SAS Doctors in the NHS Primary Care: A Scoping Review of Comments and Recommendations

Introduction and Background Over the last two years, significant debate has surrounded the role of SAS doctors in primary care. This discussion began with an NHS proposal to explore their involvement in primary care and was met with strong objections, particularly from the Royal College of General Practitioners (RCGP). Publications such as Pulse have amplified these concerns, with many primary care physicians opposing the inclusion of SAS doctors until a comprehensive review is conducted. Perspectives from the British Medical Association (BMA) and various SAS doctors have added further nuance to this discussion. My initial disinterest in this topic shifted due to workplace challenges in Wales, highlighting the unclear rules regarding GP involvement with SAS doctors in secondary care settings. This experience led me to reflect on the broader issues concerning the scope of practice for SAS doctors and GPs, emphasizing the need for clarity and equity in their roles.