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Burns anaesthetists should have access to and knowledge of nasendoscopy.

The lead obstetric anaesthetist should audit and monitor the duty anaesthetist workload to ensure that there is sufficient provision for the busyness of the unit.

The anaesthetist should be with the patient at all times while the patient is anaesthetised. In hospitals employing AAs, this responsibility may be delegated to an AA, supervised by a consultant anaesthetist in accordance with the scope of practice for AAs.^118,121

Young people have additional needs and may wish to speak to the anaesthetist or another member of staff without direct parental presence.^66,99 Anaesthetists should make it clear that they are willing to speak with young people on their own, on request.

Wherever possible, anaesthesia in remote ophthalmic surgical sites should be delivered by an appropriately experienced consultant or autonomously practising anaesthetist. Where a trainee or non-consultant grade is required to provide anaesthetic services at a remote site, the recommendations of the Royal College of Anaesthetists should be followed.¹⁰

An anaesthetist should be physically present when a general anaesthetic is administered. In exceptional circumstances, anaesthetists working singlehandedly may be called on briefly to assist with or perform a lifesaving procedure nearby. This is a matter for individual judgement, and a dedicated anaesthesia assistant should be present to monitor the unattended patient.¹¹