Skullbase Fellow (ST7+ equivalent level) in Neurosurgery The Department of Neurosurgery is the only provider of neurosurgical care in the West of London (previously North West Thames Region). Comprehensive neurosurgical care is provided for both emergency and elective adult cranial and spinal neurosurgical patients, and paediatric neurotrauma cases. At Charing Cross Hospital (CXH), there are 25 beds on 11 South ward (the acute neurosurgical ward), and a further 3 beds on 10 North ward, with two CT scanners, two MRI scanners, and up to date angiographic equipment for endovascular management of neurovascular pathologies, as well as a 24/7 thrombectomy service. There are daily elective cranial and spinal operating lists, and access to the NCEPOD theatre as required. St Mary's Hospital (SMH) receives all the acute cranial and spinal emergencies including neurotrauma, with the exception of neurovascular and Skullbase work, which is managed at CXH. At SMH, patients are cohorted onto the Intensive Care Units, a 19 bed Major Trauma Ward, as well as other surgical wards. At SMH here are three CT scanners, three MRI scanners, and a dedicated neurosurgery emergency operating list Monday to Friday, as well as access to the NCEPOD list as clinically indicated.
Main duties of the job An exciting opportunity has arisen to join our Neurosurgical team at the Imperial College Hospitals NHS Trust.
This appointment aims to offer subspecialty training in skull base surgery for senior neurosurgical trainees who have completed their general neurosurgical training (post FRCS exam).
The skull base fellow will be responsible for the management of patients with skull base pathology under the care of Mr Nair, Mr Mendoza and Mr Dalton. The skull base neurosurgical team at Charing Cross Hospital has well established connections with the ENT, endocrine and neuro-radiology teams. Weekly multidisciplinary meetings for skull base, pituitary surgery, neuro-oncology and neuroradiology are in place.
The clinical fellow will provide support in the outpatient clinics and training through supervision, to junior trainees working in the team and contribute to the regular teaching sessions of the department. The fellow will also contribute to a 1 in 7 on call rota.
Research to the level of presentations at national and international meetings, and publication in peer reviewed high impact factor journals is expected.
The post is for a period of 6 months from April 2026, with a view to extend to 12 months. 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 Provide high quality care to patients in Neurosurgery. The post holder must be medically qualified and maintain GMC registration.
To develop and maintain the competencies necessary to carry out the duties required of the post.
To ensure patients are involved in decisions about their care and to respond to their views.
Research, teaching and training 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.
To provide high quality teaching to medical undergraduates and members of other health care professions as required by Clinical Director.
Performance management 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 To participate in clinical audit, incident reporting and analysis and to ensure resulting actions are implemented.
To ensure clinical guidelines and protocols are adhered to by junior medical staff and updated on a regular basis.
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.
To role model good practice for infection control to all members of the multidisciplinary team.
Leadership and team working To demonstrate excellent leadership skills with regard to individual performance, clinical teams, the Trust and when participating in national initiatives.
To work collaboratively with all members of the multi-disciplinary team and Imperial College London as required.
To resolve conflict and difficult situations through negotiation and discussion, involving appropriate parties.
To adhere to Trust/departmental guidelines on leave including reporting absence.
Person Specification Education/Qualifications MBBS
Full GMC Registration with license
Post FRCS (S/N) or equivalent
MD/PhD
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
Operative experience in skullbase Neurosurgery
Teaching & Training Experience of teaching and training
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
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