St.

George’s University Hospitals NHS Foundation

Trust Department of Neurology

Senior Clinical Fellow (ST3+) in Neurology and/or Stroke Medicine

Feb 2025-Aug2025

The Atkinson Morley Regional Neurosciences Centre is the regional neurosciences specialist
unit for south-west London and Surrey. It is hosted at St. George’s Hospital and the Wolfson
Centre and provides acute and long-term neurological services to 3.5 million inhabitants in the
region. Neurosciences used to be based at Atkinson Morley’s Hospital in Wimbledon, where
the world’s first CT scanner was developed by Sir Godfrey Hounsfield and James Ambrose. In
2003, the hospital closed and moved to a new, purpose-built wing at St George’s, sharing
accommodation with the regional cardiothoracic unit. The new Atkinson Morley Wing is
arranged over five floors, around inner courtyards. There are 233 in-patient and day-case beds,
eight operating theatres and a range of state-of-the-art diagnostic and treatment facilities

These posts are not recognized for training nor do they attract an NTN. However, they do
offer very high-quality experience, a very good grounding in neurology and stroke medicine
and provide an excellent opportunity for candidates to gain valuable experience in preparing
to apply for neurology or other ST3+ rotations or to enter research.

The department prides itself on its focus on education and training and work very hard to deliver
high quality training. In recognition of this, we are consistently one of the highest performing
neurosciences units in the UK on the GMC Trainee Surveys. We have an excellent track
record of supporting clinical fellows to secure NTNs in neurology or allied disciplines in London
or other UK institutions. We will tailor the training available to the needs of each candidate so
we can also provide “senior registrar” training for potential candidates who are post-CCT and
looking for consultant positions.

We welcome applications from ‘non-neurology’ trainees who are primarily interested in gaining
experience in Stroke Medicine. We can also consider senior SHOs to participate if they are
keen to do neurology or stroke medicine in the future. We provide support for those applying
for neurology and stroke NTNs. Furthermore, if the trainee maintains a good record of training
via the e-portfolio system, then it may be possible to have this time counted towards training
in the future. We can also provide advice and support for those thinking of applying for a
CESR in neurology

We will have 1 post available, which run from Feb 2025-Aug 2025, with an option to extend
the post to Aug 2026 upon mutual agreement.
Applicants wishing to discuss the post and to visit the department should contact Dr Pablo
Garcia Reitboeck [email protected], Recruitment Lead or Dr Anthony
Pereira [email protected], Training Programme Director for Neurology.

St. George’s University Hospitals NHS Foundation Trust operates a No

Smoking Policy We are an Equal Opportunities Employer

 Department of Neurosciences, St George’s
Hospital, London

Job Description

Job Title: Senior Clinical Fellow (ST3+)

Hours of Work (p/w): as per EWTD rota

Service Centre/Directorate: Neurosciences

Base: St George’s

Hospital

Accountable to: Consultant body

Reports to: Service

Management Trust Vision & Values:

The post-holder is expected to have a clear understanding of how this post contributes to
the achievement of the trust vision:

We aspire to be a thriving Foundation Trust at the heart of an integrated healthcare system. One that
delivers improved patient care at a community, hospital and specialist setting, supported by a unique
and nationally recognised programme of research, education and employee engagement.

We expect all our staff to share the values that are important to the Trust, being Excellent,
Kind, Responsible & Respectful, and behave in a way that reflect these.

BACKGROUND
These posts are not recognised for training nor do they attract an NTN. However, they do
offer very high quality experience, a very good grounding in neurology and stroke medicine
and provide an excellent opportunity for candidates to gain valuable experience in preparing
to apply for neurology or other ST3+ rotations or to enter research. We work very hard to
deliver high quality training. We have an excellent track record of supporting clinical fellows
to secure NTNs in neurology or allied disciplines in London or other UK institutions. We will
tailor the training available to the needs of each candidate so we can also provide “senior
registrar” training for potential candidates who are post-CCT and looking for consultant
positions.

