Published 8 July 2026

England · 2026/272021 contract

SAS Doctor Pay

SAS doctor take-home in England on the 2021 pay scales: Specialty Doctor (£63,696 to £102,689) and Specialist (£104,401 to £115,341 gross). Switch grade below for the figure after tax, National Insurance and pension.

Gross / yr

£63,696£115,341

Take-home / yr

£43,412£68,620

Pension rate10.7%–12.5%
Years' experienceGross / yr

These are the latest published 2026/27 figures, including the 3.5% DDRB award applied from 1 April 2026.

Figures are basic full-time pay. Extra sessions, on-call and out-of-hours work are paid on top and are not shown here. Gross from Annex A of the 2021 SAS contracts (England, 2026/27), published by NHS Employers Pay & Conditions Circular (M&D) 1/2026R. Take-home assumes the standard tax code, no student loan or salary sacrifice.
SAS gross pay · England (2026/27) · full scale: gross and net take-home for every role and point.
RoleYears' experienceGross salaryNet take-home
Specialty doctor0–2 yrs£63,696£43,412
Specialist0–2 yrs£104,401£63,280
Specialty doctor3–5 yrs£73,383£47,616
Specialist3–5 yrs£108,484£65,342
Specialty doctor6–8 yrs£81,804£51,868
Specialist6–8 yrs£115,341£68,620
Specialty doctor9–11 yrs£90,548£56,284
Specialty doctor12+ yrs£102,689£62,415

Grades and Pay Scales

SAS stands for Specialty and Associate Specialist: senior doctors who work outside the training pathway and the consultant grade. There are two open SAS contracts, Specialty Doctor and Specialist (both 2021), and three closed grades. Closed grades keep their scales for doctors already on them, but no one new can be appointed. The card above models the open 2021 grades; the closed grades remain for reference only.

GradeContractStatus
Specialty Doctor2021Open
Specialist2021Open
Associate Specialist2008Closed
Staff GradePre-2008Closed
Specialty Doctor2008Closed

Grades and their open/closed status. Each open grade links to its NHS Employers terms and conditions; the closed grades take no new entrants.

Frequently Asked Questions

These are basic pay only. Under the 2021 SAS contract, additional programmed activities beyond a standard job plan, on-call availability and out-of-hours work are all paid on top, so earnings are usually higher. Working less than full time scales your basic pro-rata to your programmed activities. None of these are in the figures above.

Yes. The Portfolio Pathway (formerly CESR) lets an experienced SAS doctor apply to the GMC specialist register on evidence of equivalent competence, without returning to a formal training post.

No. Associate Specialist and the old Staff Grade are closed, with no new entrants since 2008. Their scales remain only for doctors already on them; new SAS appointments use the 2021 Specialty Doctor and Specialist contracts.

Yes. All four nations run the 2021 SAS contracts but set their scales in separate pay circulars, so pay and timing differ.

No. NHS Employers publishes the official SAS scales, but no NHS or government body runs a calculator. This page is the quick estimate straight from the published scales; open the our calculator for a detailed answer.

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