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Cross specialty teams, including surgeons, anaesthetists, geriatricians and allied health professionals should be initiated to provide quality postoperative care to frail older surgical patients.²

The lead obstetric anaesthetist should ensure representation of the anaesthetic department at multidisciplinary meetings for service planning, e.g. labour ward forum.²⁴

Anaesthetists who care for children and young people should be familiar with relevant patient safety issues.⁷⁹

Dedicated, skilled assistance for the anaesthetist should be available in every situation where anaesthesia or sedation is employed.^4,5

There should be an identified group of senior anaesthetists who manage and deliver a comprehensive ophthalmic anaesthesia service, including the use of orbital regional anaesthetic techniques.²

Healthcare workers, including the anaesthetist, must be aware of the local policy for child protection, and they have an obligation to document and report any concerns to a responsible individual.⁴³

Consultant anaesthetists in cardiac and thoracic units should be responsible for the provision of service, teaching, protocol development, management, research and quality improvement. Adequate time should be allocated in job plans for these activities.

All children and young people should be assessed before their operation by an anaesthetist. Parents and carers, as well as the child, should be given the opportunity to ask questions and to be involved in the physical and psychological preparation for surgery.