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Main navigation

  • Membership
    Membership
    • Become a member
      Become a member
      • Membership benefits
      • Membership categories and subscriptions
      • Membership FAQs
      • Senior Fellows and Members Club (SFMC)
    • Publications and resources
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      • BJA Journals
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      • Application and guidance for Fellowship ad eundem
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  • For patients
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    • Patient information resources
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      • Preparing for surgery
      • Preparing your mind before surgery
      • Leaflets and video resources
      • For children, parents and carers
      • Anaesthesia and risk
      • Accessible resources and translations
      • Leave your feedback on our patient resources
    • Patient and Public Involvement
      Patient and Public Involvement
      • Our commitment to PPI
      • The Patient Information Group
      • PatientsVoices@RCoA
      • The PatientsVoices@RCoA Award 2025
      • PatientsVoices@RCoA Strategy
      • PatientsVoices@RCoA commitment on equality, diversity and inclusion
    • About anaesthesia
      About anaesthesia
      • FAQs about anaesthesia
      • Anaesthesia explained
      • Shared decision making
      • The anaesthesia team
      • A to Z of medical terms
      • Anaesthesia & the environment
  • Training & careers
    Training & careers
    • Considering a career in anaesthesia
      Considering a career in anaesthesia
      • What do anaesthetists do?
      • The stages of training
      • Medical school anaesthesia societies
      • Career resources
    • Training Hub
      Training Hub
      • Recruitment into anaesthesia
      • Stage 1
      • Stage 2
      • Stage 3
      • Supporting resources
      • Legacy curricula
      • Flexibility in training
      • Supervising and assessing
      • Portfolio Pathway
      • External Adviser for ARCP
    • Working in anaesthesia
      Working in anaesthesia
      • Industrial action advice and FAQs
      • AACs and JD approvals
      • BJA Education online
      • Anaesthesia Associates
      • Revalidation
      • SAS and Specialty Doctors
      • Workforce planning
      • Simulation
    • Lifelong Learning
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      • Account request form
      • CPD accreditation of courses and events
      • Change of School form
      • Curriculum change form
      • Contact the Lifelong Learning team
      • LLP Regional Leads
      • System updates and improvements
      • Help and support
      • Change Request Form
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    • Primary FRCA examination
      Primary FRCA examination
      • Examination Syllabus Stage 1
      • Primary FRCA MCQ examination
      • Primary FRCA OSCE examination
      • Primary FRCA SOE examination
      • Temporary Examination Eligibility (TEE)
    • Final FRCA examination
      Final FRCA examination
      • Examination Syllabus Stage 2
      • Final FRCA Written examination
      • Final FRCA SOE examination
    • FRCA examination information
      FRCA examination information
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      • Sitting your examination at the College
      • Examination Complaints and Appeals Policy
      • Reasonable Adjustments Policy
      • Reasonable Adjustments Application Form
      • Examinations Regulations
      • Visitors to the FRCA examination
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      • Primary FRCA pass rates
      • Final FRCA pass rates
      • Reports
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    • Event FAQs
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    • Exhibit or sponsor an RCoA event
    • Education and Professional Development
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      • e-Learning Anaesthesia
      • Videos
      • Podcasts
      • Webinars
  • Research
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    • Research bodies
      Research bodies
      • National Institute of Academic Anaesthesia
      • Centre for Research and Improvement
      • Perioperative Medicine Clinical Trials Network
      • Trainee Research Networks
      • NIHR Clinical Research Networks
    • Research projects
      Research projects
      • National Audit Projects (NAPs)
      • National Emergency Laparotomy Audit (NELA)
      • eFONAr: Emergency Front of Neck Airway Registry
      • Perioperative Quality Improvement Programme (PQIP)
      • Sprint National Anaesthesia Projects (SNAPs)
      • Children's Acute Surgical Abdomen Programme (CASAP)
      • Timeliness to Emergency Laparotomy
    • Get involved in Research
      Get involved in Research
      • Research grants and awards
      • Research priorities
      • Academic training
      • CR&I Fellowships
      • Patient, Carer and Public Involvement
      • Quality Audit & Research Coordinators (QuARCs)
      • Surveys
  • Safety, standards & quality
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    • Anaesthesia Clinical Services Accreditation
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      • ACSA Online Portal
      • The ACSA standards
      • The ACSA process
      • Who is accredited?
      • ACSA resources and information
    • Guidance and resources
      Guidance and resources
      • Guidelines for the Provision of Anaesthetic Services
      • Coronavirus COVID-19
      • Consultation and Endorsement
    • Patient safety
      Patient safety
      • Cappuccini Test
      • Flash card team training
      • Patient safety strategy
      • Safe Anaesthesia Liaison Group
      • Unrecognised oesophageal intubation
    • Professional support
      Professional support
      • Clinical Leaders
      • Invited Reviews
      • Networks
      • Prehabilitation
    • Quality Improvement
      Quality Improvement
      • The Quality Improvement Working Group and Vacancies
      • Quality Improvement Strategy
      • Raising the standards: QI Compendium
      • Quality Network
      • Career Development Programme and QI Training Resources
      • Quality Improvement Case Studies
      • Quality Network Projects
      • Quality Improvement Newsletter
      • QI and BJA Open
  • About us
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      Governance
      • Board of Trustees
      • Charter, Ordinances and Regulations
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      • Executive Team
      • Boards and Committees
      • Devolved Nations Boards
      • Annual Report and Accounts
    • Strategy and vision
      Strategy and vision
      • Environment and sustainability
      • Trustees’ Fiduciary and Environmental, Social & Governance Investment Statement
      • Equality, Diversity and Inclusion
      • Perioperative care
      • A new home for the College
    • Global Partnerships
      Global Partnerships
      • Global Partnerships Strategy
      • Our global projects
      • Overseas doctors training in the UK
      • Working in Low and Middle Income Countries
      • International Academy of Colleges of Anaesthesiologists
      • Global Fellowship Scheme
    • Venue hire
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      • Our rooms
      • Capacity and prices
      • Contact the venue hire team
      • Terms and conditions
      • Book now for up to 30% off room hire in July and August
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      • Founding Fellows
      • History Articles
      • History of Anaesthesia
      • Influence of two World Wars
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      • Coat of Arms
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      • Work for us
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Update regarding ST3 recruitment

