2021 Curriculum Assessment Guidance

Published: 24/05/2021

Assessment of discrete areas of anaesthetic practice within General Anaesthesia and Perioperative Medicine and Health Promotion: the ‘Triple C’ form

Assessment Faculty are designated trainers who are responsible for the summative assessment of specific Key Capabilities within the new curriculum.  In the case of the smaller clinical domains (Regional Anaesthesia, Resuscitation and Transfer, Procedural Sedation, Pain, and Intensive Care), the assessment of the Key Capabilities is likely to be commensurate with the entire HALO for that domain.

However, in the case of the General Anaesthesia and Perioperative Medicine and Health Promotion domains, there are some additional considerations.

Within the new curriculum, areas previously represented by discrete Units of Training in the 2010 curriculum including cardiothoracic anaesthesia, neuro-anaesthesia, obstetric anaesthesia, and paediatric anaesthesia are integrated components of both the General Anaesthesia and Perioperative Medicine and Health Promotion specialty specific domains.

In order to recognise the specific requirements for these discrete areas of clinical anaesthetic practice, the specific Key Capabilities for these discrete areas can be completed by a designated member of the local Assessment Faculty with existing clinical experience in this area, in a process that will feel familiar to the existing approach.  As is the case elsewhere in the new programme of assessment, this is an evolution of the role undertaken by the Unit of Training supervisor.

This process can be captured on the LLp using the Completion of Capability Cluster (‘Triple C’) Form.

The requirements for the completion of the specific Key Capabilities for these discrete areas are the same as for elsewhere in the curriculum.

The anaesthetist in training will need to demonstrate the following to complete the ‘Triple C’ form for a discrete area of practice:

  • attainment of the specific Key Capabilities that relate to the discrete area of clinical practice
  • appropriate clinical experience and logbook data
  • successful completion of a Multiple Trainer Report

The ‘Triple C’ form facilitates assessment of these specific Key Capabilities for discrete areas of practice across the more than one domain of the new curriculum.

The completed ‘Triple C’ form will then be viewable within the LLp to support completion of the General Anaesthesia and Perioperative Medicine and Health Promotion domains by the local Assessment Faculty member with responsibility for completion of the respective HALO.



For further information about the assessment of the Perioperative Medicine and Health Promotion and General Anaesthesia domains of learning, a presentation was recorded at the Curriculum Webinar on 06 May 2021. You can watch the recording of this presentation here.

Frequently asked questions
  • How many ‘Triple C’ forms do you anticipate a trainee will need for each stage of training?

We would expect them only for paediatric, cardiothoracic, neuro, and obstetric anaesthesia. However, they are not required if the educational supervisor can assess the evidence themselves and sign off the HALO.

Overall, this is 2 ‘Triple C’s in stage 1, 4 in stage 2, and 2 in stage 3.

  • If anaesthetists in training are staying within the same trust will they need a ‘Triple C’ forms completing or can they be signed off for General Anaesthesia by the faculty at the trust at the end of that stage in training?

If the faculty can discuss an anaesthetist in training’s progress in specialised areas, then a ‘Triple C’ form is not necessarily required. The ‘Triple C’ is just a mechanism to provide education supervisors with evidence in specific areas of training.