General Information JOB TITLE: Clinical Fellow in Neurosurgery GRADE: Clinical Fellow – Specialist Registrar Level (ST4-8) HOURS: 40 with on-call commitment RESPONSIBLE TO: Training and Clinical Leads, Neurosurgery ACCOUNTABLE TO: Training and Clinical Leads, Neurosurgery TENURE: 6 months Background King’s College Hospital NHS Foundation Trust King’s College Hospital NHS Foundation Trust is one of the largest and busiest teaching hospitals in London, with a well-established national and international reputation for clinical excellence, innovation and achievement. King’s has built its reputation as a world class hospital, with roots that lie firmly in the heart of our community. The hospital is principally located on a single site, with approximately 900 beds, but has a number of important outlying satellite services in other locations. It works in close collaboration with other health providers in South East London, to ensure the sustainability and excellence of services across the area. In recent years, there has been substantial investment in both the facilities and resources of the hospital, which has transformed the quality of care that it now delivers. Established in 1840, the original hospital – a former workhouse – was based on Portugal Street, Holborn, close to Lincoln’s Inn Fields. It was first used as a training facility for students at King’s College London, but quickly developed into a major hospital for the area. Over the next 60 years it became respected for both its medicine and teaching, and remains so to this day. King’s moved to its current site in Camberwell in 1913 with around 300 beds at that time. It played major roles in both World Wars. King’s joined the NHS in 1948. We became a Foundation Trust in 2006 because we believed our hospital and the services we provide could be improved with greater involvement from our patients, staff, local communities and organisations. It allows us to be more responsive to the needs and wishes of those we serve. We are firmly part of the NHS but are free from central government control, manage our own budget and shape our services to meet the needs of the communities we serve. Our Council of Governors represents the views of our patients, staff, local people and organisations. Working together means we can improve care and services to benefit the lives of people who live locally and further afield. 2013 was a momentous and historic year for King’s. We celebrated our centenary serving the community from our Camberwell site and, on 1st October, we acquired the Princess Royal University Hospital and Orpington Hospital from South London Healthcare Trust as well as additional services at Beckenham Beacon, Sevenoaks Hospital and Queen Mary’s Hospital (Sidcup). Our enlarged Trust is located on multiple sites serving the economically diverse boroughs of Lambeth, Southwark, Lewisham, Bromley and Bexley. As a major employer with over 10,000 members of staff, we play an important part in helping reduce local, social and health, inequalities. Many of our services are highly specialised such as Liver, Foetal Medicine, Trauma and Neurosurgery and are delivered on a national / regional basis with people coming to us from throughout the UK and beyond. The enlarged Trust has an annual income of over £800m, the majority of which is derived from Clinical Commissioning Groups. However, education and research are also important sources of income, currently contributing around 8% of the total. The Trust is embarking on a strategy to achieve greater diversification of its income, with growth anticipated in tertiary referrals, research and commercial services activities. There is also a developing fund raising partnership with the King’s College Hospital Charity. 1 King’s College Hospital NHS Foundation Trust has a very positive culture, built on the core staff and service values of: • Understanding you • Inspiring confidence in our care • Working together • Always aiming higher • Making a difference in our community King’s College Hospital offers a family-friendly working approach for all staff to ensure a good work-life balance. It is an environment where family life is promoted and this will be a feature of your annual appraisal. The Trust provides childcare advice and nursery facilities in conjunction with a supportive mentoring and career-planning programme. Applications for job sharing are welcome. King’s College Hospital has also recently strengthened its research and development infrastructure in order better to support clinical researchers across the organisation. Translating the results of research from bench to patient bedside is now quicker and easier thanks to the formation (with King’s College London University, Guy’s and St Thomas’ and South London and Maudsley NHS