The College gives an update on conversations it has been having with the Anaesthetics National Recruitment Office (ANRO) and Health Education England (HEE), which manages ANRO, following ANRO’s handling of recruitment information for ST3 anaesthetic training posts.

Dr Malcolm Bruce Yorston

Listing summary
Dr Malcolm Bruce Yorston

Lifelong Learning Platform – continuing to evolve

This article looks at how the Lifelong Learning Platform continues to evolve, having undergone an unprecedented amount of change in the last couple of years.

GasReach

Dr Colette McCambridge, CT2 Anaesthetics looks at the importance of developing a diverse workforce, what WP can undertake and how exciting new schemes like GasReach can help.

Regional Anaesthesia

Regional Anaesthesia

Regional Anaesthesia

Surveys

Listing summary
Process and guidance for external survey submissions to the RCoA

Learning from our preoperative specialist initiative

Dr Thomas Fletcher, Anaesthetic Consultant and Dr Brooke Morgan, ST7 Anaesthetic Registrar at Nottingham University Hospitals tell us how they streamlined the assessment process and facilitated safer surgery.

At Nottingham University Hospitals (NUH), it was felt that for our patients with cardiovascular disease, obtaining a preoperative cardiology assessment and perioperative management strategy was prolonging non-cardiac surgery waiting times. 

This was especially compounded by the surgical backlog and increased demand on preoperative services following the COVID-19 pandemic. In order to streamline the assessment process and facilitate safer surgery, a joint cardiology-anaesthesia multidisciplinary team (MDT) meeting was established.

The global problem

It is no surprise that underlying cardiovascular disease can contribute significantly to perioperative morbidity and mortality, with cardiac events being the leading cause of such.1 Almost half of adults aged over 45 years undergoing major non-cardiac surgery have at least two cardiovascular risk factors, and conditions such as coronary heart disease, heart failure and arrhythmias put patients at increased risk of cardio- and cerebrovascular events in the immediate postoperative period.2

Lifelong Learning Platform update: we are listening

This article provides an update on all the great work done to improve the reliability, performance and general user experience of the Lifelong Learning Platform (LLP).

Maintaining and improving the LLP

Since its launch in August 2018, the College has committed to improving the reliability, performance and general user experience of the Lifelong Learning Platform (LLP) for our members. With the inclusion of three new curricula and of ICM users in late 2021, it became apparent that the added level of complexity and the need to support more users required additional funding, so a sizeable new budget was approved by the College’s Finance and Resources Board in August 2022.

This additional funding has allowed us to resolve many historic issues, keep the infrastructure and related systems up to date, as well as making significant improvements where needed. We still have a great deal of work to do, but as you will see below, we have already achieved a lot over the last year and have a clear plan of where we are heading in the coming months.

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