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Anaesthetists providing sedation for dental procedures should follow the guidance on safe sedation published by the Academy of Medical Royal Colleges and Intercollegiate Advisory Committee on Sedation for Dentistry.^36,37 

Vascular anaesthetists should have the appropriate skills and knowledge regarding invasive cardiovascular monitoring, cardioactive or vasoactive drugs, strategies for perioperative organ protection (renal, myocardial and cerebral), the management of major haemorrhage, and the maintenance of normothermia.²⁹

Anaesthetists should be supported in maintaining the scope of their clinical practice as required for their clinical role, including their out of hours and flexible clinical commitments.^{24, 25, 26}

Anaesthetists with commitments to regional and national work should have appropriate support through job planning. Departments should take into consideration both the impact this has on the rest of the department, as well as the considerable benefits local departments gain from having staff undertake anaesthetic regional and national roles.

All anaesthetists should complete training in adult and paediatric life support, safeguarding and consent, appropriate to their clinical practice and case load (emergency as well as elective). Knowledge and skills in these domains should be maintained through CPD and planned as part of annual appraisal and personal development plans (PDP).

When using the block room model, where work occurs in parallel, the anaesthetist should be immediately available for the first 15 minutes after siting the block and then immediately contactable and able to attend within 2 minutes for the duration of the procedure.¹⁶

Anaesthetists and other health professionals who care for children having regional anaesthesia techniques, must have received appropriate training and should ensure that at annual appraisals, competence is deemed adequate.^45,51

All anaesthetists must undertake at least level 2 training in safeguarding/child protection, and must maintain this level of competence by annual updates of current policy and practice and case discussion.^60,61 Safeguarding resources to support learning can be found on the RCoA website (www.rcoa.ac.uk/safeguardingplus).

The paediatric anaesthetist should consider the patient’s age and physical capacity, the complexity of the procedure and the status of the surgical facility before administering anaesthesia. Children with learning and/or communication difficulties requiring sedation or anaesthesia should be cared for as per the recommendations of GPAS Chapter 10: Guidelines for the Provision of Paediatric Services.³⁹

Audit programmes should be developed locally but should include continuous audit of transfer of neuroscience patients, neurocritical care capacity and demand, rates of unplanned admission and readmission to the intensive care unit, and the caseload of anaesthetists in training, among others. In general, local practice should be audited against compliance rates with national and expert consensus guidelines.^5,41,53