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An induction should be provided for all staff whether permanent or locum/agency staff starting in the department.^66,67

Inductions should be conducted during normal working hours at times convenient to all concerned.

The induction should be documented. It should ensure competency in the use of equipment and should act as an opportunity to identify those who require additional support in certain skills or areas of practice.

Induction for a short-term locum doctor should include as a minimum familiarisation with the layout of the hospital and the location of emergency equipment and drugs, access to guidelines and protocols, information on how to summon support/assistance, and assurance that the locum is capable of using the equipment and IT systems in that hospital.

Anaesthetists should be given support and time to familiarise themselves with non-theatre locations and different environments prior to solo sessions and out of hours work. This may include undertaking operating lists with a colleague.

Departments should include requirements for PPE into the induction process including fit testing where appropriate and the appropriate and safe use of PPE.⁶⁸

Departments should have specific processes in place to support IMGs starting work in the UK for the first time.^68,69  Medical training initiative trainees and other IMGs, should undergo hospital and department induction, specifically tailored for them.^70,71This may include information and orientation about working in the NHS, accommodation facilities, city, banking etc.

There should be a named trust/board lead for IMGs.^71,72

Departments should commit to providing the time and resources to educate those who provide anaesthetic care for patients by facilitating access to education and training. Continuing professional development (CPD) and education should be balanced between the individual’s clinical and other areas of responsibility.^19,73

Departments should have regular clinical governance time where educational activity and clinical governance activity can take place. Clinical activity should be reduced during clinical governance time to maximise attendance, which should ideally occur monthly.