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Doctors: Career Development

Asked by Dr Peter PrinsleyLabourDepartment of Health and Social CareTabled Answered 25 March 2026UIN 121641

The question

To ask the Secretary of State for Health and Social Care, whether he plans to introduce a policy similar to those in NHS Scotland and NHS Wales to support the regrading of specialty doctors to the specialist grade where appropriate.

Answered by Karin Smyth

While there are no specific plans to introduce a separate regrading policy similar to those in Scotland or Wales at this time, we are considering how best to support appropriate career progression for specialty doctors in England, including through ongoing conversations with the British Medical Association.

The specialist grade was introduced in England in 2021 as part of reforms to improve career progression opportunities for Specialty, Associate Specialist, and Specialist (SAS) doctors. Employers are able to create specialist posts where there is a service need, and individuals, including speciality doctors, should be able to apply for these roles through open, competitive recruitment.

As set out in the National Health Service 10-Year Health Plan, the Department is committed to supporting the continued expansion of the specialist grade where appropriate, to ensure SAS doctors have clear and fair pathways for progression.

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