Senior Clinical Fellow in Urology and Gender Surgery


Company:	Chelsea and Westminster Hospital NHS Foundation Trust
Salary:	£45,715 - £69,976 per annum + London Weighting & On Calls (pro rata
Hours:	Full-time
Location:	London, SW10 9NH
Job type:	Contract
Posting date:	23 Jul 2026
Closing date:	22 Aug 2026

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Summary

A Vacancy at Chelsea and Westminster Hospital NHS Foundation Trust.

The post is for a full-time Clinical Fellow in Urology and Gender Affirmation Surgery based at the Chelsea and Westminster site of Chelsea and Westminster Hospital NHS Foundation Trust.

The post-holder will be required work with the Gender Affirmation Surgery team and work closely with colleagues as part of a multidisciplinary team. They will be required to participate in audit, research and management of the service.

Daytime activities (0800-1700) will be determined by the Gender Affirmation Surgery (GAS) clinical lead and will include operating theatres, outpatient clinics, inpatient duties and acute admissions in gender surgery. The post-holder will work under the guidance of the Plastics consultants in the GAS team and will provide leadership and guidance to the training doctors on and ward nurses along the GAS pathway.

The postholder will work within their competence and it is expected that they will continue to develop their professional expertise in urology by continued professional development including personal study, attendance at courses and seminars. The post holder will take part in audit and will be a constituent member of the GAS MDT team. The post holder will take part in clinical governance activities within the Trust and will have an annual appraisal.

The post holder should possess a recognised Medical degree and MRCS/ FRCS and will be experienced in urology both in outpatient assessment of patients and operatively.

The post holder will have the following duties:

· Attend outpatient clinics, ward round, diagnostic procedures and theatre lists to support the service

· Attendance at Gender Affirmation Surgery MDT meetings

· Participation in audit and governance activities of the service

· Ensure compliance with national commissioning standards and waiting time targets

· Support subspecialisation in the department by appropriate cross referral to colleagues

· Provide consultant care at an early stage to patients presenting to secondary care with presumed urological problems

· Contribute to the care of gender surgery inpatients following masculinising and feminising procedures

· Engage in the education of other junior doctors, nursing staff and other colleague

Our 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 1.5m, providing full clinical services including maternity, A&E and children’s services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.

We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.

We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.

The post is for a full-time Clinical Fellow in Urology and Gender Affirmation Surgery based at the Chelsea and Westminster site of Chelsea and Westminster Hospital NHS Foundation Trust.

The post holder should possess a recognised Medical degree and MRCS/ FRCS and will be experienced in urology both in outpatient assessment of patients and operatively.

The post holder will demonstrate sufficient experience in plastics to assess, investigate and in suitable circumstances, treat patients with urological related issues if necessary after appropriate discussion with a consultant.

The Clinical Fellow post holder will have a continuing responsibility for the care of patients in their charge and for the proper functioning of the Department. They will also undertake the administrative duties associated with their patients and the running of the Department.

This 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.

2.2 Roles and Responsibilities of the Post

The successful candidate will join this national service to help deliver world class surgical care to patients having gender affirming surgery. Candidates must be committed to the delivery of trans-inclusive care and be sensitive to the unique needs of this patient group. The successful candidate will be involved in the preoperative and postoperative care of this patient group, as well as the surgery itself. They will be expected to substantially contribute to the development of the service, and audit/research within the programme.