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The BMA’s ballot of junior doctors in England shows an overwhelming majority in favour of industrial action, beginning with a 72-hour walkout in March. We are not surprised at the strength of feeling expressed by junior doctors through the ballot. We understand only too well the frustration of our members regarding workforce shortages and other factors causing a steady erosion of morale and wellbeing.
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 speciali...
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
Chapter 11: Guidelines for the Provision of Anaesthesia Services for Inpatient Pain Management 2022
Leaflets should explain pain management after discharge, including a step down analgesic plan and how further supplies of medicine can be obtained. Patient information should emphasise the need to avoid harm from long term strong opioid use and give clear advice on the impact of analgesics on driving, acknowledging the current DVLA guidance.75,76
Chapter 2: Guidelines for the Provision of Anaesthesia Services for the Perioperative Care of Elective and Urgent Care Patients 2025
Patients from non-English speaking groups may require interpreters. Wherever possible, this need should be identified in advance.101 Hospitals should have arrangements in place to provide language support, including interpretation and translation services (including sign language and Braille).101,107,108,109,110 Patients with learning and other difficulties may require special assistance and consideration.
Chapter 13: Guidelines for the Provision of Ophthalmic Anaesthesia Services 2025
As part of preoperative preparation, the plan for the perioperative management of any existing medications, such as anticoagulant drugs and diabetic treatment, should be agreed, taking into account the relative risks of stopping any medication in the light of the patient’s medical condition and the anaesthetic technique required. Advice should be sought from the multiprofessional team (e.g. medical colleagues, clinical...
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PCPIE: Resources
Dr Fiona Donald, our President looks ahead to some of the College’s priorities for 2024 and highlights some of the work we're doing to try to address current issues.
I’d like to wish you all a very happy New Year. I realise that January is a very challenging time in the NHS, with winter pressures compounded by ongoing staff shortages and sickness. And in looking ahead to some of the College’s priorities for 2024, I’d like to highlight some of the work we're doing to try to address these issues.
The urgent need for more doctors to be able to train as anaesthetists is always the first thing I raise in conversations I have with the government, NHS England and other decision makers around the country. Last month I wrote to the new Secretary of State for Health and Social Care to set out the need to address the current shortage of anaesthestists and to outline the impact this is having on the elective care backlog, among other things.
In the last year we have secured some incremental improvements on this front, but there is a long way to go, and we will do all we can to maintain momentum in the year ahead.
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We talk to Dr Layla Guscoth, an anaesthetist who has recently completed her novice period (as well as being an England netball star!), about pre-assessing patients and the pre-op visit. We discuss some of the challenges involved as well as key things not to miss and why we do pre-op visits in the first place.
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Mr Golbourn is a qualified accountant by background and currently works as an independent consultant having retired from board-level executive roles. He brings with him a wealth of experience in financial leadership and governance, having previously worked in senior leadership roles for medical organisations, membership organisations and charities, including the NHS, Royal College of Physicians and the Royal College of Nursing.