iiinova — where your digital self keeps evolving

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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Reposted by The SAS Collective

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

The second SAS forum is called "Developing your SAS career" which will be part of SAS week 2026. This one will be showcasing SAS careers in action - SAS as leaders, educators and researchers, and supporting the journey from specialty doctor to specialist. All very #SASsix stuff. Bravo!

rcp.ac.uk

SAS forum: Developing your SAS career

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The SAS Collective @sascollective.com · 21/05/2026

The first event is a SAS forum, entitled "Life as an SAS doctor". The aim of the session is to demonstrate that an SAS career is a career path of choice. It is being held on 30th June, 2pm.

rcp.ac.uk

SAS forum: Life as an SAS doctor

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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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The SAS Collective @sascollective.com · 08/03/2026

Fair enough. Give us two minutes, and the next one will be better!

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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

In a post on LinkedIn earlier, Prof Rich Withnall, @fmlm-uk.bsky.social CEO, said: “I am delighted that FMLM has joined a growing coalition of influential healthcare organisations committed to meaningful reform for SAS and locally‑employed doctors." #SASsix

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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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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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Reposted by The SAS Collective

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

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Reposted by The SAS Collective

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

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.

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The SAS Collective @sascollective.com · 22/11/2025

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.

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The SAS Collective @sascollective.com · 22/11/2025

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...

rcp.ac.uk

Rapid response to BMJ investigation: Thousands of NHS doctors are trapped in insecure “gig economy” contracts

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The SAS Collective @sascollective.com · 22/11/2025

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.

Table from the GMC workforce report demonstrating that unlike SAS doctors, who are employed on substantive permanent contracts, the majority of locally-employed doctors are employed on short-term contracts, without permanence or job security.

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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/...

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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

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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.

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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

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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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