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

The @fmlm-uk.bsky.social are the most recent organisation to publicly support the #SASsix campaign, because our aims align with theirs. Leadership matters a great deal. The SAS Collective remains very grateful for that support, and for inviting us to take part in today's event.

The SAS six campaign, including "all extended roles in leadership and management should be open to SAS doctors".
Rob Fleming@robjimfleming.bsky.social · 6mo ago

Slide in the wild. Playing "count the paths" at our session for the @fmlm-uk.bsky.social conference in Liverpool. There is more than one. Thanks to all the folks who joined us! Leadership needs to be open to SAS doctors, if we want everyone's experience to matter in developing services. #SASsix

Bearded fool, and panel of SAS leaders, in front of a slide that says "there is more than one path".

It is always a great day when we get to add another Trust to our slide. Lancashire and South Cumbria NHS Foundation Trust have added implementation of the #SASsix to their medical EDI policy, which launched today. Bravo!

SAS six - implementing trusts.

A slide with the Trusts who have adopted the SAS six, with a polar bear mascot pointing to the viewer saying "this could be you too!"

We are absolutely delighted that Faculty of Medical Leadership and Management @fmlm-uk.bsky.social have decided to support our #SASsix campaign! Thanks, folks. We really appreciate this!

Faculty of Medical Leadership and Management (FMLM)@fmlm-uk.bsky.social · 6mo ago

FMLM is proud to support the #SASsix campaign, championing leadership equity for SAS doctors across the NHS. SAS doctors are essential, and their leadership potential must be recognised. We’re committed to empowering them to lead, manage and thrive.

We are delighted that @bashhuk.bsky.social have decided to support our #SASsix campaign! A lot of sexual health care is delivered by SAS doctors. Signposting a career for these doctors to achieve their potential is a vital part of supporting this workforce. We look forward to working with you!

British Association for Sexual Health and HIV (BASHH)@bashhuk.bsky.social · 7mo ago

BASHH is proud to endorse the @sascollective.com's campaign, championing career progression, equity of opportunity, and support for SAS doctors around the UK through six essential 'asks'. To view our statement of support, visit our website: bit.ly/3NFc773

I spoke to doctors across England for this @bmj.com investigation. Senior medics leading services and training others but stuck on insecure contracts. Others with no supervision, training or progression - just filling rota gaps. Many egs of poor practice from NHS trusts. 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 ...

bmj.com

Bearded clown alert. Page 182 of today's BMJ. There are successful, progressive careers to be had for doctors outside of rotational training. However, we have to decide as a profession to make it normal for all, and the NHS has to stop behaving like a 'gig economy' employer. #SASsix

REVEALED: Thousands of NHS doctors are trapped in insecure 'gig economy' contracts.

Bearded clown quoted as saying "Every doctor who doesn't achieve their potential is a catastrophe", which is true.

1/ The medical workforce and the #SASsix, a Saturday morning thread... The eagle-eyed among you may have spotted two related publications relating to workforce this week. Taken together, they paint a stark picture of the current medical workforce.

Graph from the 2025 GMC workforce report, showing 10 year trends in professional groups. The number of locally-employed doctors, on non-standard, non-national and usually non-permanent contracts has increased fourfold in a decade. LEDs now outnumber SAS doctors, on nationally-negotiated contracts, roughly 3.5:1.