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All patients undergoing anaesthesia should be under the care of an autonomously practising anaesthetist whose name is recorded as part of the anaesthetic record.^4,95

Anaesthetists who work regularly within the radiology department should be issued with personal dosimeters by their employer to monitor their radiation exposure and to ensure that levels remain within statutory dose limits.⁵⁸

A process should be in place for the formal assessment of anaesthetists before allowing them to join the on-call rota for obstetric anaesthesia with distant supervision.^20,122

Anaesthetists who provide emergency care outside burn services should be trained in the initial management of the patient with severe burns, including timely emergency assessment, resuscitation and transfer to a burns service.⁶¹

Continuity of care should be a priority in prolonged procedures and, when this is not possible, a formal documented process with some overlap should be in place for handover of clinical care from one anaesthetist to another.²

Pathways should be multidisciplinary, starting at preoperative assessment and involving a learning difficulty nurse specialist, if appropriate, the patient’s usual care team, the day surgery team anaesthetist for the list and a surgeon, as appropriate.¹²