Staff Associate Specialists And Specialty Doctors Committee

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Priorities of the Staff, Associate Specialist and Specialty doctors committee (SASC)

SASC UK works on a number of issues affecting SAS doctors. Here are our top priorities.


Negotiating the terms and conditions of service for SAS doctors, and providing guidance on these areas, is a key component of the work of the SAS committee.

Meetings are held three times per year with NHS Employers to discuss issues affecting SAS doctors and to negotiate on their behalf.


SAS development in England

We are working with NHS Employers, the AoMRC and HEE to ensure that SAS doctors receive effective development which will benefit patient safety and employers, as well as the individual doctors.

You can read our latest guidance on SAS doctor development, produced jointly with NHS Employers, Health Education England and the Academy of Medical Royal Colleges here.

Read more


Autonomous Working guidelines (not applicable to Scotland)

SAS grades provide experienced, specialist care, often within multi-disciplinary teams and are involved in teaching, training, researching, and management.

We have published a guidance template outlining and promoting how SAS grades can work with a greater degree of autonomy in areas where they have proven particular expertise.

Read the our guidelines on autonomous working


Recognition of seniority

Ensuring that employers recognise the seniority and work of SAS doctors remains a priority and annual leave is an example of where SAS doctors' contribution can be recognised.

Negotiations between LNCs and employers has resulted in more than 40 trusts in England now giving SAS doctors up to two days extra leave after 7 years' service, similar to our consultant colleagues.

Read the BMA News story



Accurate coding is important for patients and doctors. The NHS e-referral system in England has the facility to code work to the names of SAS doctors and we have produced guidance for LNCs to ensure that this becomes common practice.

Read the new coding guidance


Job planning

SASC negotiates job planning guidance with NHS employers. We expect job plans to be discussed in a spirit of mutual agreement between the SAS doctor and their manager or clinical director.

We are actively opposed to the imposition of job plan terms that are against national terms and conditions of service by cutting supporting professional activity time and other sessions important to the professional development of SAS doctors.

Read our guidance on job planning


SAS charters

SAS doctors are now benefiting from national Charters in England, Scotland, Wales and Northern Ireland.

The Charters recognise the vital role of SAS doctors in the NHS and a commitment to ongoing support and development. The project brought together the BMA, Health Education England, The Academy of Medical Royal Colleges (AoMRC) and NHS Employers, to work towards improving the working lives of SAS doctors.

The Charters reflect changes to national contracts, education and training, and cover a range of issues from staff job plans to support and development and encouraging SAS staff involvement in organisational structures.

See the current SAS charters


Redundancy threats

SASC protects SAS doctors against redundancy who may be seen as a soft target and may be at particular risk as employers reconfigure services in a short-sighted attempt to save money.

We are committed to supporting any SAS doctors placed at risk of redundancy.

Read our guidance on dealing with redundancy