Skullbase Fellow; STequivalent level in Neurosurgery

Job Summary

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  SMH patients are cohorted onto the ICUs, a 19 bed Major Trauma Ward, as well as other surgical wards.

There are three CT scanners, three MRI scanners, and a dedicated neurosurgery emergency operating list Monday to Friday, with access to the NCEPOD list as clinically indicated.

An exciting opportunity has arisen to join our Neurosurgical team at the Imperial College Hospitals NHS Trust.

The 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, supervise junior trainees, and contribute to regular teaching sessions. The fellow will also support 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. Duties are performed at both Charing Cross and St Mary’s Hospitals.

• Provide high‑quality care to patients in neurosurgery, maintaining GMC registration.
• Develop and maintain competencies necessary for the role.
• Engage patients in their care decisions and respond to their views.
• Collaborate with academic and clinical colleagues to enhance the Trust’s translational research portfolio, meeting research governance requirements.
• Deliver high‑quality teaching to medical undergraduates and other health‑care professions.
• Work with multidisciplinary teams to achieve high performance in clinical efficiency (LOS reduction, DNA rates), quality of outcomes (infection control, re‑admission rates), and operational efficiency (day‑case rates, waiting‑list activity).
• Participate in clinical audit, incident reporting, and analysis; implement resulting actions.
• Ensure adherence to clinical guidelines and protocols, updating them regularly.
• Model best practice for infection control and disseminate it within the team.
• Demonstrate leadership skills, support colleagues, resolve conflicts, and promote teamwork.
• Adhere to Trust/departmental leave and absence reporting guidelines.

• MBBS with full GMC registration and license.
• Post‑FRCS (S/N) or equivalent.
• Experience of teaching and training.
• Proficiency in English, spoken and written.
• Experience with audit principles.
• Evidence of academic achievements including research and publications appropriate to the appointment level.
• Clinical skills appropriate to the job description.
• Experience or aptitude for clinical activity appropriate to the job description.

• MD/PhD.
• Operative experience in skull‑base neurosurgery.
• Experience auditing surgical results.

This post requires a Disclosure and Barring…