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Over the years both the College and the ME Association have been receiving a number of enquiries from patients living with ME/CFS bemoaning the lack of information on how anaesthesia might affect their condition, but also seeking reassurances that their needs in the perioperative period would be met with understanding and compassion.
The College acknowledged that there was not much in the way of information to support these patients nor the anaesthetists looking after them, and agreed that this gap needed to be addressed given the relatively high occurrence of the condition in the UK. Current reports estimate that there are 250,000 people living with ME/CFS at any one time in the UK, but this is likely to be a gross underestimate as traditionally it is poorly diagnosed, and many Long COVID patients fulfil ME/CFS diagnostic criteria. The most recent ONS survey reports 1.7 million people in the UK living with Long COVID.
This was new territory for the College, as producing information without a comprehensive body of evidence for such a poorly understood medical condition was something we had never done before.
In my last update, I mentioned that the College has been addressing some financial challenges.
We are committed through our current five-year plan to manage the College’s resources with care, and to ‘ensure the College is resourced and equipped to carry out its strategy: now and in the future’. One of our core values is being open and responsive, and in that spirit I am keen to share with you our current financial position, and what we are doing to improve it.
Chapter 9: Guidelines for the Provision of Anaesthesia Services for an Obstetric Population 2025
At least one anaesthetist in each anaesthesia department, not necessarily an obstetric anaesthetist, should take the lead in safeguarding/child protection; they should undertake training and maintain core level 3 competencies.115 The lead anaesthetist for safeguarding/child protection should liaise with their multidisciplinary counterparts within the obstetric unit.
Chapter 14: Guidelines for the Provision of Neuroanaesthetic Services 2025
An appropriately trained and experienced anaesthetist should be present for all neurosurgical operating lists and interventional neuroradiology sessions, with sufficient consultant-programmed activities to provide adequate supervision and support to anaesthetists in training and staff grade, associate specialist or specialty (SAS) anaesthetists.3,5
The Royal College of Anaesthetists (RCoA), the Faculty of Pain Medicine (FPM) and the Faculty of Intensive Care Medicine (FICM) ensure that doctors in training, members and fellows are provided with an appropriate breakdown of costs of supporting doctors in training and in the provision of the examinations that form part of the relevant training programmes.