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Anaesthetists should have been trained in this field to the standards required by the Royal College of Anaesthetists.¹³

Anaesthesia departments should have a nominated anaesthetist immediately available to provide cover in clinical emergencies, as well as advice and support to other anaesthetists.⁵

In units where anaesthetists in training work a full or partial shift system and/or rotate through the department every three months (or more frequently), provision of additional programmed activities for autonomously practising anaesthetists should be considered, to allow initial orientation, training and supervision into the evening.³⁰

Educational opportunities for anaesthetists in training in MTC and TU will undoubtedly occur during predictable job planned consultant direct clinical care sessions out of hours as a result of the nature of trauma. Hospitals in which anaesthetists in training work a full or partial shift system should consider providing additional consultant programmed activities to allow training and supervision to take...

Anaesthetists in training should be given the appropriate level of responsibility according to their competence and level of training, to gain the experience of non-theatre environment and to enable them to function as a consultant later in their career. Anaesthetists in training must be appropriately supervised at all times; rotas and staffing arrangements should be in place to facilitate this...

Wherever thoracic anaesthesia and surgery are performed there should be a resident anaesthetist available at all times.