Developing world anaesthesia

A practical introduction to the practice of anaesthesia in the developing world. Suitable for anyone planning, or even just thinking about going to work in the developing world, from junior trainees through to senior consultants.

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Key details

Date: 27 September 2021 | 08:15 - 17:30

Location: Manchester, Malmaison Hotel

Availability: Limited availability

Clinical content lead(s): Dr Sarah O'Neill

CPD credits: 5

*LIMITED AVAILABILITY - if you book a place over the weekend please email to confirm*

This course is suitable for anyone planning, or even just thinking about going to work in the developing world, from junior trainees through to senior consultants. The course will be made up of a mixture of lectures, small group sessions and hands on sessions and will cover a range of topics (please see programme).

The course is taught by an experienced faculty of consultants, with some senior trainees, who between them have extensive experience of working in the developing world. Specialised equipment is provided by Diamedica UK.

The course has been running since 2011 in Bristol and has now moved to run twice yearly at the Royal College of Anaesthetists and in other, regional cities. More details at


COVID-19 Safety Policy

Please read the information below carefully. Following the return to in-person events at the RCoA, we will be following government guidelines and using COVID secure venues, including Malmaison Manchester.

At the moment we are asking attendees to follow the below guidelines if attending an in-person event:

  • We require face coverings to be worn when moving throughout the venue but may be removed when sat down.
  • We will be adhering to 1 meter social distancing throughout the event
  • We require (unless exempt) all attendees to be in possession of and show on entry a COVID pass showing their double vaccination status or proof of a negative PCR or lateral flow test in the 48hrs before the start of the event. There are multiple ways to obtain the pass, for full details please follow this link for further information if you are unsure.

Please also find a short video on obtaining a COVID pass via the NHS app below.

How to find us

Malmaison Manchester

1-3 Piccadilly


M1 3AQ


Monday 27 September
08:15 - 08:45 Registration and refreshments  
08:45-09:00 Welcome and introduction Dr Sarah O'Neill | Salford
09:00 - 09:30 Ketamine Dr Tom Poyser | Salford
09:30 - 10:10 Drawover anaesthesia Dr Michael Dobson | Oxford
10:10 - 10:30  Refreshments break  
10:30 - 10:55 Anaesthesia in the global context Mr Julian Gore-Booth, London
Workshop start times 11:00 - 11:45 11:50 - 12:35 12:40 - 13:30 13:30 - 14:15 14:20 - 15:05
Equipment and drawover 1 Group 1 Group 2 LUNCH Group 1 Group 2
Equipment and drawover 2 Group 2 Group 1 LUNCH Group 2 Group 1
Workshop start times 11:00 - 11:30  11:35 - 12:05   12:10 - 12:40 13:30 - 14:00  14:05 - 14:35 14:40 - 15:10
Paediatrics Group 3 Group 4 Group 5 Group 3 Group 4 Group 5
Problem solving and decision making in the field Group 4 Group 5 Group 3 Group 4 Group 5 Group 3
Obstetrics Group 5 Group 3 Group 4 Group 5 Group 3 Group 4
15:10 - 15:35 Trauma care in developing countries Dr Ben Gupta | Bristol
15:40 - 16:00 Refreshments break  
16:00 - 16:20 Organising your time away and making it count Dr Rachel Freedman | London
16:20 - 16:40 Being a good visitor Dr Emmanuel Ayebale
16:40 - 17:00 Experience from the field Dr Sarah Al-Sheikha | Liverpool
17:00 - 17:20 Experience from the field Dr Elma Wong | Worcester
17:20 - 17:30 Final Q&A and close  



Prices September 2021
Non-Member £300
RCoA Member £225



Dr Sarah O'Neill
Clinical Lead | Consultant Anaesthetist

Dr Sarah O'Neill is a consultant anaesthetist at Salford Royal Hospital. She haw worked with Medecins Sans Frontieres several times over the last ten years, in trauma and obstetric hospitals in countries including Yemen, Afghanistan, Libya and Nigeria. Dr O'Neill has also previously worked with Mercy Ships and the Palestinian Children’s Relief Fund. She has additionally been part of the faculty for the Developing World Anaesthesia course for a number of years.

Dr Michael Dobson
Retired Consultant Anaesthetist

Mike Dobson is a retired consultant anaesthetist from Oxford, where he first started running courses on Anaesthesia for Developing Countries in 1981.  He has worked clinically as an anaesthetist in Nepal and a number of African countries, and has taught on and directed Primary trauma Care courses in Asia, Africa and South America.  He has worked with WHO and WFSA, and is the author of a number of books including “Anaesthesia a the District Hospital” and “The Right Stuff”.

Dr Rachel Freedman
Consultant Adult and Paediatric Anaesthetist

Dr Rachel Freedman is a consultant adult and paediatric anaesthetist at St. Mary’s Hospital in London. Rachel was one of the inaugural Lifebox Fellows of Anaesthesia, spending six months in Uganda in 2016 working clinically and on quality improvement projects focussed on safe anaesthesia and surgery. Rachel has been course director for the Developing World Anaesthesia course for 4 years and is the immediate past treasurer of the World Anaesthesia Society. Rachel is topic lead for the Association of Anaesthetists course SAFE Paediatrics GB&I. 

Dr Sarah El-Sheikha
ST7 Anaesthetic Registrar

Dr Sarah El-Sheikha is a highly motivated and enthusiastic doctor based in the North of England. She is in her final year of Anaesthetic training, with the goal of sub-specialisation in Paediatric Anaesthesia. Sarah has previously acted as a Senior Fellow for the Zambia Anaesthesia Development Program. She designed and implemented a Quality Improvement Community, training Zambian health care professionals in the practical application of QI. The program has since been adopted by the Ministry of Health and presented to the World Health Organisation. 

