Consultants in clinical neurophysiology combine a clinical evaluation of patients with performing, interpreting and reporting investigations to aid diagnosis of a wide range of neurological diseases.

This specialty will appeal to trainees with practical and problem-solving skills. It is mainly out-patient based, leading to an excellent work-life balance.

Clinical neurophysiology trainee characteristics

Clinical neurophysiology will particularly suit trainees who:

  • are interested in the diagnosis of neurological conditions

  • have computer, data analysis and problem-solving skills

  • prefer a planned, out-patient-based working week

  • enjoy short intervention patient contact.

Working in clinical neurophysiology

Neurophysiological investigations are an extension of neurological evaluation by providing objective results about nervous system function when clinical findings alone are confusing or do not lead to a confident diagnosis.

Consultants spend about half of their working time performing peripheral nervous system tests, where they take a clinical history and perform a targeted examination to enable them to decide on the most appropriate investigation protocol for the patient’s complaint.

After investigating the differential diagnosis they complete a report for the referring physician.

The remaining working time is mainly directing healthcare scientists who perform electroencephalograms (EEGs) for the consultant to report; this test is used for epilepsy, the most common serious neurological condition.

There are many opportunities for more specialised investigation and the job plans of consultant clinical neurophysiologists vary considerably. In some centres, operative monitoring during spinal or neurosurgical procedures occupies one or two days a week, whereas others are involved with prolonged EEG telemetry as a part of an epilepsy surgery programme.

This is one of the few specialties that deals with both adults and children.

Trainees hoping to make a career in clinical neurophysiology should have core general medical or paediatric competences. Experience in neuroscience is an advantage but is not essential as the training programme develops the necessary neurological skills.

Currently competition ratios to enter training are low and consultant vacancies exist around the country. Trainees obtaining a CCT in neurophysiology therefore have considerable choice of the location of their consultant future.

Further information

General / application queries

For general queries relating to areas such as eligibility criteria, making an application or the Oriel system, please contact the Physician Specialty Recruitment Office.

Queries regarding the progress of a submitted application should be directed to the lead recruiter for this specialty. The lead recruiter for clinical neurophysiology is Yorkshire and the Humber.

NHS England Yorkshire & the Humber
Postal address Yorkshire and the Humber Deanery
Don Valley House
Savile Street
East Sheffield
S4 7UQ
Email address [email protected]

This specialty will not be participating in round 2 of 2024 recruitment.

Group 2 specialty

This is a Group 2 specialty and requires completion of the first two years of the internal medicine training (IMT) stage 1 programme or equivalent. Please visit the am I eligible? section of this website for further information about the eligibility criteria for Group 2 specialties.

Please be aware that, in addition to physician training, the specialty also accepts applicants from paediatric and core surgery training routes.

Non-physician applicants must have obtained the basic specialty professional examination in addition to specific clinical experience and competences to be eligible. 

Please view the specialty's person specification for information about the requirements for applying from a non-physician background and the deadlines for when this must be achieved.

Commitment to specialty

The specialty will not be assessing your commitment to specialty as part of the shortlisting process and will score your application purely via the self-assessment scoring framework. Commitment to specialty will be assessed as part of the interview.

This specialty will not be participating in round 2 of 2024 recruitment.

Indicative post numbers

Indicative vacancy numbers are available in the table below, broken down by region and divided between substantive national training number (NTN) and locum appointment for training (LAT) posts. In many cases these will be presented as a range (e.g. 1-4) as it is not always possible for regions to know at this stage how many vacancies there will be.

It is the intention that indicative post numbers for all regions will be published prior to the application opening date, although this cannot be guaranteed. Please note that this table is not likely to be updated subsequent to indicative numbers and actual numbers will be confirmed when programme preferences are opened later in the round.

Numbers subject to change

Please be aware that it is not uncommon for vacancy numbers to change as the round progresses.

More commonly, post vacancy numbers can increase as the round goes on (and confirmation of posts becomes available); but it is also possible that numbers can reduce as well. In the past, post numbers have risen an average of 20-40% from the start to the finish of the round but this can vary greatly for individual specialty/region combinations.

It is possible that regions which do not have a post at the start of the round may declare one after applications have closed. Whilst we try and minimise instances of this, it is not always possible to predict vacancies so even if there appears not to be a vacancy in your preferred specialty/region combination, you may wish to consider applying in case one becomes available during the round; you can check with the region concerned if you wish to check on the likelihood of a post arising.

