Chelsea and Westminster Hospital NHS Foundation Trust
Hand and Wrist Fellowship - Senior Clinical Fellow

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Applications are invited for our Hand and Wrist Fellowship posts commencing:
- One post commencing 01/02/27 with on calls
- One post commencing 01/08/27 without on calls
The Hand and Wrist Fellows are part of the multidisciplinary Hand Team within a busy, dynamic and friendly department. We encourage a learning environment, with regular MDT and specialist Radiology meetings and support for taking the BSSH Hand Surgery Diploma. There are numerous BSSH approved tutors who can help and guide your preparation for the exam. We also encourage your involvement in audit and research and expect the successful candidates to present and publish such work carried out in the Unit.
This post does not have specific Royal College or Postgraduate approval; however prospective Deanery approval can be sought. This post would suit a senior Orthopaedic or Plastic Surgery trainee who is developing an interest in hand and wrist surgery and would like further experience in this specialist field. We welcome applicants from overseas.
Responsibilities:
- Management of hand and wrist surgery cases in the outpatient setting (supervised)
- Management of hand and wrist surgery cases in the operating theatre (supervised)
- Presentation of cases at the weekly academic meeting
- Ward round review of in-patients and their on-going care
- Research involving hand and wrist surgery-based studies
- Teaching of junior staff
- Participation in daily morning trauma meetings
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The job description may be subject to change according to the varying needs of the service. Such changes will be made after discussion between the post holder and his/her manager.
All duties must be carried out under supervision or within Trust policy and procedure. You must never undertake any duties that are outside your area of skill or knowledge level. If you are unsure you must seek clarification from a more senior member of staff.
About the Trust:
Chelsea and Westminster Hospital NHS Foundation Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.
Our nearly 7,500 staff care for a diverse population of 1.5 million, providing full clinical services, including maternity, A&E, and children’s services, plus specialist HIV and sexual health clinics. The Care Quality Commission rates us 'Good' in safety, effectiveness, care, and responsiveness, and 'Outstanding' in leadership and resource use.


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We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and Westminster and an £80m Ambulatory Diagnostic Centre at West Middlesex.
We welcome applications for flexible working arrangements, accommodating requests where possible to support our staff and patient needs.
The Trust is committed to equality and welcomes applications from all, regardless of background. Adjustments can be made for disabled candidates. Early application is advised as vacancies may close once sufficient applications are received. If you haven’t heard from us within three weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probationary period.
Contact Information:
For further details / informal visits contact:
- Name: Alice Bremner-Smith
- Job title: Consultant
- Email address: alice.bremner-smith@nhs.net
- Telephone number: 020 3315 5376
Miss Alice Bremner-Smith alice.bremner-smith@nhs.net
Consultant Hand & Wrist Surgeon on 020 3315 8000
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