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SAS doctors

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Staff and Associate Specialist (SAS) doctors previously known as NCCG (non consultant career grade doctors) are a group of diverse doctors with a wide range of skills, experience and specialties.

They are an essential part of the medical workforce. A career as a SAS doctor can be a very satisfying and rewarding alternative to becoming a consultant or GP and there are many different reasons for choosing it as a long or short term career option. Many SAS doctors chose this career path as it affords them a perceived improved work-life balance.

SAS doctor posts usually offer the opportunity to focus predominantly on providing direct patient care and less on the other clinical and non-clinical responsibilities required of a consultant or trainee. Depending on their personal interests and experience - and the available opportunities in their trust and specialty - SAS doctors can be involved in teaching, service development, research or management and leadership.

In Wales, there are approximately 800 SAS doctors and they form a significant hospital workforce in the NHS of approximately 20% (plus 338 doctors in post who occupy non-standard contracts). Many of these doctors have postgraduate qualifications and are Fellows and Members of the Royal Colleges. A significant number of these doctors are working at a very senior level independently / autonomously with increasing responsibility. The new contract for SAS doctors has been negotiated and is going to be implemented from 1 April 2021, subject to this being endorsed and is voted with a majority through a referendum, but we will provide an update here as things progress. Please check back here for further updates.

The professional needs and development of SAS doctors have not been adequately met in the past and we recognise the need for them to have access to better training. The SAS team in HEIW are excited to be in the process of developing bespoke “training” and support opportunities for SAS doctors who have further plans to develop a wide range of skills to support career aspirations be that following the CESR route and getting their name on the specialist register or developing further skills in their present jobs.

There are three key aims of the strategy for SAS Doctors:

  1. to develop the local infrastructure to support SAS doctors within each Health Board.

  2. to provide access to additional training opportunities that support their personal development.

  3. to explore and pilot opportunities to introduce a quality assurance framework that will assist them in seeking revalidation.

Dr Ian Collings as Director of Medic Professional Support and Developments works closely with Mr Raj Nirula, the Associate Postgraduate Dean for SAS Doctors in Wales, and the rest of the SAS team in HEIW.

Mr Nirula was appointed as COPMeD Lead Associate Postgraduate Dean for SAS Doctors from 1 January 2021.

The team provides leadership for and facilitates the education, training and career progression for all SAS doctors in Wales. The team is supported by a network of SAS Tutors based in each of the Health Boards across Wales who help facilitate training and career progression for SAS doctors. They are:

Health Board


Hospital Base


Cwm Taf Morgannwg University Health Board 

Dr Raghu Acharya

Princess of Wales Hospital


Aneurin Bevan University Health Board




Betsi Cadwaladr University Health Board

Dr Julie Jones

Glan Clwyd Hospital


Cardiff and Vale University Health Board

Dr Frauke Pelz

University Hospital of Wales

Medical Genetics

Swansea Bay University Health Board

Dr Geetanjali Ratnalikar

Neath Port Talbot


Hywel Dda University Health Board

Dr Nicola Allen

Bronglais General Hospital

General Surgery

Training and recognition

The SAS Tutors have access to funding to put on local training opportunities within their local health board.

We administer two funding rounds for bursaries to further support SAS doctors’ professional development. SAS doctors are invited to submit an evaluation form to HEIW following completion of their training. This tells us if their CPD needs are being addressed and their feedback is presented to the Associate Dean and SAS Tutors for review and future planning purposes.

We also organise a programme of regular generic training courses for SAS doctors in Wales based on a thorough learning needs analysis of SAS doctors.

Since 2009 we have organised SAS conferences which have provided an opportunity for SAS doctors to network and to learn more about changes taking place within the NHS. We also recognise SAS doctors for their outstanding teaching or innovation as part of the BEST Awards. We continue to look for alternative quality assurance frameworks to enable SAS doctors to evidence and record their competence and experience.

SAS charter

charter which ensures Staff and Associate Specialist (SAS) doctors and dentists in Wales are properly supported in the workplace, and receive the recognition they deserve, was launched in Wales in August 2016.

Recognition, support and development of SAS doctors has been promoted by HEIW in addition to making sure the Charter is fully implemented in all of the Health Boards.

The Charter supports the of recognition and development of SAS doctors and the Wales Deanery was a stakeholder in the Charter. HEIW will continue to promote and monitor the implementation of the Charter.

Generic courses - 2021/22

HEIW organise a suite of human factors courses for SAS doctors and dentists every year. The training courses are held in north, mid and south Wales, and are free to attend. Please check back here in the coming months for further information.

Applications for funding

We have allocated funding for professional development for SAS doctors/dentists. They can apply for funding from us for any course or top-up training which they think will help them in their service development and postgraduate qualifications e.g., postgraduate certificate in education / Masters.

This funding is over and above the study leave budget. The funding is to cover course fees only i.e., not for travel and/or subsistence. The amount of funding awarded will be determined against the number of eligible applications received. After an SAS Doctor has undertaken professional development, they will need to complete an evaluation form, detailing how the course has benefitted their Health Board and themselves.

If you are an SAS doctor or dentist in Wales, and are not on our email distribution list, please email with your name, specialty, grade and Health Board, and your name will be included on the distribution list to receive timely information. Applications are still being invited for funding for courses taking place before the end of March 2022. Please email for an application form and further guidance.

SAS Doctors' and Dentists conference

Each year, two SAS doctors and dentists conferences have been held (typically one in North Wales and one in South Wales) providing an opportunity for SAS doctors to network with each other, to understand the work that HEIW is doing to support SAS doctors in Wales and to receive vital information on any changes taking place within the NHS. The last conference which was organised for 29 June 2020 and was postponed, took place on Monday 8th March 2021.

For any issues relating to your role as an SAS doctor or dentist please email and a member of our team will respond as soon as possible.

Job Advert

Staff, Associate Specialist and Specialty Doctor (SAS) Tutor – Aneurin Bevan Health Board

On 1 October 2018 a new statutory body within NHS Wales came into being, working across the health and education sectors. Health Education and Improvement Wales (HEIW) oversees the strategic development of the health workforce in Wales, including workforce planning, leadership development and education commissioning. It sits alongside existing Health Boards and Trusts to be the eleventh member of the NHS Wales family.

We are looking to appoint an ambitious and enthusiastic individual who will be responsible for providing leadership for, and to facilitate the education, training and career progression of all career grade doctors and dentists within the Health Board. Additionally, part of the role will include the development and implementation of a professional educational strategy and to provide advice on matters relating to SAS doctors and dentists to key stakeholders.

The successful candidate will join a small network of SAS Tutors who are in post across Wales and receive a full induction to appraise them of the progress to date and plans for future development.


The post is suitable for candidates holding a substantive Specialty Doctor/Staff Grade/Associate Specialist or Dentist role within the Health Board with a good working knowledge of the Health Board’s management structures and HR systems. The candidate will also need to possess excellent leadership and teaching skills along with a commitment to postgraduate education and continuing professional development. However, more importantly, we are looking for enthusiasm and a willingness to develop the skills and expertise to undertake this role effectively. The post holder will be expected to undertake this role in addition to current clinical commitments and SPA and will need to the permission of their Clinical Director before applying. The remuneration for the role will be via an additional session on the Specialty Doctor and Associate Specialist Pay Scale.

To apply please complete the application form, include a CV, and email to Carolyn Evans.

The ability to speak Welsh is desirable for this post; Welsh and/or English speakers are equally welcome to apply.

The closing date for this role is: Friday 8 October 2021

For further details contact – Raj Nirula, Associate Dean (SAS)

Phone: 07759 265379

E-mail: Raj Nirula