Suggested supervision levels for each stage of training are set out in the HALO stage guides. The faculty should discuss the supervision level they think the anaesthetist in training is achieving in practice. This should be reflected in the SLEs, however if a trainee does not have an SLE which demonstrates the required supervision level, the HALO can still be completed if the assessment faculty agree that the trainee is able consistently to perform safely at the required level.

If an anaesthetist in training is not achieving the suggested supervision levels then this may indicate issues with progress and should be discussed by the assessment faculty. Measures may need to be put in place to support the anaesthetist in training to achieve the supervision level required.

Feedback from faculty decisions should be shared with the anaesthetist in training. This may be as a formative discussion, supervisory meeting or a summative recording of the HALO approval.