Senior Adult Vascular Neurosurgery Fellowship Weinvite applications for the post of RCS Senior Clinical Fellow in NeurovascularNeurosurgery, at The Leeds Teaching Hospitals NHS Trust, in the Department ofNeurosurgery.
ThisRCS-approved, senior clinical fellowship position is suitable for Neurosurgicaltrainees who are at the end of their training; ie at post-CCT or peri-CCTlevel. Candidates should have successfully completed the FRCS examination inNeurosurgery by the time of application submission. This post is not suitablefor more junior applicants; those who are not currently at the level of a dayone consultant should not apply.
Forfurther information or to arrange a Departmental visit, prospective applicantsare encouraged to contact:
MrKenan Deniz, Consultant Neurosurgeon & Clinical Lead
0113392 3623 or kenan.deniz@nhs.net
0113392 6883 or ian.anderson4@nhs.net
Thispost is fixed term for 1 year and will commence from August 2026, however someflexibility is possible, in this regard.
Candidatesmust be fully registered with the General Medical Council and hold a license topractice at the time of application. FRCS(Neurosurgery) or equivalent ismandatory. CCT in Neurosurgery is preferred. Prior experience of working inNeurosurgery, within the NHS is also preferred
Main duties of the job Weseek a dynamic individual, capable of meeting the considerable demands of thisfellowship post, working in this complex and demanding subspecialty ofneurosurgery.
Thedepartment of Neurosurgery in Leeds is proud to offer a world-class vascularneurosurgical MDT service. The service is consultant-led and delivered; througha dedicated sub-specialty MDT service and is supported by a dedicatedsub-specialty Neurovascular Consultant on call.
TheFellowship is designed for Neurosurgical clinicians towards at end of theirtraining and will provide all aspects of sub-specialty training inNeurovascular microsurgery, in preparation for a consultant rolesub-specialising in this challenging field.
TheNeurosurgical Vascular Fellowship post will include a thorough grounding in theclinical management, investigation and surgical/radiological techniques foroptimally managing adult patients with all forms of neurovascular surgicaldiseases.
Duringthe fellowship, there are opportunities to attend neurovascular radiology (INR)theatres, however it should be stressed that this fellowship is a microsurgicalneurovascular fellowship and is not a hybrid (endovascular) training programme.
About us LeedsGeneral Infirmary operates a strong, collaborative MDT-based approach toNeurovascular disease; with close and collaborative links to the InterventionalNeuro-Radiology Department. There are significant further opportunities todevelop research projects. Close teamwork with the neuro-radiologists,researchers and the Clinical Nurse Specialist team is expected. The Fellow willgain independent competencies in managing adult patients presenting withaneurysms (acute and elective), cavernoma and AVM.
Thesuccessful applicant will also be expected to contribute towards theDepartmental Neurosurgical On-Call Service, at a registrar level.
Considerationwill be given to applicants who wish to work full- or part time and thosewishing to job share.
Ifshortlisted, candidates will be required to give a 10-minute presentation on:How should an evidence-based neurovascular department practice?
Leeds Teaching Hospitals is committed to our processof redeploying 'at risk' members of our existing workforce to new roles. Assuch, all our job adverts are subject to this policy and we reserve the rightto close, delay or remove adverts while this process is completed. If you doexperience a delay in the shortlisting stage of the recruitment cycle, pleasebear with us while this process is completed, and contact the named contact ifyou have any questions.
Job responsibilities JobTitle: Senior Adult Vascular Neurosurgery Fellowship
Location:Leeds Teaching Hospitals
Grade:Equivalent to ST8/Post CCT
TheLeeds Teaching Hospitals NHS trust is one of the largest trusts in the UK andprovides comprehensive secondary services to Leeds and tertiary services toWest and North Yorkshire. The GeneralInfirmary at Leeds is situated in the centre of the city, adjacent to LeedsUniversity, with which there are strong research and teaching links.
INFORMATIONABOUT THE DEPARTMENT
TheDepartment of Neurosurgery provides a comprehensive neurosurgical service tothe 2.5 million people of West and North Yorkshire. The Neurosurgical Department is housed withinthe Jubilee Wing of the General Infirmary at Leeds.
Thecentralised Neurosurgical Department has approximately 84 adult ward bedsacross three wards, with an additional 7-bedded, dedicated Neuro-intensive CareUnit; as well as a 7-bedded dedicated High Dependency Unit. There are four adult operating theatres,including one dedicated to emergency surgery 24 hours per day. There are separate beds, operating theatresand intensive care facilities for Paediatric Neurosurgery.
TheNeurosurgical Department has close links with the other neurosciencespecialties that are all on site including Neuroradiology, Neurology,Neuroanaesthetics and Neurophysiology.The Neuro-pathology department for Yorkshire is now based at St Jamesshospital and continues to provide a full histological and post-mortem serviceincluding facilities for intra-operative histopathology.
TheNeuroradiology Department is based at Leeds General Infirmary and comprisesmultiple Diagnostic Radiology Consultants, three of whom also provideInterventional Endovascular Services, together with one Hybrid-TrainedConsultant Neurosurgeon.
TheGeneral Infirmary at Leeds is a level 1 trauma unit and there are close linkswith surgical specialties including trauma, maxillofacial, plastics and ENTsurgery.
TheDepartment's work has continued to increase over the past years. The current caseload is some 3000 inpatientsper year and approximately 2000 operative cases per year.
