The SAS Collective
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The SAS Collective
@sascollective.com
A group of committed Specialist, Associate Specialist and Specialty (SAS) doctors, working to improve the careers and retention of doctors in the UK | #SASsix | #SASsky | #SASbyChoice | #SASdocsRock
9/ Probably should have tagged some of these folks in the thread.

@bmj.com @gmcuk.bsky.social @redrunswick.bsky.social @emmajourno.bsky.social @parthaskar.bsky.social
November 22, 2025 at 8:31 AM
8/ Alternative career pathways need parity of esteem, and we believe this is how it should be done.

Find out more about our work and our #SASsix campaign here:

www.sascollective.com
The SAS Collective | #SASsix campaign
The SAS Collective advocates for Specialist, Associate Specialist, and Specialty doctors across the NHS. Discover the #SASsix campaign and support SAS career development.
www.sascollective.com
November 22, 2025 at 8:22 AM
7/ Today's service must not come at the cost of tomorrow's. We believe this is the single biggest workforce issue of the day.

The #SASsix campaign is based around appropriate contract use, support for professional development, and the opportunity for senior doctors to become leaders and educators.
November 22, 2025 at 8:22 AM
6/ As @rcphysicians.bsky.social reiterate in their rapid response (above), we must get better at supporting the careers of doctors outside of formal training programmes, or we won't keep them or see them reach their potential.

There should be no such thing as a "non-training" doctor.
November 22, 2025 at 8:22 AM
5/ Many of the stories in this article are harrowing, and describe international medical graduates and early career UK graduates being exploited with inappropriate contracts, no prospects for career development, and little hope to be had.

www.rcp.ac.uk/news-and-med...
Rapid response to BMJ investigation: Thousands of NHS doctors are trapped in insecure “gig economy” contracts
www.rcp.ac.uk
November 22, 2025 at 8:22 AM
4/ Meanwhile, an expose in the BMJ brought the experiences of these locally-employed doctors, in short-term, non-standard "gig economy" contracts, into sharp focus.

You can read that one here:

www.bmj.com/content/391/...
Revealed: Thousands of NHS doctors are trapped in insecure “gig economy” contracts
Thousands of locally employed doctors—many of them international graduates and from ethnic minorities—are trapped in insecure NHS contracts with no access to training, career progression, or national ...
www.bmj.com
November 22, 2025 at 8:22 AM
3/ It also demonstrates that we don't retain these doctors in the workforce.

Read more here:

www.gmc-uk.org/about/what-w...
Workforce report
The state of medical education and practice: workforce report analyses trends in the medical workforce across the UK. It uses a variety of sources to provide insights for policymakers and workforce pl...
www.gmc-uk.org
November 22, 2025 at 8:22 AM
2/ The new General Medical Council workforce report once again illustrates that the most rapidly rising cohort in the medical workforce are locally-employed doctors. This year is also looks at their contract duration, and finds that the majority in this group are on short-term contracts.
November 22, 2025 at 8:22 AM