Guidelines for the Provision of Anaesthetic Services (GPAS)

The Guidelines for the Provision of Anaesthetic Services (GPAS) form the basis of recommendations produced by the Royal College of Anaesthetists (the College) for anaesthetists with responsibilities for service delivery and for healthcare managers. It was first published in 1994 and entitled ‘Guidance for Purchasers’. It was revised under the current title in 1999, 2004 and 2009.  Since 2012, it has been revised yearly, and published in electronic format only on the College website.

The 2016 edition of GPAS, for the first time, included three chapters developed using a rigorous, evidence-based process, which was accredited by the National Institute for Health and Care Excellence (NICE) in 2016. This process is being rolled out to all GPAS chapters. For further information about the College’s NICE-accredited process for chapter development, or to get involved in the development of a chapter, please see the GPAS development project page.

Your input
We welcome comments and advice from clinicians and managers to enable new information obtained from audit and research to be incorporated into GPAS, so that the College’s guidance reflects and supports best practice. For comments or advice please email


The 2017 Guidelines
The 2018 Guidelines
Information on the Chapter Development Group (CDGs)
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