We welcome applications from ‘non-neurology’ trainees who are primarily interested in gaining
experience in Stroke Medicine. We can also consider senior SHOs to participate in this post
if they are keen to do neurology or stroke medicine in the future. We provide interview
training sessions and application support for those applying for neurology NTNs.
Furthermore, if the trainee maintains a good record of training via the e-portfolio system,
then it may be possible to have this year counted towards training in the future. We can also
provide advice and support for those thinking of applying for a CESR in neurology.
ST GEORGE’S UNIVERSITY HOSPITALS NHS FOUNDATION TRUST
St. George’s University Hospitals NHS Foundation Trust

St. George’s University Hospitals NHS Foundation Trust is one of the largest healthcare
units in the United Kingdom accommodating around 1170 beds. It treats around 80,000
inpatients, day cases and over 300,000 outpatients annually. The Trust employs nearly
8,000 staff. It provides general acute services together with speciality services including
neuroscience, cardiothoracic, and specialist children’s services. It is the regional neuroscience
centre for south-west London and a large part of Surrey and Sussex.

St George’s University Hospitals NHS Foundation Trust is the main teaching hospital in the
south west sector of London and as such has developed links with most district general
hospitals throughout Surrey and Sussex and supports a significant training programme for
junior doctors who rotate through the Trust. The Trust is on three sites: St George’s Hospital,
the base for acute general medicine, surgical services and level one neuro-rehabilitation,
Queen Mary’s Hospital Roehampton for rehabilitation and community services and St. John’s
Therapy Centre in Battersea. The Trust serves three local Primary Care Trusts and a
population of about 1.3 million across South West London. A number of our specialist
services, including Neurosciences, serve a population of around 3.5 million people across
South West London, Surrey and Sussex.

Neurosciences used to be based at Atkinson Morley’s Hospital in Wimbledon, where the

world’s first CT scanner was developed by Sir Godfrey Hounsfield and James Ambrose. In
2003, the hospital closed and moved to a new, purpose-built wing at St George’s, sharing
accommodation with the regional cardiothoracic unit. The new Atkinson Morley Wing is
arranged over five floors, around inner courtyards. There are 233 in-patient and day-case
beds, eight operating theatres and a range of state-of- the-art diagnostic and treatment
facilities
 DETAILS OF DEPARTMENTS RELEVANT TO THIS POST

Department of Neurology, St George’s University Hospitals NHS Foundation Trust

Consultant neurologists with majority sessions at St. George’s Hospital include Dr Niranjanan
Nirmalananthan, Dr Camilla Blain, Dr Kuven Moodley, Dr Anthony Pereira, Dr Usman Khan, Prof
Hannah Cock, Prof Mark Edwards, Dr Colette Griffin, Dr Marco Mula, Dr Bhavini Patel, Dr Liqun Zhang,
Dr Dominic Paviour, Prof Peter Garrard, Dr Waqar Rashid, Dr Elizabeth Galizia. The district neurology
service is closely linked to the regional neuroscience service in the Atkinson Morley Wing. There are
up to 40 consultant neurologists across the South West London and Surrey Regional Neurosciences
Network. St. George’s University Hospitals NHS Foundation Trust provides a comprehensive neurology
service as well as specialist clinics in all major neurological subspecialties.

