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A nurse-led sedation service should be supported by an appropriately trained and experienced anaesthetist at all times.⁵³

The recommended Association of Anaesthetists standards of anaesthetic monitoring should be met for every patient.²⁵

The anaesthetist should have the skills to hold a competent interview, assess and communicate the chance of benefit and harm, and facilitate shared decision-making.

The anaesthetist caring for the woman should not be responsible for neonatal resuscitation and the care of the newborn baby.²¹

The anaesthetist should explain what the patient will experience before and after anaesthesia, and include any choices of anaesthetic technique and details of postoperative management.

Anaesthetists who prescribe sedation for paediatric burn patients should have received appropriate training.⁴¹

There should be documentation of any discussions informing consent for any procedures undertaken by the anaesthetist.¹¹³

The anaesthetist should be informed about the category of urgency of caesarean delivery at the earliest opportunity.¹¹⁷

Anaesthetists should be involved alongside surgical colleagues and orthogeriatricians, in discussions on preoperative planning, timing of surgery, and postoperative care, especially for high risk patients.

All anaesthetists providing anaesthesia for trauma and orthopaedics should have appropriate knowledge, skills, attitudes and behaviour in accordance with the RCoA training standards.