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The IPS should have a clinical/ specialty lead with time identified for leadership and development roles within their job plan. Time, in programmed activities should be allocated proportional to the size of the organisation and service provided.

In each hospital providing neuroanaesthesia, a neuroanaesthetist should be appointed as the clinical lead (see Glossary) to manage service delivery. Adequate time for this role should be included in the lead’s job plan.

Clinical research staff allocation to clinical activities (beyond those job planned) should be limited to situations of major strain in the resources, such as major departmental emergencies.⁵⁴

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