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Agreed local clinical guidelines should be in use that have been produced by an appropriately constituted multiprofessional team, comprising anaesthetists, specialist nurses, surgeons, critical care clinicians, pharmacists, specialty consultants or autonomously practising anaesthetist and managers. These guidelines should cover at least the following:

• assessment and management of pain and pruritus, including the recording of pain and itch scores^13...

An anaesthetic preoperative assessment service should involve consultant anaesthetists and staff grade, specialty and associate specialist (SAS) doctors.^39,40,41 Dedicated anaesthetic presence in the preoperative assessment and preparation clinic is required for:

• the review of results and concerns identified by preoperative staff
• consultations with patients identified using a triage process to allow optimal delivery of preoperative...

An anaesthetic preoperative assessment service should involve consultant anaesthetists and staff grade, specialty and associate specialist (SAS) doctors.^41,42,44 Dedicated anaesthetic presence in the preoperative assessment and preparation clinic is required for:

• the review of results and concerns identified by preoperative staff
• consultations with patients identified using a triage process to allow optimal delivery of preoperative...