Trust Resident Doctor; 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 work, which is managed  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.

The Trust Resident Doctor (at SpR/ST3+ equivalent level) has the responsibility for the management of common acute and elective neurosurgical conditions, both cranial and spinal. The post holder will share a rota to carry the on‑call bleep and take online as well as telephone queries regarding patients from surrounding District General Hospitals. The post holder will be expected to attend theatre either as the primary or assistant surgeon, and to review patients in the outpatient setting (face to face and remotely).

They will also be expected to participate in the regular Multi-Disciplinary Team and Mortality and Morbidity meetings, undertake audits/Quality Improvement work, contribute to teaching with preparation of case presentations as per the teaching rota, and supervise the resident doctors (at SHO level) and multi-professional neurosurgical workforce. The duties are performed at both Charing Cross and St Mary's Hospitals.

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.

Details
Date posted: 13 January 2026
Pay scheme:
Hospital medical and dental staff
Grade:
Doctor – other
Salary:
Depending on experience £44,170 – £67,610 pa + London Weighting Allowance

Contract:

Fixed term
Duration: 12 months
Working pattern:
Full-time
Reference number: 290‑TDPB‑191
Job locations:
St. Mary's Hospital, London, W2 1NY

• 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.

• 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.
• To provide high quality teaching to medical undergraduates and members of other health care professions as required by Clinical Director.

• 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…