1. The Royal College Agenda for SAS doctors Mr Anthony Victor Babu Bathula Co-Chair, SAS Committee. The Royal College of Surgeons of England.

2. The Royal College Agenda for SAS doctors Mr Victor Babu MS; DNB; FRCSEd; Dip Lap; [MBA ( Health Executive)] Staff Grade Doctor, General Surgery Glan Clwyd Hospital, Rhyl, North Wales Member -EWTD- Working party, RCSE Member – All Wales LNC forum and Trust LNC member Ex –Chairman- SAS Subcommittee, Glan Clwyd Hospital

3. The Royal College Agenda for SAS doctors Aims of the Committee To provide a formal mechanism for SAS surgeons to be represented within and outside the College To communicate the views of surgeons to the College and its Council To promote involvement in all relevant areas of College activity To support SAS surgeons

4. The Royal College Agenda for SAS doctors

6. The Royal College of Surgeons of England understands the concerns of NCCG doctors and welcomes the opportunity to address their unmet needs and aspirations. The College believes that practising surgeons in all career grades should meet the same standards of clinical and technical competence, regardless of job title. NCCG doctors recognise that many of their colleagues wish to assume responsibilities other than direct clinical care. These tasks, which may include training, research, basic science, examining, and direction of clinical departments or hospital management, require additional training and skills extending beyond those needed for clinical practice. Choice and Opportunity; Modernising Medical Careers for Non Consultant Career Grade Doctors: Response to the Department of Health’s consultation document. RCSE Publication. October 2003.

7. The Royal College Agenda for SAS doctors Recommendation Three A system of limited accreditation of competencies is required through which NCCGs with formally recognised skills can work independently at the appropriate level. Accreditation would be expressed in terms of a level of competency and must be done against national standards. Accreditation is specialty-specific. It would enable NCCGs to work in a role consistent with their formally recognised skills according to the requirements of the post they occupy.

8. The Royal College Agenda for SAS doctors  The College is currently investigating how SAS surgeons can be allowed to use the ISCP.  Ms Hardiment is investigating whether some of the DH £12m can be used by SHA’s to recruit an SAS Programme Director and a network of SAS Tutors to act as Educational Supervisors. The use of ISCP remains optional for SAS surgeons as it would be unsuitable for some of the more senior surgeons. RCSE SAS Committee minutes, July 2009 Intercollegiate Surgical Curriculum Project ISCP

9. The role of the Royal Colleges in Training and Professional Development of SAS Doctors

10. The Royal College Agenda for SAS doctors Recommendation Four: The medical Royal Colleges in working with the Department of Health and the PMETB to establish competency-based assessment (covering knowledge, skills and attitudes) for trainees should seek to identify linked competencies for NCCGs. SAS Committee is involved in writing up a separate revalidation template for SAS Surgeons/doctors

11. The Royal College Agenda for SAS doctors Recommendation Five Local employers, Workforce Development Confederations (WDCs) on behalf of Strategic Health Authorities and postgraduate deans should ensure that resources and infrastructures are available for the CPD needs of NCCGs Training facilities are available for SAS grade @ equal measure with that of training grade Bringing awareness- Publication of an article about SAS funding

12. The Royal College Agenda for SAS doctors Department of Health announces an extra £7m for the professional development of Specialty Doctors and Associate Specialists 24 June 2008 Update 24 June 2008 The BMA Staff and Associate Specialists Committee received a response letter from the Department of Health on 12 March 2008 regarding the press release announcing an extra £7 million for the professional development of SAS doctors.press release announcing an extra £7 million for the professional development of SAS doctors

13. The Royal College Agenda for SAS doctors SAS doctors in need of cash for training, survey reveals Most Welsh doctors in staff and associate specialist grades need financial support to help them train for specialist registration.

14. The Royal College Agenda for SAS doctors

15. Recommendation Six Postgraduate deans should support the education and development of NCCGs. Associate Dean (SAS Doctors Wales) Educational Supervisors Network of SAS Tutors Membership in the SAC (Specialist Advisory Committees)

16. The Royal College Agenda for SAS doctors Miss Su-Anna Boddy and Mr Victor Babu Co-Chairs SAS Committee Royal College of Surgeons of England 13 October 2009 Dear Miss Boddy and Mr Babu SAS Representation on Specialist Advisory Committees (SACs) The SACs are now in the process of considering your request individually, bearing in mind that the concentration of SAS surgeons, along with the number of Article 14 applications, varies significantly among specialties. Any more formal changes to the constitution of the JCST and its SACs will be a matter for the Surgical Colleges on whose behalf we act. Many thanks again, and best wishes Chris Munsch Chairman of JCST

17. The role of the Royal Colleges in Training and Professional Development of SAS Doctors

18. The Royal College Agenda for SAS doctors Recommendation Seven All NCCGs whether employed on local or on national terms and conditions of service should be appraised annually and have a personal development plan PDP The Royal College fully support this view

19. The Royal College Agenda for SAS doctors Recommendation Eight Workforce planners, both nationally and locally, should in co-operation with postgraduate deans ensure that a meaningful number of training slots for senior entrants are available in specialist training programmes. Entry to such training slots should be through formal, open competition according to the needs of the service. SAS Doctor in the SAC Issue will be represented in the College council We will write to Department of health for guidance

20. The Royal College Agenda for SAS doctors PMETB Administrative delays in processing Article 14 CESR applications Guidance available Agenda for the future: Recognition of overseas qualifications Top up training slots following PMETB assessment

21. The Royal College Agenda for SAS doctors Large number of applications Poorly presented applications Dedicated staff Appropriate guidance

22. The Royal College Agenda for SAS doctors Recommendation Thirteen Further scoping work is required to determine the size and makeup of the current NCCG workforce. NCCGs as a group are not well defined or understood. Better information about their numbers, distribution and roles (workforce survey) will help in improving this grade.

23. The Royal College Agenda for SAS doctors

24. Surgeons HomeHome → Surgeons → SAS → Career DevelopmentSurgeonsSAS Who are SAS surgeons? How to enter the SAS grade Career Development SAS Committee Women in Surgery Who are SAS surgeons? SAS surgeons work at various career grades in hospitals. Although the term “SAS” or Staff and Associate Specialists, is frequently used, there are a number of career grade posts. It is likely that in the future the most common of these will be the specialty doctor. http://surgicalcareers.rcseng.ac.uk/surgeons/sas/who-are-sas-surgeons

25. The Royal College Agenda for SAS doctors Joint College SAS Conference 29 th January 2009 Venue: The Royal College of Surgeons England London All are invited

26. The Royal College Agenda for SAS doctors PRESIDENT’S NEWSLETTER Carpe diem Ann R Coll Surg Engl (Suppl) 2009; 91:42–43 Will it cost a lot of money? No. With a reasonable number of hours worked by trainees, the number of doctors required for out-of-hours work will be fewer. The non-training grades, already difficult or impossible to recruit, will no longer be necessary.

27. The Royal College Agenda for SAS doctors

29. The role of the Royal Colleges in Training and Professional Development of SAS Doctors