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

A small number of centres perform burn surgery. These centres should offer external training opportunities for anaesthetists, nursing staff, physiotherapists and other members of the multidisciplinary team.⁶⁰

Online imaging results from referring hospitals and within the neuroscience centre should be available locally, and consideration should be given to the provision of remote access for all anaesthetists who provide cover to neuroanaesthesia out of hours.

Consultant anaesthetists who provide out of hours cover to the neuroscience unit but do not provide neuroanaesthesia in working hours should be able to demonstrate the maintenance of appropriate skills and knowledge through regular clinical involvement and CPD.

Cardiac anaesthetists working in non-transplant centres should be familiar with the principles of the anaesthetic management for patients who have previously undergone heart or lung transplantation.⁴²

Adequate provision through job planning and service demand should be made for an anaesthetist-led acute pain service.^188,189

All anaesthetists working in ophthalmic services should have access to continuing educational and professional development facilities for advancing their knowledge and practical skills associated with ophthalmic anaesthesia.⁴⁴

Where an AA is primarily responsible for the provision of anaesthesia, a named anaesthetic consultant or autonomously practising anaesthetist should have overall responsibility for the care of the patient during anaesthesia.¹⁵

Departments should review the on-call responsibilities of anaesthetists as part of annual appraisal and job planning.⁵⁷ Reviews should take into consideration subjective assessment of fatigue and consider seeking advice from an accredited specialist in occupational medicine if necessary. This may apply, but not exclusively, to older anaesthetists.^54,58