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Protocols should be developed to ensure that accurate clinical information is available in a timely manner to the anaesthetist to avoid any delays in treatment. There should be an agreed process for alerting the mechanical thrombectomy team if anaesthetic provision is unavailable to allow referral to another mechanical thrombectomy centre.

The level of staffing should be sufficient for the consultant leading the emergency anaesthesia team to be able to provide a continuous emergency anaesthesia service in the theatre complex without interruption. Other service requirements, e.g. remote sites, trauma calls and advice should be anticipated and managed through local arrangements.²⁵ Anaesthetists assigned to provide cover for emergency lists should not...

Training for anaesthetists to attain stage 1, stage 2 and stage 3 competencies in pain medicine, as specified within the Royal College of Anaesthetists (RCoA) 2021 curriculum should be provided.³ Training opportunities can include allied health professional led reviews with appropriate education supervision from a recognised RCoA trainer. Where stage 3 training including Specialist Interest Areas in acute inpatient...

For children, a staff member with an advanced paediatric life support qualification or an anaesthetist with paediatric competencies should be immediately available.^32,33,42

A dedicated, appropriately trained anaesthetic assistant, who is familiar with that specific environment, should be available in all non-theatre environments where anaesthesia or deep sedation is undertaken by an anaesthetist.^8,9

Appropriate exposure should be given to anaesthetists during their training to develop skills in reasonable adjustments and anxiolysis. Allied professionals specialising in this area should also be given training.^44,45

In a designated major trauma centre, the receiving trauma team should include an anaesthetist with appropriate airway and damage control resuscitation competencies to manage trauma patients.^48,49