Job summary
Applications are invited for the position of Senior (post-CCT or ST7+) Neurosurgical Oncology Fellow at the National Hospital for Neurology and Neurosurgery, Queen Square, London, from the period 7 August 2024 for 1 year.
The National Hospital for Neurology and Neurosurgery is part of the University College London Hospitals (UCLH) NHS Foundation Trust and is regularly ranked amongst the best neurosurgery hospitals in the world. As part of UCL Partners, UCLH forms the largest Academic Health Science Centre in Europe. The hospital's affiliated university, University College London, is ranked first in Europe and second in the world in neuroscience.
Main duties of the job
This post is designed as a 1-year post for senior neurosurgical trainees who have obtained their certificate of completion of training (CCT) in neurosurgery (or are ST7 + equivalent), and who wish to develop their skills and gain experience in advanced neurosurgical oncology in a major centre of excellence. The successful applicant will be working in the firm of Mr Ciaran Hill, Consultant Neurosurgeon with subspeciality interest in surgical neuro-oncology. Where required they will also be expected to work with other members of the neuro-oncology team to take responsibility for co-ordinating the wider oncology service.The Fellow is expected to participate in the on-call rota, and may cross-cover other firms when necessary, including the 6 other subspecilalised neuro-oncology surgeons.
About us
University College London Hospitals NHS Foundation Trust (UCLH) is one of the most complex NHS trusts in the UK, serving a large and diverse population. We provide academically led acute and specialist services, to people from the local area, from throughout the United Kingdom and overseas. Our vision is to deliver top-quality patient care, excellent education, and world-class research.
We provide first-class acute and specialist services across eight sites:
We are dedicated to the diagnosis and treatment of many complex illnesses. UCLH specialises in women's health and the treatment of cancer, infection, neurological, gastrointestinal and oral disease. It has world class support services including critical care, imaging, nuclear medicine and pathology.
We are committed to sustainability and have pledged to become a carbon net zero health service, embedding sustainable practice throughout UCLH. We have set an ambitious target of net zero for our direct emissions by 2031 and indirect emissions by 2040.
Job description
Job responsibilities
For the full Person Specification and more information regarding the main responsibilities of this role, please refer to the attached Job Description.
Please note, due to anticipated high volumes of applications, this vacancy may close earlier than the listed closing date. You are advised not to delay submitting your completed application
Come and be a part of the best NHS trust in England to work for, according to our staff*
* UCLH top trust to work at in England - In the most recent NHS staff survey UCLH had the highest percentage of staff who said they would recommend us as a place to work, out of all general acute or acute/community NHS trusts in England for the third year in a row.
UCLH recognises the benefits of flexible working for staff To find out more, visit: Flexible working.
To discover more about what makes UCLH a great place to work, visit: Why Choose UCLH?
1. FELLOWSHIP EXPERIENCE
Techniques and technologiesThe Fellow will participate and obtain experience in: Advanced surgical techniques including comprehensive awake (and asleep) brain mapping of motor, language and other functions for primary brain tumours Supra and infratenorial extra-axial tumour resection including meningiomas and metastases Microsurgical and endoscopic approaches to tumours Complex cranial microsurgery including insular, intraventricular, posterior fossa & pineal region tumours with assistance of extensive neurophysiological monitoring including free-running and triggered EMGs where appropriate Care of TYA patients (teenager and young adults)
The Fellow will obtain experience in advanced technologies including: Intraoperative MRI Intraoperative cranial ultrasound Fluorescent-guided technologies (Gliolan) Neuronavigation with Medtronic StealthStationTM 8 (optical and EM) and BrainLab systems and frameless/ frame based stereotaxy Understanding principles and application of functional imaging including perfusion, spectroscopy, fMRI and DTI maps Use of tubular retractors (Minimally invasive parafascicular surgery) Cranial and intraventricular endoscopy Use of the Olympus OrbEye exoscope Gamma Knife Radiosurgery
Roles and responsabilitiesThe Fellow will have a role defined as follows: Review of patients undergoing the specialist neurosurgical pathway as part of multidisciplinary clinics and weekly MDT meetings including input from the radiologists, neurologists and clinical nurse specialists Attendance at outpatient clinics, including joint MDT clinics with neuro-oncolgists Preoperative, perioperative and postoperative care of neurosurgery patients including in the critical care setting Delivery of care with a focus on shared decision making Attendance at general and specialist neurosurgical operative cases in theatres Management of general neurosurgical conditions of the brain and spine as part of the general on call commitments and supervision of junior neurosurgical trainees Participate in Clinical Governance, Risk Management and Clinical Audits within the department To lead on a service quality improvement project of their choice within the Neurosurgery department Take responsibility for the professional supervision and development of trainee/junior doctors within the department Other registrar duties as required, including cover for leave and sickness absence. The post holder will be expected to carry out all the necessary administrative duties associated with the care of patients. We are committed to providing a supportive learning environment in order to maximise the career potential of the successful candidate. There is a well-established junior medical staff training program and it is expected that the successful candidate will participate in these sessions. The post is an ideal stepping-stone for an experienced neurosurgical trainee to gain further experience in specialised neurosurgery before applying for a Consultant post in Neurosurgery.