Generally, once a region enter a post into a round they would always have at least one post available and would only withdraw it in exceptional circumstances.

Round 1 Interview dates & posts

Region NTN posts LAT posts* Evidence upload date(s)Interview date(s)
East Midlands 0 N/A

02/01/24 - 09/01/24

 19 February 2024


East of England 0 - 1 N/A


2 - 4


Kent, Surrey and Sussex


North East 0 - 1 N/A

North West

0 - 1


South West - Severn

0 - 1

Thames Valley 0 - 1 N/A
Wessex 0 - 1 N/A
West Midlands 1 N/A
Yorkshire & Humber  0 - 1 N/A
Scotland** 0 TBC
Wales 0 - 1 TBC

*English LATs

Please note, English regions do not recruit to LAT posts.

**Scotland post numbers

If you are interested in working in Scotland, a breakdown of post numbers by the four Scottish regions is available on the Scottish Medical Training website. This has details of all specialty training post numbers in Scotland, including specialties which are not part of the nationally-coordinated process.

The SMT website will always be the more accurate one where they differ.

Interview content

The interview will be split across two separate stations with a separate pair of interviewers scoring you on the areas within their station. There will be three questions and you will be marked on these questions and your communication skills in the clinical scenario, giving four scored areas in total.

Each station will last 15 minutes, so including the time between stations, the interview will be approximately 40 minutes.

Please note that this could be subject to change and will be confirmed by the date of interview.

Scoring framework

The score of 1-5 an interviewer will award you for each assessment area is judged in relation to how well you perform against an expected level. Below is the framework used to award scores at interview, as well as interpretation of what these scores represent:






















not considered appointable


area for concern

performed below the level expected from a core level trainee applying to the specialty;
possibly unappointable, subject to discussion and performance in other areas



performed at the level expected of a core level trainee applying to the specialty;
the candidate is suitable for a higher specialty training post



above average ability;
the candidate is suitable for a higher specialty training post



highly performing trainee;
the candidate is suitable for a higher specialty training post

As shown in the table, for each of the question areas at interview, 3/5 is considered a satisfactory score; and reflects the level of performance that would be expected of a trainee ready to progress to a specialty training programme.

Should your performance go above and beyond this expected level, interviewers can award marks of 4/5 or 5/5 as appropriate.

Conversely, should your interview performance not reach the expected level, then interviewers can award marks of 1/5 or 2/5, as reflects their level of concern over your performance.


Raw interview score (RIS)

The RIS is the sum of all eight scores awarded to you during your interview, but before any weighting is applied.

As each individual score will be between 1 and 5, your RIS will be between 8 and 40.

Appointability requirements

To be classed as 'appointable', you must meet all three criteria below:

  • none of your eight interview scores can be 1/5
  • no more than two of your eight interview scores can be 2/5
  • your RIS must be 24 or above.

If you meet all three requirements, your application will be assessed as appointable, and can progress to be considered for post offers.

However, if you fail to meet any of these requirements, your application must then be assessed as not appointable, and it will progress no further in that round.

Total score

After interview, a weighting is applied to the scores in each area, as well as your application score.

These scores are then combined to give your total score which determines your ranking, which will in turn be used to inform how offers are made. The weighting of different sections, as well as the method by which your total score is established, is detailed in the table accessible through the link below:

 Interviewer 1
 Interviewer 2
Max score
Question 1
Clinical scenario
/ 5
/ 5
/ 5
/ 5
Question 2
Ethical scenario
/ 5
/ 5
Question 3
Suitability & commitment
/ 5
/ 5
Raw interview score
/ 40
Interview score (w weighting)
/ 80
 Application score
/ 50
/ 20
 Total score
/ 100

As part of the process of applying to HST, you may wish to gain an idea of how recruitment progressed in previous years for the various specialties participating in the nationally-coordinated recruitment.

To this end, we have published data dating back to 2013 (where this is available), based around four main areas:

  • Competition ratios - application numbers submitted to each specialty, along with the number of NTN and LAT posts available in each. It is worth noting that posts are subject to change throughout the round (increasing on average between 20-40%), and post numbers for this data are taken at the end of the round.

  • Shortlist scores - the scores awarded to all submitted applications, including average scores and distribution nationally.

  • Total scores - the total score awarded to all candidates who completed the full recruitment process for a specialty (application and interview), including some analysis of scores.

  • Post fill rates - the number of posts filled by region. 

We have published information for all specialties participating in our process that year; consequently not all specialties will have data in all cases.