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Anaesthesia (and surgery) for hip fractures should be undertaken by an appropriately experienced anaesthetist (and surgeon).

Thoracic anaesthetists should be familiar with the normal physiological effects of pregnancy and the general principles of obstetric anaesthesia.

Anaesthetists with an appropriate level of training should attend patients undergoing major elective vascular surgery.

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

The preoperative assessment and decisions regarding the risks of vascular surgery are often complex and time consuming, and require detailed discussions with the patient and other colleagues. Patients undergoing major vascular surgery should ideally be assessed by a vascular anaesthetist. Regular sessional time and programmed activities should be made available for anaesthetists to fulfil these requirements.¹²

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.²¹² There will be anaesthetists who have acquired more advanced competencies, thus allowing provision of a more extensive anaesthetic service, and...

Children should always be managed in accordance with RCoA and Association of Paediatric Anaesthetists of Great Britain and Ireland recommendations.