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The department should create a culture that promotes high quality care, quality improvement and improved outcomes.

The anaesthetic team should be empowered to shape their working environment to enhance safety and quality of care.  

The department should establish a culture of collaboration with other specialties that promotes a proactive and planned approach to service development.

The department should establish and support a culture that promotes the health and wellbeing of staff members.

The department must establish and maintain a culture of proactively thinking about and questioning equality, diversity and inclusion in all that it does, including recruitment, training, opportunities for extended roles and responsibilities.^4,5,6

The anaesthetic team should be empowered to ensure that their workload is appropriately manageable. Discussions concerning workload should be held in an atmosphere of respectful collaboration.

The department should aim for sustainability in all that it does, in the clinical context, its management and administration and in other activities. The department should contribute to initiatives to improve the environmental sustainability of the system.⁷

A departmental strategy should be developed jointly by all members of the department with proactive engagement from stakeholders, including patients, with all collaborating to develop their vision and plan for the anaesthetic service, linking this to the organisations overall vision and strategy. An inclusive departmental strategy in line with the wider organisational vision should be developed. All members of the...

Clinical leaders within anaesthetic services should be an integral part of system planning including how to deliver planned care and emergency care. They should have influence in all areas in which anaesthetists contribute to service delivery.⁸

The department should have a live, regularly reviewed annual plan describing service changes, estates developments, workforce developments and wellbeing, working conditions, capacity demand modelling and other relevant operational improvements. This will ensure that the department is responsive to requests for additional resources across all areas of activity.