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.
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.
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
Where possible, equipment such as monitors, video recorders and airway simulators should be made available to facilitate anaesthetic education. Time to educate all anaesthetists in elective, emergency and advanced airway management techniques should be encouraged.
