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The SAS Collective

@sascollective.com
1.8K followers 3K following 116 posts

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

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The SAS Collective @sascollective.com · 24/09/2026
We are always absolutely delighted when another trust decides to adopt the #SASsix in their approach to their workforce. Northamptonshire Healthcare NHS Foundation Trust joins multiple other Trusts in wanting to support their doctors to be all they can be. We salute you!
The SAS six implementing trusts, now including NHFT. 

As the Polar Bear says "This could be you too!"
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Faculty of Medical Leadership and Management (FMLM) @fmlm-uk.bsky.social · 30/05/2026
Are you an LE or SAS doctor? The GMC has opened its first detailed survey in 7 years – and your experience matters. Help shape future education, training and career development. ⏳ Open until 2 June 👉 Take part: bit.ly/3OEgjVs @sascollective.com
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The SAS Collective @sascollective.com · 21/05/2026
Evening all! Our friends and allies at @rcphysicians.bsky.social have asked us to share some details of these SAS events, which they have created to align with their new SAS priorities for 2026-2030. The #SASsix campaign features, for which we are very grateful.
rcp.ac.uk
RCP SAS priorities 2026–30
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The SAS Collective @sascollective.com · 22/03/2026
Fantastic to see an MP talking to SAS doctors about the issues we face. Our #SASsix campaign aims to lift the recognition of our bit of the workforce, support doctors to progress their careers, and achieve our potential as leaders and educators. Find out more here: www.sascollective.com/sassix
The SAS six campaign infographic, featuring a summary of the campaign asks:

1. Every early career SAS doctor should have access to an educational supervisor.

2. All SAS doctors should have equity of access to professional development opportunities relevant to their stage of career.

3. All specialty doctors who meet the required capabilities should have the opportunity to become specialists.

4. Senior SAS doctors should be offered the opportunity to be educators at every level on a par with consultants e.g. educational supervisors, clinical supervisors, directors of medical education.

5. All extended roles in leadership and management should be open to all substantive medical staff that is, consultants and appropriately experienced SAS doctors.

6. All LEDs employed for more than two years within one NHS employer should be offered the opportunity to transfer to the appropriate SAS contract.
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The SAS Collective @sascollective.com · 08/03/2026
Happy International Women's Day 2026 to all the inspirational SAS women out there. This year's official UN #IWD2026 theme is #RightsJusticeAction. Women all over the world have fewer opportunities to achieve their potential in healthcare, and worse health outcomes. We must do better.
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Faculty of Medical Leadership and Management (FMLM) @fmlm-uk.bsky.social · 26/02/2026
We are, indeed!
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The SAS Collective @sascollective.com · 26/02/2026
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".
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Faculty of Medical Leadership and Management (FMLM) @fmlm-uk.bsky.social · 26/02/2026
One of our simultaneous sessions today - “SAS Leadership - Voice, Visibility and Impact”.
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The SAS Collective @sascollective.com · 11/02/2026
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!"
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The SAS Collective @sascollective.com · 11/02/2026
We are really pleased to see Lancashire and South Cumbria NHS Foundation Trust launch their Medic EDI Charter today. They use the #SASsix in their approach, because issues affecting SAS and locally-employed doctors are EDI and workforce issues. Excellent work! www.lscft.nhs.uk/diversity-an...
Lancashire and South Cumbria NHS Foundation Trust - Medic Equality, Diversity and Inclusion Charter.
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The SAS Collective @sascollective.com · 28/01/2026
In response to today's announcement of support for the #SASsix campaign by @fmlm-uk.bsky.social, SAS Collective member @robjimfleming.bsky.social wrote a blog for our website. "The days of the 'invisible' SAS doctor are over." Read more here: www.sascollective.com/leadershipno...
sascollective.com
Leadership is not a luxury | The SAS Collective
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The SAS Collective @sascollective.com · 28/01/2026
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!
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SAS-imran @sas-imran.bsky.social · 27/01/2026
#SASsix
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The SAS Collective @sascollective.com · 27/01/2026
Leicester Partnership NHS Trust become the twelfth Trust we have been able to add to this slide, after their pledge today to use the SAS six in their approach to their workforce. Could your Trust be next? Get in touch! www.leicspart.nhs.uk/news/our-sas...
A slide showing the 12 Trusts to have implemented, or publically pledged to implement, the SAS six in their approach to their workforce.
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The SAS Collective @sascollective.com · 27/01/2026
We are absolutely thrilled that Leicester Partnership NHS Trust have chosen to join our collection of employers seeking to support their SAS and locally-employed workforce. The #SASsix is a roadmap for change, and we love to see it used. Bravo! www.leicspart.nhs.uk/news/our-sas...
leicspart.nhs.uk
Leicestershire Partnership NHS Trust supports SAS doctors: Our SASsix pledge - Leicestershire Partnership NHS Trust
Our Trust recognises the essential contributions of our SAS doctors in delivering outstanding care to our patients and communities. As part of our commitment we are proud to share our pledge aligned w...
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The SAS Collective @sascollective.com · 27/01/2026
Thanks to all our new followers! If you want to read a little more about the SAS six campaign, you can do so in a few places. We wrote a blog for @nhsemployers.bsky.social here: www.nhsemployers.org/articles/sup... There is also some information on our website: www.sascollective.com/sassix
sascollective.com
The #SASsix Campaign | The SAS Collective
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The SAS Collective @sascollective.com · 22/01/2026
In recent months many new organisations have decided to support or endorse the #SASsix campaign. Most recent was @bashhuk.bsky.social, who did so yesterday. Like us, these organisations believe that supporting every doctor to achieve their potential is right for the workforce. Could you be next?
SAS six - national support.