The Substantive Neurology Staff

Dr. Ali Al-Memar Kingston Hospital

Dr Khaled Abdel-Aziz St Peter’s Hospital, Chertsey
Dr Ioan Apostu East Surrey Hospital
Dr. David Barnes St. Peter’s Hospital, Chertsey
Dr. Camilla Blain St. George’s University Hospitals FT, Clinical Lead
Prof. Hannah Cock St. George’s, University of London
Dr. Jan Coebergh St. Peter's Hospital, Chertsey
Prof Mark Edwards St. George’s University Hospitals FT
Dr. Jo Flowers Associate Specialist, SGUH FT
Dr. Philip Fletcher St. Helier’s Hospital
Dr Robin Fox St Helier’s Hospital
Dr Elizabeth Galizia St. George’s University Hospital FT
Dr Pablo Garcia Reitboeck St. George’s University Hospital FT
Dr. Clare Galtrey Frimley Park Hospital
Prof. Peter Garrard St. George’s, University of London
Dr James Gratwicke Frimley Park Hospital
Dr. Colette Griffin St. George’s University Hospital FT
Dr. Paul Hart St. Helier’s Hospital
Dr. Jeremy Isaacs Kingston Hospital
Dr. Usman Khan St. George’s University Hospital FT
Dr. Jeff Kimber East Surrey Hospital
Dr. Caroline Lovelock Epsom Hospital
Dr. Bridget MacDonald Croydon University Hospital
Dr Kuven Moodley St. George’s University Hospital FT
Dr. Marco Mula St. George’s University Hospital FT
Dr Vijay Nar Ashford and St Peter’s Hospital
Dr. Niranjanan Nirmalananthan St. George’s University Hospital FT, Neurosciences
Clinical Director
Dr. Arani Nitkunan Croydon University Hospital
Dr. Bhavini Patel St. George’s University Hospital FT
Dr Dominic Paviour St. George’s University Hospital FT
Dr. Anthony Pereira St. George’s University Hospital FT
Dr Lara Sanvito Kingston Hospital
Dr. Fred Schon Croydon University Hospital
Dr Jananee Sivagnanasundaram Epsom Hospital
Dr. Jeremy Stern Frimley Park Hospital
Dr. Goska Trubshaw Associate Specialist, St George’s Hospital
Dr. Graham Warner Royal Surrey County Hospital, Guildford
Dr. Damian Wren Frimley Park Hospital
Dr. Liqun Zhang St. George’s University Hospital FT
Dr. Hamid Modarres Neurology & Neurophysiology (SGUH FT & Croydon)
Dr. David Martin-Lopez Neurophysiology, SGUH & Kingston Hospital
Dr. Mushriq Al-Khayatt Neurophysiology, St. George’s University Hospital FT
Dr. Cristina Rodriguez-Vina Neurophysiology, (SGUH FT & Chertsey)

Dr. Brian Clarke Stroke, St. George’s University Hospital FT

Dr Adrian Blight Stroke, St. George’s University Hospital FT
Dr Valerie Jones Stroke, St. George’s University Hospital FT

Dr. Sancho Wong Neurorehabilitation, St. George’s University Hospital FT

Dr. Catherine Dalton Neurorehabilitation, St. George’s University Hospital FT
Dr. Alessia Saverino Neurorehabilitation, St. George’s University Hospital FT

There is an attending system on each neurology ward: William Drummond (Stroke and
vascular neurology), Kent (General neurology and traumatic brain injury) and Thomas Young
(Neurorehabilitation). In addition, there is a Neurosciences Day Unit for investigation and
treatment of ambulatory patients. The General Neurology ward team will be split into two
groups. One will look after Kent ward and the day unit. The other will look after acute neurology
outliers in the general hospital. There will be cross cover between the Kent ward, William
Drummond ward and Acute Neurology teams. It is important to note that we do not have
artificial distinctions between different parts of neurology. Thus, stroke is the commonest
serious neurological condition admitted to hospital and has a proportionately larger MDT.
Trainees in neurology may be allocated to any part of the service. However, Kent, William
Drummond and Thomas Young wards all provide a lot of high quality neurology experience.

Registrars

12 SpRs in neurology and stroke from London

and KSS
2 Academic Clinical Lecturers
3 SpRs in stroke medicine
1 SpR in rehabilitation
1 SpR in neurophysiology

Senior House Officer Equivalents

Core Medical Training (equivalents)

 3 IMT trainees recruited by London Deanery, 6 Junior clinical fellows
Physician Associates
7 Physician Associates working in Stroke, Neurology and Neurorehabilitation

The Neurology Service

The neurology service is regional for most disciplines and secondary for stroke and head
injury.. Patients are transferred from surrounding hospitals for opinions, investigations and
treatment. In addition, we have a thriving set of subspecialties including:
 Stroke (see below)
  Acute Neurology – we are one of only a few Trusts in the UK with a consultant-led
acute neurology service.
 Traumatic Brain Injury
 Epilepsy
 Multiple Sclerosis
 Movement Disorders
 Headache
 Neuromuscular Neurology
 Cognitive Neurology and Dementia
 Functional Neurological Disorders
 Neuro-Ophthalmology

The Stroke Service

The stroke service at St. George’s University Hospitals NHS Foundation Trust is located
within the Atkinson Morley Regional Neuroscience Centre. This is housed in a new building
on the main St. George’s University Hospitals NHS Foundation Trust site. It offers unrivalled
access to all support services such as neuroradiology including interventional
neuroradiology, neurosurgery, neurophysiology, neuropsychiatry, neuropsychology,
neurointensive care and therapy and neurorehabilitation services. In 2010, Stroke within
London has been reorganised into a hub and spoke model with 8 centralised hyperacute
stroke centres and more local stroke units as well as a TIA service.

