Senior Spine Clinical Fellow | Imperial College Healthcare NHS Trust

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

The Imperial Spinal Surgery Fellowship is dedicated to the advancements of the theory and practice of spinal

surgery and is based at the Charing Cross and St Mary’s Hospital sites. The Fellows will form part of Spinal team

and be supervised in alphabetical order by Mr Ibrahim, Mr Kalsi, Mr Kareem, Mr Lee, Mr Russo, Mr Tsang and Mr

Ulbricht. The current clinical lead for spine is Mr Ibrahim.

The Spinal Unit covers a wide catchment area across northwest London providing elective, emergency, simple and

complex spinal reconstruction surgery while also acting as a tertiary referral centre outside this region.

A range of spine disorders, including degenerative pathologies, spine emergencies, tumour resection, and

reconstruction surgery in the cervical, thoracic, thoracolumbar and lumbar spine are treated. The unit is one of the

leading spinal endoscopy centers in the UK hence there is an excellent opportunity for training in this increasingly

important skill set.

The Spinal Fellow should be familiar with the basic principles of evaluation and treatment of the spinal patients.

They will gain experience in the exposure of the entire spine including anterior, posterior and lateral approaches,

including use of the operating microscope and minimally invasive techniques.

The spinal fellow will work alongside other two fellows and will rotate across St Mary’s and Charing Cross hospital.

Broadly, there will be a 1:3 rota covering emergency, elective and ward cover.

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.

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.

This advert closes on Friday 15 May 2026