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Neurosurgery in practice: a scene from the specialty

Neurosurgery ST1 · 2027 Interview

Neurosurgery

Four 15-minute stations, including a telephone referral with no visual cues. For 2027 the MSRA still counts for 40 per cent of shortlisting.

Your interview toolkit

Everything you need to prepare for your interview

£120

3 month access

Model answers for every scenario, with scoring points and audio of delivery.

Try for free

2027 Update:New self-assessment at shortlisting; the interview keeps its four 15-minute stations

What to expect

Stations, timings and how you’re scored

You apply at ST1 for run-through training, and in 2026 the interview carried 70 per cent of the overall selection score. In 2026 NHS England recorded about 23.6 applications for each post.

The Clinical Station

15 minutes

Clinical skills

5 minutes of reading first

You read a neurosurgical emergency first, such as a deteriorating head injury or suspected cauda equina, pitched at the level of a safe foundation doctor.

The panel wants you to recognise the emergency, resuscitate, arrange imaging and escalate early. In 2026 it was the first station used to break ties.

19 clinical scenarios included.

The Management Station

15 minutes

Organisation and planning

5 minutes of reading first

An on-call dilemma beyond the clinical facts: competing demands, consent and capacity, a struggling colleague, or no bed.

You work it through to a safe, justified plan, using the team and escalating honestly.

10 management scenarios included.

The Telephone Referrals Station

15 minutes

Communication

5 minutes of reading first

A simulated phone call with no visual cues: you take a referral in or escalate a patient out.

Everything has to happen on the call: gather the story, rank the urgency, give safe interim advice and agree who does what.

11 telephone referral scenarios included.

The Motivation and Understanding of the Specialty Station

15 minutes

Commitment to specialty

5 minutes of reading first

Why neurosurgery, how you have tested that choice, and what the run-through pathway and the job demand.

Back each reason with something you have actually seen or done, so it comes across as an informed choice.

22 motivation scenarios included.

How the final rank is scored

2026 split. For 2027 a self-assessment with uploaded evidence replaces the portfolio matrix, and you still sit the MSRA. In 2026 you needed 65 per cent of interview marks at ST1, or 74 per cent at ST2.

  1. 70%

    Interview

  2. 30%

    Shortlisting score

From the person specification

  • "Recognition of, and ability to undertake the initial management of, an acutely ill patient."

    Clinical skills

  • "Ability to communicate messages effectively to a range of audiences."

    Personal skills

  • "Shows realistic insight into neurosurgery and the personal demands of a commitment to surgery."

    Commitment to specialty

NHS England, Neurosurgery ST1 person specification, 2027.

Stations and minutes: NHS England (Yorkshire and Humber), Neurosurgery 2027 recruitment. Reading time and weightings: the 2026 applicant handbook.

How you’ll prepare

Interactive verbal practice, on any screen

Answer the interviewer out loud on your computer or tablet, then practise on your phone between shifts. One account works on your computer, tablet and phone.

  • Interactive learning

    Your interview is a spoken assessment, so your preparation should reflect this.

  • Real-time marking

    See your scores and where to improve.

  • Personalised feedback

    Your words, edited into a higher-scoring answer, with every change explained.

  • Timed mock interviews

    5 full mock interviews, timed like the real one, with a report at the end.

Your CV

Make everything you've done count

It's easy to forget your best examples on the day. Add your CV for personalised feedback: the audit, teaching or research you didn't mention, where it scores on the mark scheme, and anything your CV doesn't back up. We read it once and never store the file.

Questions

Common questions

Something else? Contact Us

Neurosurgery

Your plan

Neurosurgery ST1

Be ready for the Neurosurgery interview

Practise all four stations out loud, then sit them as one timed interview.

Plans are paid once and do not renew. A plan covers one specialty, and you can try its first questions free.