Slide showing the 18 organisations who have publicly supported or endorsed the SAS six campaign. This list includes multiple medical royal colleges, other membership organisations and associations, and organisations representing medical education, leadership and people specialists.
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The SAS Collective @sascollective.com · 22/01/2026
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!
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British Association for Sexual Health and HIV (BASHH) @bashhuk.bsky.social · 21/01/2026
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
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The SAS Collective @sascollective.com · 24/11/2025
The @rcphysicians.bsky.social have been important allies to the #SASsix campaign. We agree entirely with President Mumtaz Patel in her rapid response to this weeks @bmj.com article. Bravo!
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Royal College of Physicians @rcphysicians.bsky.social · 24/11/2025
‘Once a doctor has been employed in the same specialty by the same trust for more than two years, they should be moved to a nationally negotiated SAS contract.’ 👉 Read our rapid response to a @bmj.com investigation revealing thousands of LEDs are trapped in insecure contracts: ow.ly/m9sm50XwQot
ow.ly
Rapid response to BMJ investigation: Thousands of NHS doctors are trapped in insecure “gig economy” contracts
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Emma Wilkinson @emmajourno.bsky.social · 20/11/2025
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/...
bmj.com
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 ...
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Rob Fleming @robjimfleming.bsky.social · 20/11/2025
“We believe that locally employed doctors should be offered the appropriate permanent SAS contract for their work. As well as employment rights, this would give these folks the professional identity they are currently being denied.” #SASsix www.bmj.com/content/391/...
bmj.com
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 ...
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Rob Fleming @robjimfleming.bsky.social · 22/11/2025
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.
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The SAS Collective @sascollective.com · 22/11/2025
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.
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The BMJ @bmj.com · 20/11/2025
A new #BMJInvestigation finds that thousands of locally employed doctors are trapped in insecure NHS contracts with no access to training, career progression, or national safeguards. Experts warn that the NHS is effectively “behaving like a gig economy employer” www.bmj.com/content/391/...
Rise of LEDs
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The SAS Collective @sascollective.com · 20/11/2025
We were pleased to have the opportunity to contribute to this article. We think doctors trapped in long-term local contracts are "hidden SAS". They deserve the national contract for the work done. We hope our campaign helps to make this normal. #SASsix www.bmj.com/content/391/...
bmj.com
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 ...
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HCSA – the hospital doctors' union @hcsa-com.bsky.social · 19/11/2025
Our #HospitalDoctorsUnion team joined the SAS Conference Midlands yesterday! Big thanks to Dr Lily Read of @sascollective.com for the invite. Important talks on the challenges facing #SASdoctors and the need for meaningful change. We're proud to support the #SASsix campaign. #SASDoctors #NHS
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HCSA – the hospital doctors' union @hcsa-com.bsky.social · 18/11/2025
Our HCSA #HospitalDoctorsUnion team joined the SAS Conference Midlands today! Talks from Dr Jonathan Corne, @nhsemployers.bsky.social and Dr Lily Read of @sascollective.com highlighted the vital role of SAS doctors and the challenges they face. We're proud to support #SASdoctors and the #SASsix
