The Cappuccini Test is a simple six-question audit designed to pick up issues relating to supervision of anaesthetists in training and non-autonomous SAS grades (NASG) who do not fit the description in Guidelines for the Provision of Anaesthesia Services (GPAS) of 'SAS anaesthetists that local governance arrangements have agreed in advance are able to work in those circumstances without consultant supervision.'
The test is named after Frances Cappuccini, who died giving birth to her son at Tunbridge Wells Hospital in 2012. The coroner’s inquest into her death noted that supervision arrangements for anaesthetists at the trust were ‘undefined and inadequate’. The test was developed for hospitals to assess the level of supervision given to their SAS and trainee anaesthetists, and to make improvements with the aim of improving the safety of patients.
The audit comprises the following steps:
Identify about 20 elective lists over a two-three week period that will conducted by a trainee or NASG without direct, on-the-spot supervision. Attend the theatre during the list and ask the trainee/NASG:
- who is supervising you (name)?
- how would you get hold of them if you needed them now?
Use the answer to the second question to attempt to contact the supervising consultant yourself. If you can’t get hold of them, record this on the audit tool. If you do get hold of them, ask them:
- which lists (ie who) are you currently supervising?
- what surgical specialty are they doing now, do you know of any issues that they are concerned about?
- if they required your help, would you be able to attend?
If you (or the person completing the audit), have any questions, please contact firstname.lastname@example.org
For more information on the Cappuccini Test please see the Bulletin article, published March 2018 (pg 36-37), or the two media reports below: