• Ikenna Idika Ogbu and Chandrasekaran Kaliaperumal.
• Department of Neurosurgery, University Hospitals of North Midlands, North Midlands, United Kingdom. Electronic address: i.ogbu@nhs.net.
• World Neurosurg. 2022 Dec 1; 168: 899389-93.

AbstractThe National Health Service faces substantial challenges with staffing in the face of administrative turbulence just after a global pandemic resulting in significant economic losses. This staffing crisis extends to neurosurgical training with pervasive problems with the balance between trainees and consultants. In the face of Brexit, after the impact of the European Working Time Directive, these challenges provide an opportunity to explore possible solutions to improving training and staff retention. The recommended solutions include ensuring appropriate workforce planning and using novel (and already available) resources to revamp the structure of neurosurgery training and improving the attainment of surgical competence and staff retention. Creating a sustainable neurosurgery training program to adequately fill gaps in the National Health Service will require long-term solutions and the commitment of multiple stakeholders. The first step to achieving these goals would be to maximize the available opportunities to allow trainees maximize training time to become competent day-one consultants.Copyright © 2022 Elsevier Inc. All rights reserved.

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