RSO jobs at St Mark’s Hospital don’t come up often, and this one’s a real stepping stone toward consultant-level colorectal surgery. You’ll train inside the world’s only hospital built entirely around bowel disease, on a Band 1A NHS contract with visa sponsorship included.

About the Role

London North West University Healthcare NHS Trust is hiring a Resident Surgical Officer for the colorectal team at St Mark’s Hospital, starting October 2026 or April 2027. The role sits at Specialty Registrar Level 8 or post-CCT Fellow level, so you’ll need an FRCS or equivalent overseas qualification.

St Mark’s isn’t just another surgical unit — it’s the only hospital in the world built entirely around intestinal and colorectal medicine, and one of just 14 centres worldwide recognised by the World Organisation of Digestive Endoscopy. Rare, complex colorectal conditions cross your desk here on a regular basis.

You’ll rotate through specialist firms like robotic cancer surgery, complex cancer, intestinal failure and abdominal wall repair, IBD, or pelvic floor work — covering up to two tracks per six-month post. Nine RSO and Fellow posts run at any one time, each extendable from six months to a full year.

On-call runs on a 1 in 8 rota at St Mark’s, with only an occasional add-on to the Northwick Park EGS rota, roughly 1 in 48. Day to day you’re doing ward rounds, running clinics, sitting in on MDTs, and getting real hands-on time in theatre.

The trust covers Brent, Ealing, Harrow and beyond, with over 8,200 clinical and support staff looking after close to a million people across four major sites. It also holds full university teaching status, so training and research are built into daily practice.

Primary Responsibilities

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  Run daily ward rounds and manage colorectal ward patients
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  Take an active role in theatre, including robotic and complex cancer cases
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  Contribute to outpatient clinics and MDT meetings
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  Cover a 1 in 8 on-call rota at St Mark’s
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  Rotate through up to two specialist firms each six-month post

Qualifications

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  FRCS or an equivalent overseas surgical qualification
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  Near completion of colorectal sub-speciality training, or post-CCT
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  Mid-level surgical experience, typically 6 to 9 years
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  Comfortable managing complex, tertiary-referral colorectal cases

Job Snapshot

Why This Role Stands Out

If you’re near the end of colorectal training and want real tertiary experience, this post delivers it fast. St Mark’s built its reputation treating the cases other hospitals refer out, and that’s exactly what sharpens a surgeon.