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Rob Fleming @robjimfleming.bsky.social · 18/11/2025
Enjoying the Midlands SAS Conference. @michellepooley.bsky.social and @elliepattinsonnhs.bsky.social are always a highlight, and are today talking about the barriers faced by SAS doctors from an NHS Employers perspective. Nice that the #SASsix and @sascollective.com got a mention or two.
SAS six inforgraphic.
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The SAS Collective @sascollective.com · 14/11/2025
We love it when organisations decide to support our campaign. We can't do anything without the support of our allies. You are vital. Thanks to FFLM for your support. You are brilliant! #SASsix
SAS six - national support, now also including FFLM.
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The SAS Collective @sascollective.com · 14/11/2025
We are always thrilled when another organisation comes on board and supports our campaign. Thanks to DAUK for your kind words about the campaign, and for raising awareness with your platform. We like you, too! open.substack.com/pub/dauk/p/h... #SASsix
SAS six - national support, now including DAUK.
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The SAS Collective @sascollective.com · 06/11/2025
Thanks again to @medicalprotection.bsky.social for having us at their webinar tonight. We had a great time, met some new folks, made some new friends. It was splendid! #SASsix
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The SAS Collective @sascollective.com · 01/11/2025
We are taking part in a SAS webinar hosted by @medicalprotection.bsky.social on Thursday. See some of you folks there, hopefully! #SASsix
#SASsix talk title slide.
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The SAS Collective @sascollective.com · 09/10/2025
Today is day 4 of #SASweek25, focused around equity, diversity and inclusion. We believe SAS issues are undeniably EDI issues, based on both the demographics of our professional group, and how grade itself can introduce prejudices. youtu.be/IN4J9_b47Aw?...
youtu.be
The relevance of EDI issues to SAS doctors by the SAS collective.
YouTube video by Dr Imran Sharieff
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The SAS Collective @sascollective.com · 08/10/2025
Today is day 3 of #SASweek25, focused around SAS development AND SAS doctors undertaking extended roles. These things form a big chunk of the #SASsix. We consider it self-evident that a career that is limited, is potential being wasted. We can't have that!
SAS six infographic, including asks about educational supervision and development opportunity for SAS doctors, AND the opportunity for SAS doctors to become leaders and educators.
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The SAS Collective @sascollective.com · 08/10/2025
We are absolutely ecstatic that as part of their #SASweek25 celebrations, the @rcpsych.bsky.social have decided to become the sixth college support the #SASsix campaign. We love it! They have announced this on X, hopefully they will do so here too in due course. Bravo, psychiatry!
The SAS six national support slide, now including RCPysch!
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zoerob.bsky.social @zoerob.bsky.social · 08/10/2025
@sascollective.com #SASsix we are committed to ensure all leadership roles are open to all
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Nick Child TU @nickchildtu.bsky.social · 08/10/2025
Happy day3 of #SASWeek25. Did you know the #HospitalDoctorsUnion @hcsa-com.bsky.social was the first national organisation to endorse the work of the SAS Collective @sascollective.com and their #SASSix campaign?. Below are the asks, we hope all #ourNHS Trusts and Boards are listening?
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HCSA – the hospital doctors' union @hcsa-com.bsky.social · 08/10/2025
We at the #HospitalDoctorsUnion support the #SASsix campaign. SAS doctors deserve to be recognized and celebrated for their important contributions and expertise. The six asks are an important call to action advocating for positive change that impacts the working lives of SAS doctors. #SASWeek25
