After working for six years in Assam, I came to the UK in 1978, seeking something important, though I wasn’t sure what that was at the time.

After 45 years as a clinician at various levels in the NHS, I finally retired. I can now happily say I have found that ‘something important’: work satisfaction, fulfilling my duty as a doctor, and helping patients to the best of my ability.

Starting out in a new country

Starting out in a new country and work environment, I quickly learned the importance of joining the Medical Defence Union, which I did immediately.

A couple of years later, I realised the need to become a member of the BMA. I often explain its necessity by comparing it to having fire insurance for your house – it’s always reassuring to know you’re protected.

Settling in Swansea and finding stability

I arrived in Swansea in 1979 as a locum SHO in obstetrics and gynaecology and retired in 2023 as an associate specialist. And for nearly 44 years, I worked continuously in the same health authority.

The stability and happiness of my family and workplace were essential, and thankfully, the department offered both. In 1992, I stepped into a newly created staff grade position – a permanent role. At that time, our group was known as non-consultant career grade doctors, with our work pattern managed by the consultants and the BMA.

The birth of WSASC

A significant milestone came on Wednesday, 22 March 2000, when BMA Wales called a meeting at Llandrindod Wells. The WSASC (Wales staff and associate specialist committee) was formed, giving SAS doctors a distinct voice.

I was elected as a representative for Swansea NHS Trust and attended the first WSASC meeting at Caer Beris Manor, Builth Wells, on Thursday, 25 May 2000. This marked the beginning of our group as a separate entity advocating for SAS doctors in Wales.

Serving the SAS community

Over the next 25 years, I served WSASC in various capacities and represented the committee at SASC UK and its subcommittees. My last WSASC meeting was on 18 June 2025. During this time, I met many dedicated individuals who worked tirelessly for our doctors’ welfare.

Some names I recall with gratitude include Rajnesh Nirula, Julie Jones, Ram Chandrasekharan, Prathap Reddy, Dr Ali, and BMA colleagues Erica, Rodney, Fiona, Sarah, and Danielle.

Learning, growth and independence

I was fortunate to join the O&G department at Singleton and Morriston hospitals, where senior consultants welcomed and taught me. They never made me feel inferior.

As my career progressed, I became an associate specialist, gradually gaining independent responsibility for clinics, theatre slots, and my own patient beds – a transition that required patience.

The challenges of being a SAS doctor

Even with substantial experience, routine work as an SAS doctor could be challenging, often due to the narrow, preconceived views of a few colleagues.

Occasionally, individuals in the central admin department held the mistaken belief that SAS doctors were junior, regardless of experience. While I sometimes experienced condescending comments, I never faced such attitudes from the consultants who trained me.

Transformation and looking ahead

Now, as I retire as a SAS clinician and WSASC member, I reflect on 22 March 2020, when I attended a meeting as an NCCG doctor and left as a SAS doctor – the ‘non’ prefix had disappeared.

Over a quarter of a century, I’ve witnessed many changes. SAS doctors now work as an independent group, planning our own destiny and collaborating with SAS committees across the UK and with organisations like HCIW. The BMA has always provided guidance.

Encouragement for the next generation

Looking ahead, I see growing interest among SAS doctors, evidenced by the activity in the WhatsApp group.

I urge my SAS colleagues: don’t stay outside and pass judgement. Join the BMA, stand for WSASC, participate in discussions, and serve the SAS community. The satisfaction and pride you gain cannot be measured by material rewards.

Wishing a bright future to all SAS colleagues, WSASC, and the BMA.

D N Baruah is a retired associate specialist and former WSASC member