Acute stroke is currently managed by seven consultants (Anthony Pereira, Usman Khan and
Liqun Zhang who are consultant neurologists, and Brian Clarke, Adrian Blight, Valerie Jones
and a locum appointment who are full time consultant stroke physicians). We have 20 Hyper-
Acute Stroke Unit (HASU) beds in the AMW and 16 acute Stroke Unit (SU) beds on Thomas
Young ward. The consultants rotate to cover both units providing daily consultant ward
rounds. There are also additional rehabilitation beds within the Wolfson Neurorehabilitation
Centre at Queen Mary’s Hospital, Roehampton.

St. George’s offers all aspects of hyper-acute care including a regional thrombolysis service.
We have all the necessary support facilities including monitored beds on the HASU and
access to interventional procedures such as thrombectomy for acute strokes,
hemicraniectomy, posterior fossa de-compression, stenting of arterial stenoses, coiling of
aneurysms and access to neuro ITU. We also offer a daily rapid- access TIA service. St.
George’s also acts as a regional and national referral centre for complex stroke cases. We
have a well, developed carotid intervention service offering endarterectomy and stenting in
collaboration with the regional vascular surgery group.

 Stroke Research at St. George’s

St. George’s is one of the leading stroke research centres in the UK. Within the unit we have
groups working on stroke genetics, advanced imaging (MR and ultrasound) as applied to
stroke, cerebral small vessel disease and vascular cognitive impairment and clinical trials in
stroke. We participate in a number of multicentre trials and studies in stroke. We were one
of the highest recruiting centres to Stroke Research Network-adopted studies in the whole
of the UK.

 Stroke Research Network

The Stroke Research Network was set up in 2005 to encourage recruitment to high quality
trials and clinical studies in stroke. There are nine Local Research Networks. One of these is
co-ordinated from St. George’s. This provides support and advice on recruitment to clinical
stroke studies.
Wolfson and Queen Mary’s Neurorehabilitation Centres
Following the integration with community service Wandsworth in October 2010, the Trust is
now the largest provider of specialist neurorehabilitation services in London. This includes 46
inpatient beds on
two sites, out-patient vocational rehabilitation following brain injury, a day case cognitive
assessment programme and a comprehensive spasticity service. The latter provides four
outpatient botulinum toxin injection clinics a week, as well as sclerotherapy with phenol and an
Intrathecal Baclofen Pump service.

In December 2011, a public consultation was held on the future of Neurorehabilitation services
within the Trust and a major business case was approved to modernise the service in line with
National commissioning intentions. As part of the first phase, in March 2012, The Wolfson
Neurological Rehabilitation Centre services moved from a stand alone site in nearby
Wimbledon to an interim provision between a unit based around Thomas Young ward,
Lanesborough Wing at St George’s hospital (28 beds) and the existing neurological
rehabilitation unit at QMR (Gwynne Holford ward,18 beds). This is while a £2.9M development
takes place within the QMR Hospital PFI creating a bespoke, modern, specialist
Neurorehabilitation unit.

The post-acute, bed-based Neurorehabilitation service is now based at QMR and a new service
of acute Neurorehabilitation will be provided within the Wolfson Neurorehabilitation Unit. This will
also serve as the acute stroke unit, co-ordinated by both stroke and neuro-rehabilitation
consultants.

DUTIES OF THE POST

1. The Senior Clinical Fellow (ST3+) duties are to:

• cover the neurology/stroke wards
• see neurology/stroke referrals, including thrombolysis/thrombectomy calls
• contribute to the neurology/stroke on-call rotas (see below)
• attend outpatient neurology/stroke clinics (see below)

• teach medical students and other staff on the unit.

