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Anaesthetists should be part of the multidisciplinary team engaged in development and implementation of enhanced recovery programmes in cardiac surgery.^50,51

Each unit should have a designated clinical lead (see glossary) anaesthetist for thoracic anaesthetic services. This should be recognised in their job plan and they should be involved in multidisciplinary service planning and governance within the unit.

There should be an identified group of senior anaesthetists who manage and deliver a comprehensive ophthalmic anaesthesia service, including the use of orbital regional anaesthetic techniques.²

Access for preoperative assessment staff to multidisciplinary teams support from other physicians, medical specialists, anaesthetists, surgeons and pain management teams should be available.¹²

The anaesthetist should have a competent trained assistant immediately available for the duration of any anaesthetic intervention and this practitioner should not have any other duties.³³

Autonomously practising anaesthetists and intensivists should be involved in the planning of local trauma services. Those with defined responsibility for major trauma management should be engaged in the layout and logistics of the resuscitation room, interventional radiology and theatres suites.

Anaesthetists who prescribe sedation for paediatric burn patients should have received appropriate training. ^15,52