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At all times, at least one advanced life support provider or an anaesthetist should be immediately available.  

The anaesthetist should document in the patient’s case notes that all of the above have been properly performed.

A named anaesthetist should oversee the provision and management of anaesthetic equipment.³³

Recovery staff should have immediate access to the appropriate clinician in the perioperative period, e.g. anaesthetist, surgeon, radiologist.

Anaesthetists with a specific interest in orthopaedics and trauma should deliver regular theatre sessions to ensure the maintenance of their skills and experience.

There should be a forum for discussion of matters relevant to both surgeons and anaesthetists, for example protocol development and critical incidents.

The care of the patient remains the responsibility of the anaesthetist up to discharge for ambulatory procedures or ward transfer for inpatient procedures.