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Whether in a dedicated paediatric neurosurgical unit or not, every child requiring elective neurosurgery should have care delivered by an anaesthetist or anaesthetists who possess the relevant competencies as demanded by the patient’s age, disease and comorbidities.

Anaesthetists with a specific interest in orthopaedics and trauma should deliver regular theatre sessions to ensure the maintenance of their skills and experience.

Patients undergoing sedation or general anaesthesia by an anaesthetist should have appropriate preoperative assessment with appropriate risk stratification.

There should be a forum for discussion of matters relevant to both surgeons and anaesthetists, for example protocol development and critical incidents.

Anaesthetists should demonstrate engagement with ongoing education and CPD as required.⁷⁴

Departments should facilitate the collection of data required for anaesthetists undertaking major vascular cases to keep a personal logbook.