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The National Emergency Laparotomy Audit (NELA) is 10 years old this year, so this is a timely point to review progress, highlight achievements, and look at the persisting challenges ahead.

We go behind the scenes of the NIAA’s Patient, Carer and Public Involvement and Engagement Group (aka the ‘PCPIE' Group) to speak to some of its members about their work and how they believe it benefits research.

The Perioperative Quality Improvement Programme has been running since 2016 and wouldn’t be anything without our collaborators. We would like to thank them all for their hard work.

The Associate Principal Investigator (API) scheme is a new initiative from the National Institute of Health Research (NIHR) which aims to formalise research involvement for those not normally exposed to research in their day-to-day jobs.

A warm welcome to our new HRSC fellows.

Welcome to the autumn edition of the Bulletin. As I write this, there is a sombre atmosphere as the funeral arrangements for Queen Elizabeth II proceed, and I want to take the opportunity to pay my respect to her and to her devotion to duty in this editorial. Although it was not unexpected, I was surprised how deeply her death affected me – I felt keenly what a historic moment the death of the longest-serving monarch in British history, and the second-longest in world history, was.

If there is one thing we have learnt recently, it is to make sure we engage with you, our members. We need your valuable experience and views to shape the future of the College. You may remember that back in February we took a single proposal regarding governance of the College to an Extraordinary General Meeting (EGM), asking members to back a package of measures to change the governance of the College and bring us in line with the laws which govern us in our legal status as a charity. This proposal, while receiving the majority of votes, did not get the support of the two-thirds of attendees needed to pass it.

Read the latest letters submitted by members in Winter's Bulletin. If you'd like to submit a letter to the editor, please email bulletin@rcoa.ac.uk.

Find out who has newly joined the College.

I write this month’s President’s View in the week following the death of Her Majesty Queen Elizabeth. On behalf of the College, I extend our condolences to the Royal Family. I hope that the expression of admiration and love felt for the Queen worldwide has been of some comfort to them. Her Royal Highness the Princess Royal has long been a dedicated and supportive patron of the Royal College of Anaesthetists, and our thoughts are with her at this time of personal sadness, with which many of us can empathise.