Supporting SAS Doctors

SAS doctors (Specialty doctors, Associate Specialists and Staff grades including trust grades and other locally appointed doctors) play a significant role in the delivery of clinical services in the NHS. SAS doctors usually enter the grade with a minimum of four years’ clinical experience after medical school but, often have many more years, possibly even decades, of experience to contribute. They bring a wealth of clinical knowledge to our health service. This page provides for information for SAS doctors on career progression and CESR application as well as upcoming conferences. 

Dr Nicky Morgan is FSRH's SAS Lead sitting on Council to represent SAS doctors in the SRH workforce.

If you are interested in promoting the role of SAS doctors within the Faculty contact Nicky Morgan SAS Doctor Lead 

Read Nicky Morgan's blog on how she will be supporting and representing SAS doctors for FSRH


FSRH Qualifications for SAS Doctors

FSRH Qualifications


FSRH offers SAS Doctors two routes for training and education:

1. The FSRH Membership Exam route (or MFSRH).

Equivalence (CESR) – The process by which doctors who have not trained in an approved programme can demonstrate their knowledge, skills and experience are equivalent to that of the relevant CCT curriculum to join the GP or Specialist registers. Equivalence (CESR) is a Certificate of Eligibility for Specialist Registration in the UK. An applicant for CESR must provide a portfolio of evidence that demonstrates that their specialist training and/or specialist qualifications, together with their experience are equivalence to the requirements set out in the specialty curriculum.

Application for a grant to assist with your Equivalence (CESR) application:
Since 2015, the FSRH has had a dedicated fund to support SAS doctors towards CESR Training. We have decided to extend the use this fund to support SAS doctors in leadership positions, particularly where they are in a position to become an educational supervisor for a CSRH Trainee. 

Read more about CESR Equivalence applications

Find out about Dr Jane Dickson's experience of achieving CESR equivalence

If you are interested in having a mentor or help gaining research/Public health experience, contact the SAS Doctor Lead (Nicky Morgan) at



Events relevant to SAS Doctors

Events for SAS doctors


We will update this page with more information on events for SAS doctors as this becomes available. In the meantime, you can view upcoming events at

Useful links for SAS Doctors

Useful SAS links


There are a range of resources available for SAS doctors. Below is a list of useful links and information.

NHS England and NHS Improvement's Interim NHS People Plan - read our news story
The report includes the following information of interest to SAS doctors:

"We will do more to value our specialty and associate specialist (SAS) doctors and make these roles more attractive careers for doctors who may not wish to become consultants or GPs and more fulfilling options for those who wish to pause their specialty training. We want to ensure that the pay, terms and conditions of specialty doctors recognise the development of their skills and experience, supporting step out and step back.

We will begin to implement the actions from the recent Health Education England report, Maximising the potential: essential measures to support SAS doctors. We will go further by negotiating and introducing a reformed associate specialist grade to provide new opportunities for progression within a specialty and associate specialist career. This will better recognise the invaluable contribution made by this part of our medical workforce."

GMC survey information 
This 2019 GMC survey shares feedback on training, workplace culture, training opportunities and workload for SAS Doctors.  You can also read our news story

Maximising the Potential: Essential Measures to Support SAS doctors 
Health Education England and NHS Improvement - also endorsed by the AoMRC and BMA

This new guidance describes what the NHS should be doing now to support staff grade, associate specialist, and specialty (SAS) doctors. All staff need effective induction and appraisal alongside support to develop their careers and use their skills in ways that realise their full potential. But evidence shows this is not always the case for SAS doctors. This guidance aims to kickstart a process for better recognition and support for SAS doctors. 

BMA Pensions modeller for SAS doctors
The BMA Goldstone Pensions Modeller, launched earlier this year, is now available to download for SAS doctors on the 2008 contract.

Who are SAS Doctors?
The BMA profile a range of SAS doctors to find out how their career has progressed, and what can be done around the challenges they face.

SAS charters

A new charter for specialty and associate specialist (SAS) doctors in England sets out what SAS doctors and employers can expect from each other. The document has been agreed by the British Medical Association, the Academy of Medical Royal Colleges, HEE and NHS Employers.

A charter for specialty and associate specialist (SAS) doctors in Northern Ireland.

Health careers

The Health careers website offers some specific information on SAS doctors career information. 

BMA information on SAS Committee and related information on CESR application, development funding and guidance on job planning SPA allowance. 

Wales Deanery SAS page

Scotland Deanery SAS page


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