Locally Employed Doctor (equivalent to ST7+) – Tier 2 rota

University Hospitals Birmingham Nhs Foundation Trust; Birmingham; On-site; GBP 110,000 - 150,000; Full time

Job summary

University Hospitals Birmingham NHS Foundation Trust invites applications for a Locally Employed Doctor (ST7+) in Neurosurgery at the Queen Elizabeth Hospital Birmingham. The post offers senior registrar level responsibilities and on-call duties within a busy neurosurgery service.

The role emphasises advanced clinical and operative experience, with opportunities for subspecialty development and progression toward consultant practice, under supervision and aligned with UK training standards.

Qualifications

• Full GMC registration with a licence to practice.
• CCT in neurosurgery or within 6 months of completion.
• FRCS (surgical neurology) or equivalent.
• ST 7+ level of training.

Responsibilities

• Assessment and management of elective and emergency neurosurgical patients.
• Participation in the senior neurosurgical on-call rota.
• Senior review and decision-making for referred patients.
• Assessment and initial management of the unselected emergency neurosurgical take.
• Supervision and support of junior medical staff.
• Participation in consultant-led ward rounds and MDT meetings.
• Attendance at outpatient clinics and specialist MDT meetings.
• Participation in elective and emergency operating lists.
• Progressive responsibility for operative procedures under supervision.
• Pre-operative assessment, consent, peri-operative management and postoperative follow-up.

Skills

UK NHS experience

On-call/ MDT teamwork

Education

GMC registration

CCT in neurosurgery or within 6 months

FRCS (surgical neurology) or equivalent

ST 7+ level of training

Job description

Go back University Hospitals Birmingham NHS Foundation Trust

Locally Employed Doctor (equivalent to ST7+) – Tier 2 rota

The closing date is 24 September 2026

Applications are invited for the post of Senior Specialist Doctor in Neurosurgery (ST7 +), to work at Higher level within the Neurosurgery Department, based at the Queen Elizabeth Hospital Birmingham.

The successful doctor will be based at the Queen Elizabeth Hospital Birmingham, which is one of the busiest hospitals in the UK. In the financial year 2022/23 the Neurosurgery department treated: 246-day cases, 1052: elective cases and 1235: emergencies. Outpatient activity over the same period included: 4426 new and 14,700 follow-up patients. The hospital has been designated as a level one trauma unit, leading to increased emergency work in the department. QEHB already has special expertise in the management of all forms of trauma, through its links with the Royal Centre for Defence Medicine (RCDM) located in the hospital.

Main duties of the job

The post will provide advanced clinical and operative experience across the breadth of adult neurosurgery, with opportunities for progressive independent operating and development of a subspecialty.

Although this is not a formal Deanery training post, the clinical and educational structure should, wherever practicable, mirror the opportunities, supervision and professional development expected for a senior UK neurosurgical trainee.

The successful applicant will be expected to function at senior registrar level and undertake responsibility appropriate to their demonstrated competencies.

Duties will include:

• Assessment and management of elective and emergency neurosurgical patients.
• Participation in the senior neurosurgical on-call rota.
• Senior review and decision-making for patients referred to the neurosurgical service.
• Assessment and initial management of the unselected emergency neurosurgical take.
• Supervision and support of junior medical staff.
• Participation in consultant-led ward rounds and multidisciplinary decision-making.
• Attendance at outpatient clinics and specialist MDT meetings.
• Participation in elective and emergency operating lists.
• Progressive responsibility for operative procedures according to demonstrated competence and appropriate consultant supervision.
• Pre-operative assessment, consent, peri-operative management and postoperative follow-up of neurosurgical patients.

About us

University Hospitals Birmingham NHS Foundation Trust strives to have an inclusive culture where everyone feels like they belong, can thrive, knows that they add value and feels valued. We do this by developing compassionate and culturally competent leaders, being values driven in all that we do and by creating a welcoming and inclusive workplace that thrives on the diversity of our people. As such we want to attract and recruit talented individuals from all backgrounds, and for each of you to feel supported for the diversity you bring, to achieve your full potential. For those staff with a disability, including physical disability, long term health condition, mental health or neurodiverse condition, this also means being committed to making reasonable adjustments needed for you to carry out your role.

Job responsibilities

Expected Level of Clinical Practice

The post holder should demonstrate the clinical judgement, professional behaviour and technical capability expected of an advanced neurosurgical trainee approaching independent consultant practice.

They should be capable of assessing and formulating management plans for common and emergency neurosurgical presentations including:

• Acute intracranial haemorrhage
• Hydrocephalus
• CNS infection
• Raised intracranial pressure and other acute neurosurgical emergencies

Spinal

• Degenerative spinal disease
• Metastatic spinal cord compression
• Spinal trauma
• Spinal infection
• Intradural and extradural spinal pathology
• Acute neurological deterioration secondary to spinal pathology

Person Specification

Qualifications

• Qualifications of ST 7+ level of training
• Full GMC registration with a licence to practice (or application process in progress)
• Obtained CCT in neurosurgery or be within 6 months of doing so.
• FRCS (surgical neurology) or Equivalent
• Awards/distinctions whilst studying for primary degree.

Experience

• Recent experience and familiarity of UK hospital systems and practices (or equivalent).
• A minimum of 3 years at ST level in a substantive post within the UK or equivalent service
• Competent in all aspects of emergency neurosurgery
• Evidence of interest in surgical neuro-oncology
• Training in diagnosis and treatment of Neurosurgical conditions including emergency presentations.

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.

University Hospitals Birmingham NHS Foundation Trust