Guidelines for the Provision of Anaesthetic Services

The Guidelines for the Provision of Anaesthetic Services (GPAS) support anaesthetists with responsibilities for service delivery and healthcare managers to design and deliver high quality anaesthetic services. It is developed using a rigorous, evidence-based process, which was accredited by the National Institute for Health and Care Excellence (NICE) in 2016.

Each of the GPAS chapters should be seen as independent but interlinked documents. Guidelines on the general provision of anaesthetic services are detailed in the following chapters of GPAS:

  • chapter 2: guidelines for the provision of anaesthesia services for preoperative assessment and preparation
  • chapter 3: guidelines for the provision of anaesthesia services for intraoperative care
  • chapter 4: guidelines for the provision of anaesthesia services for postoperative care

These guidelines apply to all patients who require anaesthesia or sedation, and are under the care of an anaesthetist. For urgent or immediate emergency interventions, this guidance may need to be modified as described in chapter 5: guidelines for the provision of emergency anaesthesia.

Chapter 1

Introduction and next steps

Chapter 2

Guidelines for the Provision of Anaesthesia Services for Preoperative Assessment and Preparation 2019

Chapter 3

Guidelines for the Provision of Anaesthesia Services for Intraoperative Care 2019

Chapter 4

Guidelines for the Provision of Postoperative Care 2019

Chapter 5

Guidelines for the Provision of Emergency Anaesthesia 2019

Chapter 6

Guidelines for the Provision of Anaesthesia Services for Day Surgery 2019

Chapter 7

Guidelines for the Provision of Anaesthesia Services in the Non-theatre Environment 2019

Chapter 9

Guidelines for the Provision of Anaesthesia Services for an Obstetric Population 2019

Chapter 10

Guidelines for the Provision of Paediatric Anaesthesia Services 2019

Chapter 11

Guidelines for the Provision of Anaesthesia Services for Inpatient Pain Management 2019

Chapter 12

Guidelines for the Provision of Anaesthesia Services for ENT, Oral Maxillofacial and Dental surgery 2019

Chapter 13

Guidelines for the Provision of Ophthalmic Anaesthesia Services 2019

Chapter 14

Guidelines for the Provision of Neuroanaesthetic Services 2019

Chapter 15

Guidelines for the Provision of Anaesthesia Services for Vascular Procedures 2019

Chapter 16

Guidelines for the Provision of Anaesthesia Services for Trauma and Orthopaedic Surgery 2019

Chapter 17

Guidelines for the Provision of Anaesthesia Services for Burn and Plastics Surgery 2019

Chapter 18

Guidance on the Provision of Anaesthesia Services for Cardiac and Thoracic Procedures 2019

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.

Statement of intent

These documents are for guidance only. They are not intended to replace the clinical judgement of the individual anaesthetist, and the freedom to determine the most appropriate treatment for individual patients in a particular place at a specific moment should not be constrained by a rigid application of this guidance.

Each chapter is written with best practice in mind and referenced to recommendations from national bodies. It is the responsibility of the individual reader to take into account particular local circumstances when applying the recommendations of each chapter.