Research and Academics The Fellow will be expected to participate in, and lead, a number of research and quality improvement studies. Depending on interests and experience this may include delivery of clinical trials, wet-lab research, large data/artificial intellegence based research, new device development, data-driven projects, technichal reports and reviews. The academic responsibilities will include working within a wider team of clinicians & scientists to deliver assigned research projects as agreed. Working principally with Mr Ciaran Hills laboratory the postholder will undertake a carefully supervised project focussed on brain cancer. There will be participation in ongoing clinical trials and the development of new trials, as well as reviewing the outcome of previously treated patients. The aim is to gain research experience/output to improve competitiveness for subsequent applications, including research grants. The fellow will be expected to help organise and participate in training courses including the Queen Square Advanced Neuro-Oncology Course Where it aligns with interests they may also be expected to supervise undergraduate and MSc projects The post holder must complete Good Clinical Practice training prior to commencing the post. They will be expected to attend and participate in training and events
2. REQUIREMENTSApplicants are expected to have completed all, or most, of their training, and have obtained CCT or equivalent and have full GMC registration. Both UK and overseas candidates are welcome to apply.
The successful applicant is expected to be highly motivated and dedicated in the field of oncological surgery; dedicated in understanding surgical techniques and technological adjuncts required for a maximum safe tumour resection; the biological basis of tumorigenesis; and principles of research required to promote studies and report outcome data.
Job description
Job responsibilities
For the full Person Specification and more information regarding the main responsibilities of this role, please refer to the attached Job Description.
Please note, due to anticipated high volumes of applications, this vacancy may close earlier than the listed closing date. You are advised not to delay submitting your completed application
Come and be a part of the best NHS trust in England to work for, according to our staff*
* UCLH top trust to work at in England - In the most recent NHS staff survey UCLH had the highest percentage of staff who said they would recommend us as a place to work, out of all general acute or acute/community NHS trusts in England for the third year in a row.
UCLH recognises the benefits of flexible working for staff To find out more, visit: Flexible working.
To discover more about what makes UCLH a great place to work, visit: Why Choose UCLH?
1. FELLOWSHIP EXPERIENCE
Techniques and technologiesThe Fellow will participate and obtain experience in: Advanced surgical techniques including comprehensive awake (and asleep) brain mapping of motor, language and other functions for primary brain tumours Supra and infratenorial extra-axial tumour resection including meningiomas and metastases Microsurgical and endoscopic approaches to tumours Complex cranial microsurgery including insular, intraventricular, posterior fossa & pineal region tumours with assistance of extensive neurophysiological monitoring including free-running and triggered EMGs where appropriate Care of TYA patients (teenager and young adults)
The Fellow will obtain experience in advanced technologies including: Intraoperative MRI Intraoperative cranial ultrasound Fluorescent-guided technologies (Gliolan) Neuronavigation with Medtronic StealthStationTM 8 (optical and EM) and BrainLab systems and frameless/ frame based stereotaxy Understanding principles and application of functional imaging including perfusion, spectroscopy, fMRI and DTI maps Use of tubular retractors (Minimally invasive parafascicular surgery) Cranial and intraventricular endoscopy Use of the Olympus OrbEye exoscope Gamma Knife Radiosurgery
Roles and responsabilitiesThe Fellow will have a role defined as follows: Review of patients undergoing the specialist neurosurgical pathway as part of multidisciplinary clinics and weekly MDT meetings including input from the radiologists, neurologists and clinical nurse specialists Attendance at outpatient clinics, including joint MDT clinics with neuro-oncolgists Preoperative, perioperative and postoperative care of neurosurgery patients including in the critical care setting Delivery of care with a focus on shared decision making Attendance at general and specialist neurosurgical operative cases in theatres Management of general neurosurgical conditions of the brain and spine as part of the general on call commitments and supervision of junior neurosurgical trainees Participate in Clinical Governance, Risk Management and Clinical Audits within the department To lead on a service quality improvement project of their choice within the Neurosurgery department Take responsibility for the professional supervision and development of trainee/junior doctors within the department Other registrar duties as required, including cover for leave and sickness absence. The post holder will be expected to carry out all the necessary administrative duties associated with the care of patients. We are committed to providing a supportive learning environment in order to maximise the career potential of the successful candidate. There is a well-established junior medical staff training program and it is expected that the successful candidate will participate in these sessions. The post is an ideal stepping-stone for an experienced neurosurgical trainee to gain further experience in specialised neurosurgery before applying for a Consultant post in Neurosurgery.
