NHS mental health trust in the South of England is seeking a Consultant Psychiatrist with a strong interest in acute inpatient care. The successful candidate will join a compassionate and collaborative multidisciplinary team, providing high-quality psychiatric care to adults and clinical leadership across inpatient services. Doctors with MRCPsych, CESR interest, or a European Specialist qualification are encouraged to apply.
This is a fantastic opportunity to join a leading NHS Foundation Trust known for integrated working, a strong culture of kindness and respect, and its commitment to clinical excellence and innovation.
Applications are welcome for full-time, part-time, or flexible working patterns. CESR (Certificate of Eligibility for Specialist Registration) support is available and tailored to individual needs.
Full GMC registration with a licence to practise is essential.
Eligibility for inclusion on the GMC Specialist Register or within six months of CCT.
Section 12 approval (or eligibility within 6–12 months).
Clinical experience in managing acute adult mental illness in inpatient settings is required.
Strong teamworking, communication, and leadership skills are essential.
Ongoing opportunities for professional development through training, leadership pathways, teaching, and academic engagement.
Provide Consultant-level psychiatric care to adult inpatients, in line with the Trust’s Acute Operational Policy.
Deliver clinical leadership and active involvement in quality improvement initiatives.
Work collaboratively with multidisciplinary teams and contribute to a recovery-focused, trauma-informed approach to care.
Coordinate with specialist and community teams to ensure effective patient transitions and continuity of care.
Supervise and support junior doctors, specialty trainees, and students.
Participate in Consultant on-call rota (details available on request).
Engage in audit, teaching, research, and service development activities.
Located in the South of England, this opportunity offers the perfect balance of professional fulfilment and quality of life. The area combines vibrant urban centres, picturesque countryside, and excellent transport links — with London just 30 minutes away by train, and both Heathrow and Gatwick airports nearby for easy international travel.
This region is known for its historic market towns, outstanding schools, and a wide range of cultural and recreational activities. Whether you\'re relocating alone or with family, it offers something for everyone — from city convenience to coastal calm.
The Trust is committed to inclusivity, wellbeing, and the development of its workforce, offering access to flexible working and a wide range of staff benefits.
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.