Imperial College Healthcare NHS Trust

Senior Clinical Fellow in Neurosurgery

The closing date is 12 August 2025

Job summary

The Department of Neurosurgery is the sole provider of neurosurgical care in West London (formerly the North West Thames Region). It offers comprehensive services for both emergency and elective adult cranial and spinal neurosurgery, as well as paediatric Neurotrauma.

At Charing Cross Hospital (CXH), neurosurgical patients are primarily cared for on 11 South Ward, which has 25 beds, with an additional 3 beds located on 10 North Ward. The hospital is equipped with two CT scanners, two MRI scanners, and advanced angiographic facilities for the endovascular treatment of neurovascular conditions. A 24/7 thrombectomy service is also available. Daily elective cranial and spinal surgery lists are carried out, with access to the NCEPOD theatre when needed.

St Mary's Hospital (SMH) handles all acute cranial and spinal emergencies, including neurotrauma, except for neurovascular cases, which are managed at CXH. At SMH, patients are treated across the Intensive Care Units, a 19-bed Major Trauma Ward, and additional surgical wards. The hospital houses three CT scanners, three MRI scanners, and maintains a dedicated neurosurgery emergency theatre list from Monday to Friday, with access to the NCEPOD list as clinically required.

Main duties of the job

The Trust Resident Doctor (at SpR/ST3+ equivalent level) has the responsibility for the management of common acute and elective neurosurgical conditions, both cranial and spinal. The post holder will share a rota to carry the on-call bleep and take online as well as telephone queries regarding patients from surrounding District General Hospitals. The post holder will be expected to attend theatre either as the primary or assistant surgeon, and to review patients in the outpatient setting (face to face and remotely). They will also be expected to participate in the regular Multi-Disciplinary Team and Mortality and Morbidity meetings, undertake audits/Quality Improvement work, contribute to teaching with preparation of case presentations as per the teaching rota, and supervise the resident doctors (at SHO level) and multi-professional neurosurgical workforce.

The duties are performed at both Charing Cross and St Mary's Hospitals.

About us

At Imperial College Healthcare you can achieve extraordinary things with extraordinary people, working with leading clinicians pushing boundaries in patient care.

Become part of a vibrant team living our values - expert, kind, collaborative and aspirational. You'll get an experience like no other and will fast forward your career.

Benefits include career development, flexible working and wellbeing, staff recognition scheme. Make use of optional benefits including Cycle to Work, car lease schemes, season ticket loan or membership options for onsite leisure facilities.

We are committed to equal opportunities and improving the working lives of our staff and will consider applications to work flexibly, part time or job share. Please talk to us at interview.

Details

Date posted

29 July 2025

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

Depending on experience £44,170 - £67,610 per annum plus London Weighting

Contract

Fixed term

Duration

6 months

Working pattern

Full-time

Reference number

290-TDPB-095

Job locations

Charing Cross Hospital / St Mary's Hospital

London

W6 8RF


Job description

Job responsibilities

Clinical staffing (to include key research/practice interests)

a. The post provides excellent experience in acute and elective cranial and spinal neurosurgery and is suitable for those pursuing a career in neurosurgery.

b. The post is not recognised by the Royal College of Surgeons for Training purposes. Seminars are organised for further postgraduate teaching and there are opportunities to take study leave.

c. There are weekly MDT meetings with Neurovascular, Neuro-oncology, Skull Base, Pituitary Complex Spine, CSF Disorders, Craniofacial, and Functional subspecialties.

3 Key areas of responsibilities

Provide high quality care to patients in Neurosurgery

The post holder must be medically qualified and maintain GMC registration.

o To develop and maintain the competencies necessary to carry out the duties required of the post.

o To ensure patients are involved in decisions about their care and to respond to their views.

Research, teaching and training

o Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of research governance.

o To provide high quality teaching to medical undergraduates and members of other health care professions as required by Clinical Director.

Performance management

o To work with medical, nursing, allied health and managerial colleagues to ensure high performance in the following areas:

Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.

Quality of outcomes e.g. infection control targets, reducing re-admission rates

Operational efficiency e.g. day-case rates, waiting list activity and demand management.

Governance

o To participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.

o To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.

o To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the divisional director/clinical director

o To role model good practice for infection control to all members of the multidisciplinary team.

Leadership and team working

o To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.

o To work collaboratively with all members of the multi-disciplinary team and Imperial College London as required.

o To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.

o To adhere to Trust/departmental guidelines on leave including reporting absence.

Job description

Job responsibilities

Clinical staffing (to include key research/practice interests)

a. The post provides excellent experience in acute and elective cranial and spinal neurosurgery and is suitable for those pursuing a career in neurosurgery.

b. The post is not recognised by the Royal College of Surgeons for Training purposes. Seminars are organised for further postgraduate teaching and there are opportunities to take study leave.

c. There are weekly MDT meetings with Neurovascular, Neuro-oncology, Skull Base, Pituitary Complex Spine, CSF Disorders, Craniofacial, and Functional subspecialties.