Research and Academics The Fellow will be expected to participate in, and lead, a number of research and quality improvement studies. Depending on interests and experience this may include delivery of clinical trials, wet-lab research, large data/artificial intellegence based research, new device development, data-driven projects, technichal reports and reviews. The academic responsibilities will include working within a wider team of clinicians & scientists to deliver assigned research projects as agreed. Working principally with Mr Ciaran Hills laboratory the postholder will undertake a carefully supervised project focussed on brain cancer. There will be participation in ongoing clinical trials and the development of new trials, as well as reviewing the outcome of previously treated patients. The aim is to gain research experience/output to improve competitiveness for subsequent applications, including research grants. The fellow will be expected to help organise and participate in training courses including the Queen Square Advanced Neuro-Oncology Course Where it aligns with interests they may also be expected to supervise undergraduate and MSc projects The post holder must complete Good Clinical Practice training prior to commencing the post. They will be expected to attend and participate in training and events
2. REQUIREMENTSApplicants are expected to have completed all, or most, of their training, and have obtained CCT or equivalent and have full GMC registration. Both UK and overseas candidates are welcome to apply.
The successful applicant is expected to be highly motivated and dedicated in the field of oncological surgery; dedicated in understanding surgical techniques and technological adjuncts required for a maximum safe tumour resection; the biological basis of tumorigenesis; and principles of research required to promote studies and report outcome data.
Person Specification
Knowledge and Qualifications
Essential
- FRCS or equivalent at the time of application
- - Eligible for full registration with the GMC at time of appointment and hold a current licence to practise
Desirable
- Possession of or Ambition to work towards a higher degree
Experience
Essential
- Evidence of experience in Neurosurgical oncology
Desirable
- Intention to Sub-Specialise in Neurosurgical oncology
Skills and Abilities
Essential
- Appropriate knowledge base and ability to apply sound clinical judgement to problems
- Able to demonstrate proficiency in a range of medical procedures as an indication of manual dexterity and hand- eye coordination
- Evidence of competence in management of medical emergencies and in-patients through continuous work-based assessments, portfolio evidence, including log book documentation if applicable
- Evidence of competence to work without direct supervision where appropriate
- Demonstrate current ALS certification or equivalent Evidence of skills in the management of acute medical emergencies (e.g. ALERT, IMPACT certification)
Desirable
- Evidence of skills in the management of acute medical emergencies (e.g. ALERT, IMPACT certification)
Values
Essential
- Demonstrate ability to meet Trust Values of safety, kindness, teamwork and improving
Communication
Essential
- All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues demonstrated by one of the following: o That applicants have undertaken undergraduate medical training in English; o or o Have achieved the following scores in the academic International English Language Testing System (IELTS) in a single sitting within 24 months at time of application - Overall 7, Speaking 7, Listening 7, Reading 7, Writing 7. o If applicants believe they have adequate communication skills but do not fit into one of these examples they must provide supporting evidence
- Demonstrates clarity in written / spoken communication & capacity to adapt language as appropriate to the situation
- Able to build rapport, listen, persuade & negotiate
Personal and People Development
Essential
- Problem Solving & Decision Making: Capacity to use logical / lateral thinking to solve problems / make decisions, indicating an analytical / scientific approach
- Capacity to take in others' perspectives and treat others with understanding; sees patients as people
- Demonstrates respect for all
- Able to work in multi-professional teams & supervise junior medical staff
- Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, for example, audit and quality improvement projects
- Capacity to work effectively with others
- Evidence of involvement in management commensurate with experience
- Demonstrates an understanding of NHS management and resources.
- Evidence of effective multidisciplinary team working and leadership supported by multi-source feedback or other workplace-based assessments
- Evidence of effective leadership in and outside medicine
- Capacity to manage / prioritise time and information effectively
- Capacity to prioritise own workload & organise ward rounds
- Evidence of thoroughness (is well prepared, shows self-discipline / commitment, is punctual and meets deadlines)
- Capacity to monitor developing situations and anticipate issues
- Capacity to operate under pressure
- Demonstrates initiative & resilience to cope with changing circumstances
- Is able to deliver good clinical care in the face of uncertainty
Desirable
- Evidence of achievement outside medicine
- Evidence of altruistic behaviour eg voluntary work
IT Skills:
Essential
- Demonstrates information technology skills
Responsibilities towards promoting Equality Diversity and Inclusion
Essential
- Demonstratable understanding of the Equality, Diversity, and Inclusion and/or Knowledge of the NHS obligations under the Equality Act 2010 and the Public Sector Equality Duties
Ensure the risk of infection to self, colleagues, patients, relatives and visitors is minimise
Essential
- Being familiar with, and adhering to Trust policies and guidance on infection prevention and control. Completing all required training and education (both via e-learning and face to face) on infection prevention and control. Including infection prevention and control as an integral part of your continuous personal/professional development and included in your annual appraisal Taking personal responsibility so far as is reasonably practicable, in helping ensure that effective prevention and control of health care associated infections is embedded into everyday practice and applied consistently.
