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Job summary

Main area
Spinal Neurosurgery
Grade
MN37
Contract
Fixed term: 12 months (Full time)
Hours
Full time - 40 hours per week
Job ref
290-TDPB-013
Employer
Imperial College Healthcare NHS Trust
Employer type
NHS
Site
St. Mary's Hospital
Town
London
Salary
£44,170 -£67,610 per annum plus London Weighting
Closing
03/05/2026 23:59

Employer heading

Imperial College Healthcare NHS Trust logo

Senior Spine Clinical Fellow

MN37

 Fulfil your potential in hospitals that make history:

Charing Cross, Hammersmith, St Mary’s, Queen Charlotte’s & Chelsea and Western Eye.

With five world-renowned hospitals, Imperial College Healthcare NHS Trust is full of opportunity if you are looking to develop your healthcare career.  

We are an NHS Trust of approximately 16,000 people, providing care for over a million and a half patients from north west London and beyond every year.  

We have a rich heritage and an ambitious vision for the future of our patients and local communities.

With our partners, Imperial College London, and The Royal Marsden NHS Foundation Trust, we form Imperial College Academic Health Science Centre, one of 6 academic health science centres in the UK, working to ensure the rapid translation of research for better patient care and excellence in education.

We are proud of our heritage in innovation and we are early adopters of new insights in technologies, techniques and treatments for improving health.

Job overview

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.

1x to start as soon as possible 

2x to start in August 2026 

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

Working for our organisation

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.

Detailed job description and main responsibilities

Clinical staffing (to include key research/practice interests) 
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 Trust’s 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 
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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

Qualifications

Essential criteria
  • GMC registered/ licensed Medical Practitioner
  • MRCS or equivalent qualification
  • FRCS (Orth or SN) or equivalent

Language

Essential criteria
  • Candidates are able to speak and write English to the appropriate standard necessary to fulfill the job requirements

Academic achievements including research/publications

Desirable criteria
  • Evidence of recent publications
  • Project Management experience

Audit

Essential criteria
  • Understanding of principles of clinical audit
Desirable criteria
  • Completion of audit cycles

Clinical skills

Essential criteria
  • Appropriate to job description

Relevant experience

Essential criteria
  • Experience or attitude for clinical activity appropriate to job description
  • Previous spinal Surgery experience
Desirable criteria
  • Complex spine surgery experience

Employer certification / accreditation badges

Apprenticeships logoNo smoking policyAge positiveInvestors in People: GoldImproving working livesArmed Forces Covenant (Silver Award)Disability confident employerAccredited Living Wage EmployerNHS Rainbow Badge - BronzeWe Work Flexibly

Applicant requirements

You must have appropriate UK professional registration.

This post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service.

Documents to download

Apply online now

Further details / informal visits contact

Name
Salvatore Russo
Job title
Spine Consultant (Neurosurgery Spine Dept)
Email address
[email protected]
Telephone number
07352743602
Additional information

Dr. Kalsi – 07352743602

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