3 Key areas of responsibilities

Provide high quality care to patients in Neurosurgery

The post holder must be medically qualified and maintain GMC registration.

o To develop and maintain the competencies necessary to carry out the duties required of the post.

o To ensure patients are involved in decisions about their care and to respond to their views.

Research, teaching and training

o Where possible to collaborate with academic and clinical colleagues to enhance the Trusts translational research portfolio, at all times meeting the full requirements of research governance.

o To provide high quality teaching to medical undergraduates and members of other health care professions as required by Clinical Director.

Performance management

o To work with medical, nursing, allied health and managerial colleagues to ensure high performance in the following areas:

Clinical efficiency e.g. LOS reductions, reducing cancelled operations and DNA rates.

Quality of outcomes e.g. infection control targets, reducing re-admission rates

Operational efficiency e.g. day-case rates, waiting list activity and demand management.

Governance

o To participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.

o To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.

o To keep fully informed about best practice in the speciality areas and ensure implications for practice changes are discussed with the divisional director/clinical director

o To role model good practice for infection control to all members of the multidisciplinary team.

Leadership and team working

o To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.

o To work collaboratively with all members of the multi-disciplinary team and Imperial College London as required.

o To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.

o To adhere to Trust/departmental guidelines on leave including reporting absence.

Person Specification

Education/Qualifications

Essential

  • MBBS
  • Full GMC Registration with license
  • MRCS
  • Operative experience in Neurosurgery

Desirable

  • FRCS or equivalent qualification(s)

Teaching & Training

Essential

  • Experience of teaching and training

Language

Essential

  • Are able to speak and write English to the appropriate standard necessary to fulfill the job requirements

Audit

Essential

  • Experience of the principles of audit

Desirable

  • Experience of auditing surgical results

Academic Achievements including Research/ Publications

Essential

  • Evidence of achievement appropriate to appointment level at HHNT

Clinical Skills

Essential

  • Appropriate to job description

Relevant Experience in Specialty/ Sub Specialty

Essential

  • Experience or aptitude for clinical activity appropriate to job description
Person Specification

Education/Qualifications

Essential

  • MBBS
  • Full GMC Registration with license
  • MRCS
  • Operative experience in Neurosurgery

Desirable

  • FRCS or equivalent qualification(s)

Teaching & Training

Essential

  • Experience of teaching and training

Language

Essential

  • Are able to speak and write English to the appropriate standard necessary to fulfill the job requirements

Audit

Essential

  • Experience of the principles of audit

Desirable

  • Experience of auditing surgical results

Academic Achievements including Research/ Publications

Essential

  • Evidence of achievement appropriate to appointment level at HHNT

Clinical Skills

Essential

  • Appropriate to job description

Relevant Experience in Specialty/ Sub Specialty

Essential

  • Experience or aptitude for clinical activity appropriate to job description

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Additional information

Disclosure and Barring Service Check

This post is subject to the Rehabilitation of Offenders Act (Exceptions Order) 1975 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service (formerly known as CRB) to check for any previous criminal convictions.

Certificate of Sponsorship

Applications from job seekers who require current Skilled worker sponsorship to work in the UK are welcome and will be considered alongside all other applications. For further information visit the UK Visas and Immigration website (Opens in a new tab).

From 6 April 2017, skilled worker applicants, applying for entry clearance into the UK, have had to present a criminal record certificate from each country they have resided continuously or cumulatively for 12 months or more in the past 10 years. Adult dependants (over 18 years old) are also subject to this requirement. Guidance can be found here Criminal records checks for overseas applicants (Opens in a new tab).

UK Registration

Applicants must have current UK professional registration. For further information please see NHS Careers website (opens in a new window).

Employer details

Employer name

Imperial College Healthcare NHS Trust

Address

Charing Cross Hospital / St Mary's Hospital

London

W6 8RF


Employer's website

https://www.imperial.nhs.uk/ (Opens in a new tab)


Employer details

Employer name

Imperial College Healthcare NHS Trust

Address

Charing Cross Hospital / St Mary's Hospital

London

W6 8RF


Employer's website

https://www.imperial.nhs.uk/ (Opens in a new tab)


Employer contact details

For questions about the job, contact:

Consultant Neurosurgeon

Nigel Mendoza

nmendoza@nhs.net

Details

Date posted

29 July 2025

Pay scheme

Hospital medical and dental staff

Grade

Doctor - other

Salary

Depending on experience £44,170 - £67,610 per annum plus London Weighting

Contract

Fixed term

Duration

6 months

Working pattern

Full-time

Reference number

290-TDPB-095

Job locations

Charing Cross Hospital / St Mary's Hospital

London

W6 8RF


Supporting documents

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