![]() ![]() ![]() There is currently a high rate of SAS doctors leaving the UK – 53% of SAS doctors in 2013 were no longer practising in the NHS in 2021. If the move happens, it would be up to the SAS doctors themselves to leave secondary care and join general practice. Furthermore, it would take only a fraction of the SAS workforce to move in order to significantly bolster numbers within general practice. ![]() Whereas the focus has been on recruiting other healthcare professionals to ease the burden on GPs, these doctors will be more qualified than the likes of healthcare assistants and physician associates. Such a move has the potential to revolutionise general practice. It is a diverse cohort, but they are predominantly internationally trained doctors whose qualifications don’t apply in the UK. These are doctors who are skilled but are below consultant level and not receiving training. The GMC estimates they will be the largest cohort of doctors in the NHS by 2030. Yet it’s not without its controversy, with fears around a lowering of standards and many warning it could lead to a return to the time before GP training became mandatory.īut for the GMC, the rationale is clear: there are already 64,000 SAS doctors working in secondary care and they have grown by 40% in the past five years – at the same rate, there will be 50,000 more in five years’ time. The BMA GP Committee has said this will ‘rightly trigger a debate’ on SAS doctors working more closely with GPs. It is recommending a change in legislation to allow secondary care staff and associate specialist (SAS) doctors to work in general practice. Now, the GMC has dared to come up with a radical UK-wide solution, and GPs can only hope that this last throw of the dice will win. ![]()
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