Spoils attempt to secure work with hospital (6)
I believe the answer is:
trophy
'spoils' is the definition.
(thesaurus)
'attempt to secure work with hospital' is the wordplay.
'attempt' becomes 'try' (I've seen this before).
'to secure' means one lot of letters goes inside another.
'work' becomes 'op' (abbreviation for opus**).
'with' means one lot of letters go next to another.
'hospital' becomes 'h'.
'op'+'h'='oph'
'try' placed around 'oph' is 'TROPHY'.
(Other definitions for trophy that I've seen before include "Prize of war" , "Award cup" , "Cup given as prize for victory" , "leading award" , "Prize symbolising victory" .)