• attend the weekly multidisciplinary meetings.
• contribute to departmental research/audit/governance projects

Outpatient clinics
Neurology and stroke outpatient clinics are held in the Atkinson Morley Wing OPD which
has 12 examination rooms. Each registrar will have the opportunity to do clinics. There are
specialised clinics in all neurological subspecialties. Registrars have the opportunity to
observe and assist in these, as well as to observe the recording and interpretation of
electroencephalography and other techniques of evoked potentials, including auditory, visual,
somatosensory and brainstem.

Registrar rota
All registrars who are on the on call rota are resident on call. The main rota is a 1 in 18 shift
system with 1 in 18 nights. Prospective cover applies within neurology and stroke medicine.
Additional on call shifts may be available covering other registrar’s absence and extra shifts
as needed in the evenings and weekends. Sometimes on-call rota slots are shared.
ADDITIONAL TRAINING OPPORTUNITIES:

There are a large number of training opportunities in Neurology. Many of these are formally
incorporated into the training program, others are available to interested trainees. These
include:
1. Neurology Registrar & SHO Teaching. This is taken every Tuesday at 11:00
2. Neurology SHO teaching. This is taken every Wednesday at 15:00.
3. Neurology Registrar Peer Teaching, Wednesday 13:00
4. Stroke Imaging meeting. This is held on Monday at 09:00.
5. Neurology Radiology Meeting Friday mornings at 11:00am in the X-ray room
6. Neurology Grand Round, held weekly Friday 12:pm (monthly there is an external
invited speaker)
7. Neurology Journal Club held weekly Tuesday 1pm
8. Neurology Literature Review, held monthly Friday 11:30am
9. Neurology clinicopathological conference monthly Friday 11:00am
10. Neurology Audit programme monthly, Friday 11:30 am
11. Stroke teaching. This is held on Monday 13:00
12. Neurology Academic seminar, monthly Wednesday 4pm.
13. Neurophysiology St George's Core
14. Neuro-genetics St George's Core
15. Neuropathology St George's Core
16. Neuroradiology St George's Core
17. Neurosurgery St George's Core
18. Rehabilitation St George's Core
19. General Neurology OPD St George's General
20. General Neurology OPD Epsom General
21. General Neurology OPD Frimley Park General
22. General Neurology OPD Kingston General
23. General Neurology OPD Croydon General
24. General Neurology OPD St Helier General
25. General Neurology OPD St Peter's General
26. General Neurology OPD East Surrey General
27. OPD Tourette's St George's Specialist
28. OPD Functional Neurology St George’s Specialist
29. OPD Dementia St George's Specialist
30. OPD Multiple Sclerosis St George's Specialist
31. OPD Autonomic disease St George's Specialist
32. OPD Botulinum Toxin Inj St George's Specialist
33. OPD Movement Disorder St George's Specialist
34. OPD Epilepsy St George's Specialist
35. OPD Neuromuscular St George's Specialist
36. OPD Stroke St George's Specialist
37. OPD Neuro-otology St George's Specialist
38. OPD Neuro-ophthalmology St George's Specialist
39. OPD Neuro-oncology Royal Marsden, Sutton Specialist
40. OPD Pain St George’s Specialist
41. OPD Sleep Guildford Specialist
42. Theatre Muscle Biopsy St George's Specialist
43. Theatre Nerve Biopsy St George's Specialist
44. OPD Paediatric Neurology St George's Specialist
45. Neuropsychology St George's Specialist
46. Neuropsychiatry St George's Specialist
47. OPD Neurosurgery St George's Specialist
48. Neuro ITU experience St George's Specialist
49. Epilepsy surgery MDT St George’s Specialist
50. Neuro-oncology MDT St George’s Specialist
51. Neurovascular MDT St George’s Specialist
52. Neurogenetics MDT St George’s Specialist
53. Leukoencephalopathy St George’s Specialist
MDT
54. Neuromodulation MDT St George’s Specialist
55. Neuroinfection MDT St George’s Specialist
56. Muscle MDT, myasthenia St George’s Specialist
MDT

OTHER INFORMATION

Annual & Study leave

No special cover arrangements are required for annual leave. The granting of study leave is
in accordance with the Whitley Council regulations. All leave should be discussed with the
Consultants in advance.