Person Specification
Knowledge and Qualifications
Essential
- FRCS or equivalent at the time of application
- - Eligible for full registration with the GMC at time of appointment and hold a current licence to practise
Desirable
- Possession of or Ambition to work towards a higher degree
Experience
Essential
- Evidence of experience in Neurosurgical oncology
Desirable
- Intention to Sub-Specialise in Neurosurgical oncology
Skills and Abilities
Essential
- Appropriate knowledge base and ability to apply sound clinical judgement to problems
- Able to demonstrate proficiency in a range of medical procedures as an indication of manual dexterity and hand- eye coordination
- Evidence of competence in management of medical emergencies and in-patients through continuous work-based assessments, portfolio evidence, including log book documentation if applicable
- Evidence of competence to work without direct supervision where appropriate
- Demonstrate current ALS certification or equivalent Evidence of skills in the management of acute medical emergencies (e.g. ALERT, IMPACT certification)
Desirable
- Evidence of skills in the management of acute medical emergencies (e.g. ALERT, IMPACT certification)
Values
Essential
- Demonstrate ability to meet Trust Values of safety, kindness, teamwork and improving
Communication
Essential
- All applicants to have demonstrable skills in written and spoken English adequate to enable effective communication about medical topics with patients and colleagues demonstrated by one of the following: o That applicants have undertaken undergraduate medical training in English; o or o Have achieved the following scores in the academic International English Language Testing System (IELTS) in a single sitting within 24 months at time of application - Overall 7, Speaking 7, Listening 7, Reading 7, Writing 7. o If applicants believe they have adequate communication skills but do not fit into one of these examples they must provide supporting evidence
- Demonstrates clarity in written / spoken communication & capacity to adapt language as appropriate to the situation
- Able to build rapport, listen, persuade & negotiate
Personal and People Development
Essential
- Problem Solving & Decision Making: Capacity to use logical / lateral thinking to solve problems / make decisions, indicating an analytical / scientific approach
- Capacity to take in others' perspectives and treat others with understanding; sees patients as people
- Demonstrates respect for all
- Able to work in multi-professional teams & supervise junior medical staff
- Ability to show leadership, make decisions, organise and motivate other team members for the benefit of patients through, for example, audit and quality improvement projects
- Capacity to work effectively with others
- Evidence of involvement in management commensurate with experience
- Demonstrates an understanding of NHS management and resources.
- Evidence of effective multidisciplinary team working and leadership supported by multi-source feedback or other workplace-based assessments
- Evidence of effective leadership in and outside medicine
- Capacity to manage / prioritise time and information effectively
- Capacity to prioritise own workload & organise ward rounds
- Evidence of thoroughness (is well prepared, shows self-discipline / commitment, is punctual and meets deadlines)
- Capacity to monitor developing situations and anticipate issues
- Capacity to operate under pressure
- Demonstrates initiative & resilience to cope with changing circumstances
- Is able to deliver good clinical care in the face of uncertainty
Desirable
- Evidence of achievement outside medicine
- Evidence of altruistic behaviour eg voluntary work
IT Skills:
Essential
- Demonstrates information technology skills
Responsibilities towards promoting Equality Diversity and Inclusion
Essential
- Demonstratable understanding of the Equality, Diversity, and Inclusion and/or Knowledge of the NHS obligations under the Equality Act 2010 and the Public Sector Equality Duties
Ensure the risk of infection to self, colleagues, patients, relatives and visitors is minimise
Essential
- Being familiar with, and adhering to Trust policies and guidance on infection prevention and control. Completing all required training and education (both via e-learning and face to face) on infection prevention and control. Including infection prevention and control as an integral part of your continuous personal/professional development and included in your annual appraisal Taking personal responsibility so far as is reasonably practicable, in helping ensure that effective prevention and control of health care associated infections is embedded into everyday practice and applied consistently.
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.
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.
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
University College London Hospitals NHS Foundation Trust
Address
National Hospital for Neurology & Neurosurgery, UCLH
Queen Square
London
WC1N 3BG
Employer's website
https://www.uclh.nhs.uk (Opens in a new tab)