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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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 Title: Consultant Child & Adolescent Psychiatrist – Neurodevelopmental Team
Contract: 8 Programmed Activities (PAs) per week – Part-Time
Applicants must have:
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.
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 be supported by one of our dedicated relocation executives, who will guide you through the process, including:
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.
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.
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.
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.
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
An NHS general hospital in Wales is seeking a Locum Consultant in Geriatric Medicine with a special interest in Orthogeriatrics. The department includes a team of 9 consultants and is supported by a large middle grade doctor team. This Geriatric Medicine role welcomes both UK-based and international applicants, especially those holding MRCP(UK) or equivalent qualifications.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.
JOB REQUIREMENTS AND DETAILS
Applicants should hold full GMC registration and MRCP, with solid experience in general and geriatric medicine. Subspecialty interest in Geriatric Medicine is desirable
CORE DUTIES OF THIS ROLE
LIFE IN WALES
This role is based in a picturesque Welsh town offering both urban convenience and rural tranquility, with popular residential areas including charming market towns and countryside villages.
The region provides great schooling options, strong transport connections, and plenty of family-friendly leisure activities.
Historically rich, the area features medieval architecture and has played a significant role in Welsh and British history.
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:
An NHS teaching hospital, in Kent is looking for a Consultant in Medical Oncology with an interest in Melanoma. 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.
This Medical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist qualifications or MRCP are most encouraged to apply.CCT in Medical Oncology or equivalent experience, including CESR pathway candidates.
The salary will be between £105,504 and £139,882 dependent on experience or grade.
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.
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.
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