Foundation Trusts) of King’s Health Partners, an Academic Health Sciences Centre. Further information about King’s can be found on its website, www.kch.nhs.uk. King’s Health Partners Academic Health Sciences Centre (AHSC) King’s Health Partners Academic Health Sciences Centre (AHSC) is a pioneering collaboration between King’s College London, Guy’s and St Thomas’ NHS Foundation Trust, King’s College Hospital NHS Foundation Trust and South London and Maudsley NHS Foundation Trust. This unique combination brings together one of the world’s leading research-led universities and three of London’s most successful NHS Foundation Trusts. The driving purpose behind King’s Health Partners is to continually seek and bring about swifter and more effective improvements in health and well-being for patients and people everywhere, by combining the best of basic and translational research, clinical excellence and world-class teaching to deliver ground-breaking advances in physical and mental healthcare. King’s Health Partners (KHP) is one of only five Academic Health Science Centres in the UK accredited by the Department of Health. This followed a selection process carried out by a panel of internationally renowned clinicians and researchers. Further information on KHP can be found on its website www.kingshealthpartners.org Neurosciences In July 1995, the Regional Neurosciences Unit from the Brook General Hospital and the Neurosurgical Unit of the Maudsley Hospital merged to form the King’s Neurosciences Centre. The population served is over 4.5 million and includes the population of the County of Kent as well as the Lambeth, Southwark & Lewisham (LSL), Bromley and Bexley & Greenwich Health Authorities’ populations. The centre includes the departments of Neurosurgery, Neurology, Neuroradiology, Neurophysiology, Clinical Neuropsychology, Neuro Rehabilitation and Neuropathology. The constituent departments lie in close proximity to each other on either side of Denmark Hill, some in King’s College NHS Foundation Trust, some in Mapother House on the Maudsley Hospital Site and some in the Institute of Psychiatry. The Institute of Psychiatry is a post-graduate institute of the University of London. On average there are around 100 neurosurgical in-patients at any one time. There are 12 dedicated neurosurgical HDU beds. Ventilated neurosurgical beds are available in the general ITU. A 10-bed dedicated paediatric 2 neurosurgical ward (Lion Ward) is situated within the Variety Club Children’s Hospital at King’s. Ventilated and non- ventilated neurosurgical beds are available in the PICU and our Neonatal Unit. Outpatient clinics are conducted in the Outpatient Department in The Golden Jubilee Wing. Paediatric Clinics are held in the Variety Children’s Club Hospital. Housed within the Neurosurgical Unit is a 5-bed adult telemetry unit, which is used by Neurosurgery, Neurology and Neuropsychiatry. There is also a dedicated paediatric telemetry bed. In addition, there are 15 beds for adult Neuro Rehabilitation and 2 for paediatric. There are 4 fully equipped dedicated neurosurgical operating theatres, with separate neurosurgical theatre staff and neuroanaesthetic teams for elective work and emergency cover. The theatres are adjacent to ITU and Neuroimaging. The Neurosciences Care Group has major Service Level Agreements contracts with Local Health Authorities and other Health Authorities in the South East of England. Since the transfer of the service in July 1995, the workload through the unit has steadily grown. The current work-load of the unit is around 3,000 cases a year including adult and paediatric, emergency and elective cases. A significant proportion of the department’s work, both with adults and children, is highly specialised and attracts referrals from across the country. The Neurosurgical Unit There are 19 Consultant Neurosurgeons and Associate Specialist with a variety of interests who provide both the general neurosurgical service as well as their special interests: 1. Prof Keyoumars Ashkan: Functional neurosurgery and neuro-oncology 2. Mr Sinan Barazi: Skull base and spinal surgery 3. Mr Sanjeev Bassi: Paediatric neurosurgery 4. Mr David Bell: Spinal neurosurgery 5. Mr Ranjeev Bhangoo: Neuro-oncology (Clinical Director) 6. Mr Peter Bullock: Pituatary surgery 7. Mr Chris Chandler (Part time): Paediatric neurosurgery, neuro-oncology 8. Mr Richard Gullan (Part time): Neuro-oncology and complex spinal surgery 9. Mr Irfan Malik: Spinal neurosurgery and epilepsy surgery 10. Mr Richard Selway: Functional and epilepsy surgery 11. Mr Nick Thomas: Skull base and spinal surgery 12. Mr Christos Tolias: Vascular neurosurgery 13. Mr Daniel Walsh: Vascular neurosurgery 14. Mr Bassel Zebian: Paediatric neurosurgery 15. Mrs Eleni Maratos