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The Association of Anaesthetists @assocanaes.bsky.social · 07/10/2025
#SASWeek25 Our recent Anaesthesia News issue includes a dedicated SAS Week segment, packed with insights from SAS doctors across the UK. Members can access the full issue 🔗 buff.ly/8CGnXfx
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Rob Fleming @robjimfleming.bsky.social · 07/10/2025
Day 2 of #SASweek25 continues, based around the Specialist role. I thought I might share again this blog I wrote for @nhsemployers.bsky.social. This is my journey. Today should be a reminder that there are lots of different ways to get where you are going. www.nhsemployers.org/articles/bec...
nhsemployers.org
Becoming a specialist - a SAS perspective
Rob Fleming provides insights into his journey from specialty doctor to a specialist and encourages all employers to recruit specialty doctors.
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Royal College of Physicians @rcphysicians.bsky.social · 07/10/2025
As part of #SASWeek25, RCP president Professor Mumtaz Patel hosted an open forum with #SASdoctors from across the UK – an honest, energising conversation about recognition, equity and leadership. Read more about this important discussion: ow.ly/8avb50X7P8H
ow.ly
RCP president hosts open forum for SAS doctors to celebrate SAS Week 2025
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BMA Scotland @bmascotland.bsky.social · 07/10/2025
🗣️'They are among the most valued and skilled members of our clinical teams' Read this blog 👇 from consultant radiologist Kate Thomas for SAS Week 2025 which celebrates and supports SAS doctors 🎉 #SASweek25 @bma.org.uk www.bma.org.uk/news-and-opi...
bma.org.uk
SAS doctors: the unsung backbone of the NHS
Consultant radiologist Kate Thomas reflects on her experiences working with SAS doctors and the importance of the specialist grade in ensuring career progression and formal recognition
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HCSA – the hospital doctors' union @hcsa-com.bsky.social · 07/10/2025
We at #HospitalDoctorsUnion support SAS doctors and the #SASsix #campaign, you can belong with us as we push for the change & recognition you deserve 👉www.hcsa.com/join
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The SAS Collective @sascollective.com · 07/10/2025
We are absolutely delighted to have the support of @hcsa-com.bsky.social. They were early supporters, and the first organisation to stand up and be counted in the #SASsix campaign. We continue to work with them closely. #SASweek25
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HCSA Union General Secretary @gensechcsa.bsky.social · 07/10/2025
Day 2 of #SASweek25 with a message from #HospitalDoctorsUnion President Dr Naru Narayanan #SASsix @hcsa-com.bsky.social Join us: www.hcsa.com/join
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Royal College of Anaesthetists @rcoanews.bsky.social · 07/10/2025
Today's #SASWeek25 theme is 'Specialist grade' 🥼 🧾Dr Thomas James & Dr Ashwini Keshkamat talk us through their individual journeys to becoming specialists in this Bulletin article. They reflect on the highs, the lows and everything in-between 🙌 Read more 👉 ow.ly/2vml50X7aBg
SAS-themed social card. Text reads 'Transition to specialist role' with the RCoA logo top left.
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The SAS Collective @sascollective.com · 07/10/2025
We are thrilled whenever a new Trust wishes to use the #SASsix in their approach to their medical workforce. Every doctor needs support to progress their career, opportunity to reach their potential, and the right contract for their work. Bravo, NHS West London. Welcome to the family! #SASweek25
The logos of the 11 Trusts who have now formally adopted the SAS six, including NHS West London.

The SAS Collective polar bear mascot points to the viewer and says "this could be you!"
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zoerob.bsky.social @zoerob.bsky.social · 07/10/2025
Day 2 #SASWeek25 Specialist role, senior SAS doctor
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