![]() ![]() ![]() Non-UK graduates are more likely to leave within six years of joining than those who qualify at UK medical schools.Over half (53%) of those who began work as an SAS or LE doctor in 2013 had left the UK workforce by 2021 (compared to 9% for GPs).More than half (58.7%) completed PMQ oversees and classified as IMG.Largest recorded ethnicity group, Asian or Asian British (38.7%), followed by white (31.2%).In 2021, 61,040 licensed SAS and LE doctors on the medical register.The following figures from the GMC workforce report outline information on SAS and LE doctors: If the trends from the last five years continue, by 2030 SAS and LE doctors will have become the largest group on the GMC register. The SAS and LE doctors group has grown by 40% – almost six times the rate of GPs in the last five years and a little under four times the rate of specialists. The health service relies heavily on SAS and LE doctors. Unacceptably high numbers of SAS doctors have reported being bullied, undermined or harassed in the workplace. There has been a growing awareness that SAS doctors have lacked the recognition they deserve, with poor structures for support and few opportunities to engage in professional and career development. Like SAS doctors, LE doctors are not on the General Medical Council (GMC) GP or specialist registers and are not in national training programmes, and they are similarly diverse in terms of their experience and skills. Many have recently completed their foundation training and will return to formal training, and some may move on to a SAS contract in the future ( GMC, 2020) others are senior doctors employed in senior roles. Unlike SAS doctors, they do not have nationally agreed terms and conditions. The terminology for LE doctor posts is diverse and can include: clinical fellows (FT3 level and ST5 - 8 Level), trust grade registrars, trust grade associate specialists. ![]() Who are locally employed (LE) doctors?Īs the title suggests, LE doctors are employed locally by a healthcare organisation on a local contract, often for a non-permanent post. Specialist grades are expected to focus mainly on providing direct clinical care but will also have further development opportunities such as management, additional responsibilities, research, and clinical academia ( NHS careers). There are equivalent entry retirements for dentists seeking appointed to this grade. They must also meet the requirements of a Specialist grade generic capabilities framework. The entry criteria to the specialist grade are set out in Schedule 1 of the specialist grade terms and conditions of service.Ī doctor appointed to this grade shall have completed a minimum of twelve years’ (ten years in Scotland) medical work (either continuous period or in aggregate) since obtaining a primary medical qualification, of which a minimum of six years (five years in Scotland) should have been in a relevant specialty in the Specialty Doctor and/or closed SAS grades.Įquivalent years’ experience in a relevant specialty from other medical grades including from overseas will also be accepted. Specialist grade doctors provide expertise in a specialised area (a specific specialty or a generalist service) and can manage the full range of presentations in their specific area of practice. The specialist grade was introduced in April 2021 to offer career progression for specialty doctors. What’s the difference between a specialty doctor and a specialist grade doctor? Persistent issues facing SAS and LE doctorsĬheck out our new pages for SAS surgeons.Skills and experiences of SAS and LE doctors.What are SAS and locally employed (LE) doctors?.This grade came with an explicit expectation that these doctors will have further development opportunities such as management, additional responsibilities, research, and clinical academia. In 2021, the specialist grade doctor was introduced for doctors able to manage the full range of presentations in their specific area of practice – see below for a summary of the difference between specialty doctors and specialist grade doctors in terms of entry requirements. The 2008 contract heralded substantial change: as well as introducing a new specialty doctor grade, it also put in place national terms and conditions covering everything from entry criteria to the grade, job planning and pay progression. Since 2008 these grades have been closed to new entrants, with all new SAS doctor appointments being specialty doctors ( NHS careers). Prior to 2008, SAS doctors were appointed to staff grade or associate specialist posts. Over the last 15 years, SAS conditions of employment have been put on a firmer footing, supported by the SAS Charter to drive workplace development for these doctors and dentists. ![]()
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