1. Handbook 1: The SAS career in the modern NHS
Recognise SAS as a substantive and diverse career, separate recognition from progression, and turn a broad concern into a decision that can be answered.
Learning programme · #P2
A structured 22-module programme based on The SAS Doctors Handbook, with direct access to the complete online handbook.
Developed specifically for SAS doctors working in the NHS. The programme remains valuable to consultants, resident doctors, locally employed doctors, international medical graduates and other healthcare professionals where the subject is transferable; SAS-specific contractual and progression material should be read in that context.
Read the complete online handbook
Certificate process: manual
Sign in to record progress and qualify for a programme certificate.
Recognise SAS as a substantive and diverse career, separate recognition from progression, and turn a broad concern into a decision that can be answered.
Learn to separate the labels attached to a doctor from the evidence of what the doctor is appointed, authorised and competent to do.
Use a four-nation source map to identify which employment, appraisal, progression and pension arrangements apply before relying on apparently similar guidance.
Compare an SAS offer or changed post systematically, separating appointment, employment, immigration, indemnity and practical onboarding questions.
Understand how national terms, individual contractual documents and local policies fit together, and what to do when the records appear inconsistent.
Use job planning as the operating agreement connecting duties, time, objectives, resources and review rather than as a static timetable.
Identify recurring clinical, administrative, educational and governance work that has become invisible and prepare proportionate evidence for review.
Separate pay progression, additional work, contractual disagreement and formal appeal routes so that each question is taken to the right process.
Recognise mismatches between role, competence, workload and resources; address immediate safety first and record unresolved organisational dependencies.
Prepare for appraisal as a reflective professional process, selecting proportionate evidence from the whole scope of practice and turning discussion into useful objectives.
Distinguish appraisal from revalidation and understand the roles of the doctor, appraiser, responsible officer or suitable person and GMC.
Build a purposeful professional portfolio in which evidence is indexed to a claim or decision rather than accumulated without a defined use.
Respond proportionately to feedback, concerns and formal processes while distinguishing learning, employment, regulatory and legal routes and protecting deadlines.
Define the intended destination before building evidence, then identify the criteria, gaps, opportunities and decision-makers relevant to that route.
Understand the Wales Specialist regrading route as a specific national process requiring evidence against the applicable criteria rather than seniority alone.
Understand the Scotland Specialist regrading route and keep its national policy, evidence requirements and decision process distinct from other UK routes.
Prepare for competitive Specialist appointments in England and Northern Ireland by matching evidence to the post and person specification rather than assuming automatic progression.
Approach the GMC Portfolio Pathway as a regulatory application with specialty-specific evidence requirements, not as an employment regrading exercise.
Make leadership, education and supervision work visible by defining purpose, authority, time, deliverables and evidence of effect.
Recognise workplace dignity and speaking-up issues, distinguish support from formal process, and seek timely help where safety, discrimination or employment consequences may arise.
Understand the main NHS pension questions that interact with SAS career decisions and prepare accurate records and questions for scheme administrators or individual advisers.
Plan later-career transitions and succession by connecting professional responsibilities, workload, pension choices, knowledge transfer and sustainable practice.