Thedepartment of Neurosurgery in Leeds provides world-class adult Neurovascularcare. The service is consultant-led anddelivered through dedicated subspecialty services. The Neurovascular services have very stronglinks with Neurology, Neuroradiology and Neuropathology (includingcytogenetics) and Leeds University.
Aswould be expected to support Vascular Neurosurgery, the theatres have BrainLABneuro-navigation with Smart Brush Angio software, Zeiss Kinevo microscopes(including integrated navigation and QEVO inspection cameras), intra-operativeICG with Flow 800 software, fluorescein angiography and intra-operativeultrasound. Trans-cranial Dopplermeasurements are utilised for patients with potential DCI. All patients arediscussed in a weekly MDT that conforms to the IOG Standards. Acuteneurovascular patients also have an acute MDT-based treatment plan documented,ahead of securing their aneurysms.
Theacute Neurovascular service is currently led surgically by Mr Phillips, MrDeniz, Mr Anderson and Mr Sheikh, with Mr Tyagi providing paediatricneurovascular surgery cover. It runs a weekly neurovascular MDT meeting,followed by an MDT clinic; run by Neurosurgeons, InterventionalNeuro-Radiologists and Neurovascular Specialist Nurses, plus the NeurovascularFellow (this post).
Patientsreferred to this clinic are typically further investigated via Cerebralcatheter angiogram with 3D reconstruction where appropriate. All patients areoffered the choice of management options (where appropriate) includingendovascular, as well as microsurgical treatment. Microsurgical treatment isaugmented by use of neuro navigation, intra-operative ICG, neuro-physiologicalmonitoring, endoscopic inspection tools and intra-operative Doppler. Leedslooks after approximately 200-230 acute patients presenting with subarachnoidhaemorrhage every year. 35-45 patients undergo microsurgical treatment forintracranial aneurysms per annum (41 patients in 2022). We also offermicrosurgery for a variety of other conditions, including cavernoushaemangiomas, AVMs and dural AV fistulae.
TheNeurovascular service is supported by two Clinical Nurse Specialists, who workacross the Neurosurgery and Neuro-Radiology departments and provide outreachvia clinics, telephone consultation and patient support groups, as well asinpatient support.
TheNeurovascular team also runs a dedicated monthly neurovascular journal club anda quarterly neurovascular M&M meeting. The neurovascular fellow has anactive role in the preparation and presentation for both of these activities.
Person Specification Eligibility, Fitness to practice, and Language Skills Be eligible for full registration with, and hold a current licence to practise from, the GMC at intended start date.
Eligibility to work in the UK.
Is up to date and fit to practise safely and is aware of own training needs.
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 followi
Applicants have undertaken undergraduate medical training in English.
Achieved the minimum score of 7 across all 4 of the following categories in the academic International English Language Testing System (IELTS) in a single sitting within 24 months at time of applicati
If applicants believe they have adequate communication skills, but do not have evidence in one of the above forms, they must provide alternative supporting evidence of language skills
Experience Experience after full GMC registration or equivalent, and evidence of achievement of foundation competences, in line with GMC standards / Good Medical Practice; including:
make the care or your patient your first concern
provide a good standard of practice and care
protect and promote the health of patients and of the public
treat patients as individuals and respect their dignity
work in partnership with patients
work with colleagues in the ways that best serve patients interests
be honest and open and act with integrity
never discriminate unfairly against patients or colleagues
never abuse your patients trust in you or the publics trust in the profession.
Prior experience of working in neurosurgery, within the NHS system
Clinical, Academic, and Personal Skills Ability to apply sound clinical knowledge and judgement to problems
Ability to prioritise clinical need
Ability to maximise safety and minimise risk
Recognition of, and ability to undertake the initial management of, an acutely ill patient
Demonstrates understanding of research, including awareness of ethical issues
Demonstrates understanding of the basic principles of audit, clinical risk management, evidence-based practice, patient safety, and clinical quality improvement initiatives
Demonstrates knowledge of evidence-informed practice
Ability to provide complete details of employment history
Evidence that career progression is consistent with personal circumstances
Evidence that present achievement andperformance is commensurate with totality of their period of training
Demonstration of prior career interest in neurovascular neurosurgery (publications, presentations, audits etc)
Evidence of active involvement in audit
Evidence of active involvement in research
Evidence of active involvement in teaching
Extracurricular activities / achievements relevant to the specialty
Additional Requirements Communication Skills: Demonstrates clarity in written/spoken communication & capacity to adapt language as appropriate to the situation Able to build rapport, listen, persuade & negotiate
Problem Solving & Decision Making: Capacity to use logical/lateral thinking to solve problems/make decisions, indicating an analytical/scientific approach
Empathy & Sensitivity: Capacity to take in others perspectives and treat others with understanding; sees patients as people Demonstrates respect for all
Managing Others & Team Involvement: Able to work in multi-professional teams & supervise junior medical staff Ability to show leadership, make decisions, organise and motivate other team members f
Organisation & Planning: Capacity to manage/prioritise time and information effectively Capacity to prioritise own workload & organise ward rounds Evidence of thoroughness (is well prepared, sho
Vigilance & Situational Awareness: Capacity to monitor developing situations and anticipate issues
Coping with Pressure and managing uncertainty: 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
Professional Integrity: Demonstrates probity (displays honesty, integrity, aware of ethical dilemmas, respects confidentiality) Capacity to take responsibility for own actions
Shows initiative/drive/enthusiasm (self-starter, motivated, shows curiosity, initiative) Demonstrable interest in, and understanding of, the specialty
Qualifications MBBS or equivalent medical qualification
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.
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