Governance
You must ensure that you are registered with the appropriate professional body and maintain
any requirements for education and professional development by your professional body and
the London Deanery. You should be aware of and adhere to the Trust’s protocols and
policies.

Confidentiality
The post holder is required not to disclose such information, particularly that relating to
patients and staff. All employees are subject to the Data Protection Act 1998 and must not
only maintain strict confidentiality in respect of patient and staff records, but the accuracy and
integrity of the information contained within. The post holder must not at any time use
personal data held by the Trust for any unauthorised purpose or disclosure such as data to
a third party. You must not make any disclosure to any unauthorised person or use any
confidential information relating to the business affairs of the Trusts, unless expressly
authorised to do so by the Trust.

Health and Safety

The post holder must co-operate with management in discharging responsibilities under the
Health and Safety at Work Act 1974 and take reasonable care for his or her own health and
safety, and that of others. The post holder must also ensure the agreed safety procedures
are carried out to maintain a safe environment for patients, employees and visitors.

Equal Opportunities
To work in accordance with the Trust’s policy to eliminate unlawful discrimination and promote
good race relations and diversity in the workplace. To positively promote at all times equality
of opportunity in service delivery and employment for patients and staff in accordance with
the Trust’s policies, to ensure that no person receives less favourable treatment than another
on the grounds of sex, marital status, race, religion, creed, colour, nationality, ethnic or national
origin, sexual orientation or disability.

Risk Management
All staff has a responsibility to report all clinical and non-clinical accidents or incidents
promptly and when requested to, co-operate with any investigation undertaken.
Library Facilities
There is an excellent medical library in the Medical School of St. George’s Hospital in which the
main medical and neurological/neurosurgical journals are kept, together with a wide range
of reference books and facilities for photocopying. Up-to-Date is also available to all trust
medical staff.
Transport
St George’s NHS Hospitals Foundation Trust is based in the heart of Tooting and is well
served by excellent public transport links to the City and West End. Tooting Broadway’s
Northern Line Underground station is a 5 minute walk away. The National Rail station of
Tooting Junction is a 15 minute walk away. Numerous bus routes serve the area, two of
which stop inside the Hospital grounds, the G1 and the 493. Parking on the St George’s
NHS Hospitals Foundation Trust site is restricted to permit holders, permits are allocated by
ballot and a charge is made.

Accommodation
Staff accommodation is subject to availability at a reasonable rent for single occupation. A
limited amount of family accommodation exists.

This job description is not an exhaustive document but is a reflection of the current
position. Details and emphasis may change in line with service needs after
consultation with the postholder.

St. George’s University Hospitals NHS Foundation Trust is an Equal Opportunities

employer and operates a No Smoking Policy.
Person specification for the post of Registrar/Clinical Fellow in neurosciences.

Essential Desirable
Qualifications  MB BChir (or equivalent)  BA or BSc (or equivalent)
 MRCP(UK) (or a waiver) This  MD or PhD
may be waived on very well
written applications
 GMC registration

Clinical Skills  Experience in Neurology or

Stroke Medicine
Management Skills  Willingness to contribute
to management
Audit Skills  Previous audit  To be computer literate
 Willingness to participate in the
clinical audit programme
Clinical  To have an understanding of  Committed to monitoring
Governance the basic principles of clinical and improving clinical
governance quality
 To build a clinical practice
which is evidence based
Teaching Skills  Must be an enthusiastic teacher
 Interested in teaching
both undergraduates &
postgraduates
Academic  Demonstrable research interest  Papers presented at
Achievement  Evidence of academic national and international
distinction meetings
 Peer reviewed publications
 Previous research
experience
Personal Skills  Ability to work as a member of
a team
 Evidence of good
communication skills
 Evidence of organisation
and motivation
 Probity
Physical  Pre-evaluation health screening
Requirements

NB: Essential- A requirement that all candidates MUST meet.

Desirable- A requirement that is not necessarily needed to be appointed to the post