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The Working Part on Sexual Misconduct in Surgery has published findings from a survey about sexual misconduct within the surgical team.
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Lives of the Fellows
October is Black History Month and we welcome it as an opportunity to celebrate the contribution of black anaesthetists to the specialty and the NHS. This year’s theme is ‘Saluting Our Sisters’, in recognition of the fact that the many achievements of black women are too often overlooked.
Dr Elliot Yates describes his experience of participating in the pilot of the Clinical and Anaesthetic Sciences Examination (CASE), currently in development.
With new opportunities on the horizon, we intensify our campaign to pressure UK governments into action in 2025.
Two months ago, we published an updated UK State of the Nation report, providing a comprehensive overview of the anaesthetic workforce, retention challenges, and future projections. The NHS urgently needs more anaesthetists.
Increasing demand – driven by factors such as an ageing and growing population – combined with an inadequate supply of anaesthetists due to insufficient training places and poor retention, has exacerbated the shortfall. This gap has grown from around 1,400 anaesthetists in 2020 to 1,900 in 2022 (15% below what is needed to meet demand).
We need to act on this and aim to build on progress from the last few years. Our first State of the Nation report, published in 2022, along with a wider programme of influencing work, helped secure government funding for an additional 70 ST4 anaesthetic training places each year from 2022 to 2024 in England. This helped to reduce the bottleneck between core and higher anaesthetic training, with the number of applications per place dropping from 2.67 in 2021 to 1.64 in 2024. In Wales, six new higher anaesthetic training places were granted in 2023; in Scotland, six new places were granted in 2024. However, many more are needed to address the workforce shortfall.
This milestone anniversary allows us to look back and see what the scheme has achieved, as well as what there's still to do.
This article looks at how anaesthetists in India and the UK are improving patient care using digital technology to achieve great results quickly and more efficiently.
Some are very familiar – a growing, aging population with increasing levels of chronic health problems and significant inequalities in care provision. Others are a factor of the Indian system which Ravi describes as ‘chaotic’.
A key issue underpinning that chaos is the distribution of physicians, 80% of whom practice in urban areas while 70% of the population live rural lives.
Ravi and colleagues are using cutting-edge digital technology to improve healthcare provision in India by introducing ‘comprehensive connected care’. This hub-and-spoke model uses digital connectivity to exchange data and information between centrally located expert clinicians and those caring for patients. For example staff in 5G-enabled ambulances transporting very sick people over long distances receive advice from critical care physicians who have all the patient’s clinical data at their fingertips.