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Every department should have a named trained SAS mentor who has the responsibility to oversee the wellbeing, career needs, educational and professional needs of the SAS doctors in the department.^19,39

All patients requiring anaesthesia, pain management or perioperative medical or critical care should have a named and documented supervisory autonomously practising anaesthetist (see Glossary) who has overall responsibility for the care of the patient.

At all times trainees should be supervised at an appropriate level (1-4) of sessional supervision, which varies depending on both the level of the trainee, including their stage of training, their previous experience and capability, and the case or cases for which they are being supervised.⁴⁰

At all times SAS anaesthetists who are not autonomously practising anaesthetists should be supervised at an appropriate level(1-4) of sessional supervision, varying depending on both their level, including their previous experience and capability, and the case or cases for which they are being supervised doing.^37,41,42

AAs should be supervised in accordance with the scope of practice published by the RCoA.⁴³

Where an anaesthetist is supervised by a sessional supervisor, the individual should be aware of their supervisor’s identity, location and how to contact them.^37,42

Sessional supervisors should know who they are supervising, where their supervisees are and their clinical activity.³⁷

Support, including supervision and shadowing, should be provided to international medical graduates (IMGs) based on their experience and competency for a length of time agreed with the department.⁴³,⁴⁴

There should be a health and wellbeing policy in place for all staff.

Departments should consider having a health and wellbeing lead who has access to adequate expertise and resources.⁴³,⁴⁵  The RCoA and the Association of Anaesthetists have published a model job description for this role. ⁴³