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

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

£116600

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

  • Oversee inpatient care for 15–20 patients alongside a multidisciplinary team
  • Supervise and collaborate with junior medical staff and allied professionals.
  • Provide one outpatient clinic per week in geriatric medicine or a relevant subspecialty.
  • Take part in education, audits, and continuous service improvement projects.

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:

  • 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
An NHS specialist cancer centre in Lancashire and South Cumbria is looking for a Consultant in Medical Oncology with an interest in gynae and upper GI cancers. The oncology department comprises a team of 8 consultants and is supported by a large team of middle grade doctors.

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 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.

Anyone with an interest in gynae and upper GI oncology should apply.
The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

Provide systemic therapy services for patients  across UHMB sites.

Participate in multidisciplinary team meetings and support associated administrative duties.

Lead and contribute to acute oncology services across the Trust (no on-call required).

Support teaching, supervision, and mentorship for junior medical staff and trainees.

LIFE IN LANCASHIRE AND SOUTH CUMBRIA

The area is rich with excellent schools, convenient rail and road links, and beautiful scenery for outdoor enthusiasts. Historically, the region has played a key role in British shipbuilding and industrial development and today combines coastal charm with cultural heritage and modern living.

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

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.

JOB REQUIREMENTS AND DETAILS

  • 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.

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

105,504- 139,882

An NHS specialist cancer centre in Lancashire and South Cumbria is looking for a Consultant in Medical Oncology with an interest in upper and lower GI cancers. The oncology department comprises a team of 8 consultants and is supported by a large team of middle grade doctors.

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 oncology job is open to both international applications and UK-based doctors, though those with European Specialist registration or MRCP are most encouraged to apply.
Anyone with an interest in upper and lower GI oncology should apply.
The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide systemic therapy services for patients with upper and lower GI cancers across UHMB sites.

  • Participate in multidisciplinary team meetings for lung and upper GI cancer and support associated administrative duties.

  • Lead and contribute to acute oncology services across the Trust (no on-call required).

  • Support teaching, supervision, and mentorship for junior medical staff and trainees.

LIFE IN LANCASHIRE AND SOUTH CUMBRIA

The area is rich with excellent schools, convenient rail and road links, and beautiful scenery for outdoor enthusiasts. Historically, the region has played a key role in British shipbuilding and industrial development and today combines coastal charm with cultural heritage and modern living.

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

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