We have reaffirmed our support for the #SASsix campaign in light of the concerns raised by the recent BMJ investigation into locally employed and SAS doctors working in insecure or inappropriate contracts. SAS and LED ophthalmologists are an essential part of the eye care workforce, contributing expertise and continuity of care across services. Yet the investigation reflects challenges many of our colleagues continue to face: limited access to structured training, variable recognition of their roles, and employment arrangements that do not always align with national standards.
As a College, we remain committed to advocating for fair and sustainable career pathways, equitable access to development opportunities, and supportive professional environments for all SAS doctors. We encourage NHS trusts to review the employment status of locally employed doctors – particularly those in posts beyond two years – and to ensure that appropriate national SAS contracts, appraisal structures and training routes are available. Secure and properly supported roles are fundamental to patient safety, workforce retention and high-quality ophthalmic care.
We also recognise the invaluable contribution of internationally trained ophthalmologists, many of whom are disproportionately affected by insecure contracts. Addressing these disparities is vital to building a resilient and inclusive workforce.
In the months ahead, we will continue working with our SAS Committee, #SASsix partners and wider stakeholders to advocate for improvements that benefit both clinicians and patients. We encourage members to make use of our dedicated SAS resources, including the Ophthalmic Local Training programme, which offers structured development and support tailored to the needs of SAS and LED ophthalmologists. For more senior and experienced ophthalmologists, SAS/LED specialist grade level is also a way to improve job satisfaction and advance patient care with autonomous working and high quality service.
The findings of this investigation offer an important opportunity to drive meaningful progress for our specialty and for every ophthalmologist who deserves a clear, fair and supported professional pathway.