Senior Clinical Fellow in Neurosurgery

Integrated Care System; London; On-site; GBP 44,000 - 68,000; Full time

Job summary

A prestigious healthcare institution is seeking a full-time Skullbase Fellow to join their Neurosurgical team. This role offers an exceptional opportunity to gain experience in advanced cranial and spinal neurosurgery, working closely with leading experts. Ideal candidates should be at year 7 or 8 of training with operative experience in neurosurgery and hold full GMC registration. The position will start in December 2025 and is for a fixed term of 6 months, extendable based on performance.

Benefits

Career development

Flexible working

Staff recognition scheme

Health and wellbeing initiatives

Cycle to Work scheme

Qualifications

• Medically qualified with full GMC registration and license.
• Operative experience in Neurosurgery is advantageous.
• Ability to speak and write English to a professional standard.

Responsibilities

• Manage common acute and elective neurosurgical conditions.
• Participate in theatre as a primary or assistant surgeon.
• Engage in multi-disciplinary team meetings and audits.

Job description

The Neurosurgical team at Imperial College Healthcare NHS Trust is looking to recruit a full-time Skullbase Fellow.

The successful applicant will commence from December 2025 for a period of 6 months in the first instance extendible to one year subject to satisfactory appraisal at 5 months.

The skullbase fellow will be working with Mr Ramesh Nair, Mr Nigel Mendoza, Mr Arthur Dalton and will be located at Charing Cross (CXH) hospital & St Mary's Hospital (SMH).

The post is suitable for a candidate wishing to subspecialise in skull base surgery with a focus on Endonasal and Transcranial Skull base procedures.

The ideal candidate will be at year 7 or 8 of training and approaching CCT. Possession of FRCS (Surgical Neurosurgery ) or equivalent would be an advantage.

The successful applicant will be expected to have full registration with the General Medical Council with a licence to practise.

Interested candidates can contact Mr Nigel Mendoza ([e-mail]) or Mr Ramesh Nair ([e-mail])

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.

Job responsibilities

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

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

Teaching & Training

• Experience of teaching and training

Language

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

Audit

• Experience of the principles of audit
• Experience of auditing surgical results

Academic Achievements including Research/ Publications

• Evidence of achievement appropriate to appointment level at HHNT

Clinical Skills

• Appropriate to job description

Relevant Experience in Specialty/ Sub Specialty

• 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.

Charing Cross Hospital / St Mary's Hospital

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

Contract

Fixed term

Duration

6 months

Working pattern

Full-time

Reference number

Job locations

Charing Cross Hospital / St Mary's Hospital