ACSA standards


The Anaesthesia Clinical Services Accreditation (ACSA) scheme is based on a relevant and robust set of standards set by the profession, for the profession. Domains one to four aim to cover all aspects of general anaesthetic care provided in all hospitals in the UK.  The fifth domain focuses on the provision of additional levels of specialised care delivered in specialist hospitals or general hospitals with a large and separate sub-specialty unit. For further details on Domain five please click here.

Every ACSA standard is based on recommendations from the College’s Guidelines for the Provision of Anaesthetic Services (GPAS). The GPAS document is reviewed annually, to ensure that it remains up to date with national recommendations and any additions or amendments are reflected in the standards on an annual basis. Standards that have commonly been queried are also reviewed, to ensure that they are worded for maximum clarity.

All ACSA standards are mapped to the CQC Key Lines of Enquiry (KLoE) and the Health Inspectorate Wales and Health Improvement Scotland inspection domains.  The GPAS references are also listed against each standard, to allow for easy consultation if further detail is required.

Every year, following the annual standard review, a brief summary of the changes to the standards is produced for departments that are working on their self-assessment. You can download a copy of the 2019 ACSA standards in either Adobe PDF or Excel format. To improve usability a document has been produced that shows each standard along with its GPAS reference text in full.

If you have any queries please do not hesitate to contact the ACSA team on

Please click the images below to view a larger version in pdf



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