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Anaesthesia associates should work under the supervision of a consultant or autonomously practising anaesthetist at all times, as required by the RCoA.³²

There should be a nominated anaesthetist responsible for training in obstetric anaesthesia, with adequate programmed activities allocated for these responsibilities.⁵⁹

The anaesthetist should be informed about the category of urgency of caesarean birth and the indication for surgery at the earliest opportunity.¹⁴⁷

In single specialty centres, the anaesthetic department should adopt the generic standards described throughout GPAS. This should include a lead paediatric anaesthetist if children are treated.

Anaesthetists in training should be encouraged to attend other training opportunities within the neuroscience unit, such as grand rounds, radiology and pathology case conferences, and morbidity and mortality meetings.

All anaesthetic equipment should be checked before use in accordance with the Association of Anaesthetists published guidelines. Anaesthetic machine checks should be recorded in a log and on the anaesthetic chart.

Where cardiac surgery is scheduled to occur immediately after caesarean section, there should be early involvement of obstetricians, specialist obstetric anaesthetists, neonatal paediatricians and midwifery services.