SAS contracts

This guidance covers the terms and conditions of the SAS doctors 2008 contracts, for all nations, and of the 2021 specialty doctor and specialist contracts. It also offers the terms and conditions of contracts pre-2008, as well as examples of model contracts.

Location: UK
Audience: SAS doctors
Updated: Friday 19 January 2024
Contract and pen article illustration

As a SAS doctor, you should be employed under the national contracts for one of the roles within this grade.

This page details the terms and conditions of service for each contract in each nation, which set out the provisions and contractual rights that apply to you. There are also model contracts, on which your contract of employment should be based.

If you are concerned that the contract you are being offered differs from those set out here, get in touch with our contract checking service.


SAS contract for England

Terms and conditions of service 




To avoid SAS doctors from seeing their pay drop if they move from the 2008 onto the 2021 terms and conditions, we encourage employers of Specialty doctors to:

a) agree a local remedy or

b) apply an allowance (in the form of a pay premia).

The allowance would ensure these doctors are paid the equivalent of the next pay point on the Specialist scale so that their pay does not otherwise drop. This would apply until the doctor’s salary has exceeded this amount and the premia is therefore no longer required.

Where employers have already agreed locally to appoint these doctors onto the next pay point this premia would not be needed, and that agreement should continue to apply.


Clock and document article illustration
Moving onto the 2021 SAS contract?


Ensure you are recording your work activities correctly on our job planning tool Dr Diary.

Simply confirm your new contract in the employer selection.

Update your contract in Dr Diary

SAS contract for Northern Ireland

SAS contract for Scotland

Terms and conditions of service 

SAS contract for Wales

join illustration
BMA: representing SAS doctors

We're here to stand up for SAS doctors' rights, support you in the workplace and champion the medical profession. 

Join the BMA