Sarah is currently on a one year secondment with NHSX after gaining a place on the prestigious National Medical Director’s Clinical Fellow Scheme. Sarah is deeply committed to using her passion for medical leadership and management to improve the working lives of her colleagues and patient care. She is keen to ‘bridge the gap’ between QI and Technology enabled change, appreciating the importance of these principles to influence effective change management. 

Dr Emmnual Ayebale
Anaesthesiologist and Intensivist

Dr Ayebale is an Anaesthesiologist/ Intensivist from Uganda who served as a Lecturer in Makerere University, Department of Anesthesiology and Critical Care, before moving to the UK in 2017 where he completed a 2-year Fellowship in Critical Care at the Royal Liverpool Hospital and obtained the European Diploma in Intensive Care Medicine (EDIC). He then proceeded to the University of Washington in Seattle, USA, where he completed a Master of Public Health (MPH) in Global Health (Health Metrics) and a Fellowship in Anaesthesiology and Global Health. He is currently doing a Residency in Anesthesiology and Pain Medicine at the same institution.

Dr Tom Poyser
Consultant Anaesthetist

Tom is a consultant anaesthetist at Salford Royal Foundation Trust.
His day to day work in the non-covid times includes CPET, pre-op, orthopaedics, general and urology.

His interest in developing world anaesthesia began when working in a trauma unit in South Africa and he lived and worked in Ethiopia post final FRCA helping to develop anaesthesia and intensive care facilities in the South West of the country.

He has returned to Ethiopia since, and would like to return to the projects there; pandemic and civil conflict allowing.

Dr Rachael Craven
Consultant Anaesthetist

Dr Rachael Craven is a consultant anaesthetist at University Hospitals Bristol specialising in anaesthesia for maxillofacial and thoracic surgery. For the past sixteen years she has also worked as a volunteer with Medecins sans Frontieres. She is a board trustee for MSF(UK), a member of the World Federation of Anesthetists/International Committee of the Red Cross liaison committee and is the ex anaesthesia lead for the UK Emergency Medical Team (UKEMT). Through this work she has gained extensive experience working in and setting up field hospitals in post disaster and conflict situations including the Haiti and Nepal earthquakes, DRC, Libya, Syria, Gaza and Yemen.

In addition to her overseas work Rachael is very involved in medical education: she designed and directed the UKEMT Anaesthesia in Austere Environments course and is a member of faculty for the ICRC War Surgery Course, Royal College of Anaesthetists Developing World Anaesthesia, and Oxford-Uganda developing world anaesthesia courses. She is co-editor of the Oxford Specialist Handbook of Global Anaesthesia and the ICRC Anaesthesia Handbook for Disaster and Conflict and a contributing author for the ICRC/WHO guidelines on Management of Limb Injuries in Conflict and Disaster, the Oxford Handbook of Expedition and Wilderness Medicine, the Association of Anaesthetists eSafe dvd and content editor for the Royal College of Anaesthetists eLearning Anaesthesia developing world module. 

In 2014 she was awarded the Pask Certificate of Honour by the Association of Anaesthetists of Great Britain and Northern Ireland for distinguished service to anaesthesia during conflict overseas.

Dr Ben Gupta
Consultant Anaesthetist

Dr Ben Gupta is a consultant anaesthetist at University Hospitals Bristol and Weston NHS Trust. He has an interest in anaesthesia for obstetrics and trauma as well as anaesthesia in low resource settings. He has worked overseas for MSF and is the founder of the Developing World Anaesthesia course. He is the co-editor of the Oxford Specialist Handbook of Global Anaesthesia.

Dr Jeanne Frossard
Retired Consultant Anaesthetist

Dr Jeanne Frossard is now a retired consultant anaesthetist who worked for many years at UCLH NHS Trust in London. One of her main interests was in overseas development and she has worked for MSF in Afghanistan, as head anaesthetist for the ICRC on Kenya during the war in the South Sudan. Dr Frossard has for many years been on the faculty for the Anaesthesia in Developing Countries course.

She has also been a trauma trainer for the ICRC and also a trainer for Primary Trauma Care and has taught the programme in over 17 countries. Dr Frossard is a trustee of the charity. Additionally, Dr Frossard has participated in many refresher courses for clinical officers when they were offered by the WHSA.

Mr Robert Neighbour
Chartered Engineer | Founder of Diamedica UK

Mr Robert Neighbour MSc C.Eng FIET is a Chartered Engineer, a Fellow of the Institution of Engineering & Technology, and Founder of Diamedica (UK) Ltd. He has undertaken innumerable missions worldwide to install and maintain anaesthetic and ICU equipment and train people in its use and maintenance. The company specialises in designing and providing medical equipment suitable for use in harsh environments, areas of limited logistical support and conflict situations. Diamedica supplies customers in over 80 countries worldwide, including international emergency humanitarian response organisations, NGOs charities and government departments. 

Dr Elma Wong
Consultant Anaesthetist

An NHS consultant anaesthetist at Worcestershire Royal Hospital and Birmingham Children's Hospital, Elma has worked for MSF in the field since 2013. She has recently returned from Nigeria where she worked at the MSF-supported Noma Children's Hospital in Sokoto. Last year she worked in GAZA in response to the COVID pandemic. Over the years she has worked multiple times in the Yemen conflict, Syria, Papua New Guinea and Iraq.

She has also worked on a number of projects to promote anaesthesia education and training overseas; Ethiopia (CASIEF), Bangladesh (SAFE anaesthesia, Lifebox), Cameroon (Primary Trauma Course) and BASIC intensive care.