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Chapter 2: Guidelines for the Provision of Anaesthesia Services for the Perioperative Care of Elective and Urgent Care Patients 2025

Preoperative assessment, optimisation, manipulation of patients’ normal drugs and shared decision making in patients with diabetes requires a cross-specialty approach based on national guidance involving anaesthetists, surgeons, diabetes physicians, diabetes inpatient specialist nurses and pharmacists. The development of such teams requires time and resources. This should be recognised and provided.269,270

Chapter 8: Guidelines for the Provision of Regional Anaesthesia Services 2025

Patients undergoing regional anaesthesia should undergo preoperative preparation, where there is the opportunity to assess medical fitness and impart information about the procedure. An individualised risk-benefit assessment and discussion should occur with every patient considering regional anaesthesia. Relevant guidance should be followed where appropriate based on the patient, the procedure and the specific regional technique e.g. Association of Anaesthetists guidance...

Industrial action in the NHS: advice and FAQs for members

Junior doctors in England have voted to take industrial action. The first 72-hour walkout too place from 13-15 March 2023. The second, 96-hour walkout, is due to take place from 11-15 April 2023. We want to support our members during this time and have put together this information, which includes some frequently asked questions and signposting to further guidance and support.

The patient as an advocate for DrEaMing

This article looks at how the ‘DrEaMing’ care bundle supports patients to Drink, Eat and Mobilise within 24 hours of major surgery and is associated with decreased length of stay for patients and a lower rate of late postoperative complications.

The ‘DrEaMing’ care bundle supports patients to Drink, Eat and Mobilise within 24 hours of major surgery. This simple, patient-centred intervention is associated with decreased length of stay for patients and a lower rate of late postoperative complications.1 

Supported by the RCoA and Getting It Right First Time (GIRFT), DrEaMing is a Commissioning for Quality and Innovation (CQUIN) indictor, and was recently updated for 2023/2024. Containing the core features of more complex enhanced recovery pathways, DrEaMing aims to revitalise the quality-improvement (QI) efforts aiding patients’ recovery after surgery.

A positive collaborative culture, with cohesive working between the whole surgical multidisciplinary team, is essential for DrEaMing to become a sustained standard of care. The perioperative team are fundamental in delivering DrEaMing, but the other important party that can drive QI are the patients themselves!

Developments in Equivalence and Portfolio: a changing and evolving GMC pathway

This article gives an overview of the developments in equivalence and portfolio in the changing and evolving GMC pathway.

Authors:

  • Dr Ros Bacon, Chair, RCoA Equivalence Committee
  • Dr Ashwini Keshkamat, Deputy Chair, RCoA Equivalence Committee
  • Dr Derek McLaughlin, Deputy Chair, RCoA Equivalence Committee
  • Mr Russell Ampofo, RCoA Director of Education, Training and Examinations
  • Ms Claudia Moran, RCoA Head of Training

Email our Equivalence team

The College is responsible for ensuring that anaesthetists meet the standards for Specialist Registration with the General Medical Council (GMC) and that UK and international medical professionals who seek independent practice in the UK have the necessary knowledge, skills and experience (KSE).

The increasing number of Certificate of Eligibility for Specialist Registration (CESR) applications and the GMC’s implementation of new regulatory pathways have presented challenges for the Equivalence Committee. The Equivalence Committee is committed, on behalf of the College and members, to maintaining standards. This article explores the proactive steps being taken by the College to support the Equivalence Committee and enhance the process of assessing CESR applications.

Stage 3 training

Guidance on progressing through and completing stage 3 of the anaesthetic training, including the Special Interest Areas.