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Our workforce is undoubtedly changing.
The latest GMC workforce report shows a striking 18% increase in the number of licensed doctors on its register between 2018 and 2022. Numbers have increased by 46%, most markedly among SAS and Locally Employed Doctors (LEDs), which is almost entirely down to a marked increase in the latter. LEDs are a very heterogenous group, including doctors just after foundation training (‘F3’), doctors in posts between core and specialty training, locum consultants and post-training fellows seeking further subspecialty experience. The biggest contingent however are trust-grade doctors and clinical fellows who arrive with medical qualifications gained abroad. The GMC currently registers significantly more international medical graduates (IMGs) than UK graduates every year at present.
There are also notable changes in employment behaviours among this cohort. Recently, significantly more of these IMGs have stayed in the UK beyond the short-term and more have entered training than previously. Some will seek entry to the specialist register via the portfolio pathway, but many hope to enter training in our specialty, typically at ST4 level.
Chapter 10: Guidelines for the Provision of Paediatric Anaesthesia Services 2025
Infants, children and young people should be cared for in a dedicated paediatric unit, or have specific time allocated in a mixed adult/paediatric unit, where they are separated from adult patients.
Chapter 1: Guidelines for the Provision of Anaesthesia Services: The Good Department 2025
Departments should have a clear process to consider national guidance from recognised bodies. This should include a review of the guidance and a decision on whether these require local implementation and endorsement.
Chapter 1: Guidelines for the Provision of Anaesthesia Services: The Good Department 2025
There should be multi professional involvement in the review of critical incidents and near misses and in reviewing and learning from clinical excellence.87
Chapter 1: Guidelines for the Provision of Anaesthesia Services: The Good Department 2025
There should be mechanisms to disseminate and use national safety alerts from groups such as the Safe Anaesthesia Liaison Group.