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In units where anaesthetists in training work a full or partial shift system and/or rotate through the department every three months (or more frequently), provision of additional programmed activities for autonomously practising anaesthetists should be considered, to allow initial orientation, training and supervision into the evening.³⁰

Educational opportunities for anaesthetists in training in MTC and TU will undoubtedly occur during predictable job planned consultant direct clinical care sessions out of hours as a result of the nature of trauma. Hospitals in which anaesthetists in training work a full or partial shift system should consider providing additional consultant programmed activities to allow training and supervision to take...

Anaesthetists in training should be given the appropriate level of responsibility according to their competence and level of training, to gain the experience of non-theatre environment and to enable them to function as a consultant later in their career. Anaesthetists in training must be appropriately supervised at all times; rotas and staffing arrangements should be in place to facilitate this...

Departments of anaesthesia should ensure that a named supervisory consultant is available to all non-consultant anaesthetists (except those SAS anaesthetists that local governance arrangements have agreed in advance are able to work in those circumstances without consultant supervision) based on the training and experience of the individual doctor and the range and scope of their clinical practice.⁵¹ Where an...

Anaesthesia for children should be undertaken or supervised by anaesthetists who have undergone appropriate training. In the UK, all anaesthetists with a Certificate of Completion of Training (CCT) or equivalent will have completed higher paediatric anaesthetic training or equivalent.²¹⁰ There will be anaesthetists who have acquired more advanced competencies, thus allowing provision of a more extensive anaesthetic service, and...

There should be an identified consultant anaesthetist with overall responsibility for supervision of anaesthetic trainees and, where necessary, anaesthetists who are neither consultants nor trainees.^3,7