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All obstetric departments should provide and regularly update multidisciplinary guidelines. A comprehensive list of recommended guidelines can be found in the Obstetric Anaesthetists' Association (OAA)/Association of Anaesthetists guidelines for obstet...

All obstetric departments should provide and regularly update multidisciplinary guidelines. A comprehensive list of recommended guidelines can be found in the Obstetric Anaesthetists' Association (OAA)/Association of Anaesthetists guidelines for obstetric anaesthesia services.55

Chapter 17: Guidelines for the Provision of Anaesthesia Services for Burn and Plastics Surgery 2025

A clinical lead for burn and plastic surgery anaesthesia should be appointed in each hospital providing anaesthesia for this specialty. The clinical lead (see Glossary) anaesthetist in burn and plastic surgery units will be responsible for the provision of service, teaching, production of guidelines, management, research and audit, and should be able to support quality improvement initiatives. Sufficient time...

Chapter 15: Guidelines for the Provision of Anaesthesia Services for Vascular Procedures 2025

Anaesthesia for all patients undergoing major vascular surgery should be provided by or directly supervised by an anaesthetist suitably qualified, trained and experienced in vascular anaesthesia. This will usually be a consultant vascular anaesthetist, who has overall responsibility for the patient’s care. Under certain circumstances, this could be an SAS doctor who is practising regularly in this subspecialist area under...

There should be a formalised integrated pathway for unscheduled adult general surgical care which should be patient centred and include:1,3,33,41,128   a clear diagnostic and management plan made on admission73 risk assessment and identifi...

There should be a formalised integrated pathway for unscheduled adult general surgical care which should be patient centred and include:1,3,33,41,128  

  • a clear diagnostic and management plan made on admission73
  • risk assessment and identification of the high risk patient1,3,128
  • early identification of comorbidities (including diabetes...

Introducing the 2024 cohort study

Dr Chris Carey and Dr Lewis Hendon-John tell us what the College is doing to better understand the factors causing low morale and burnout in anaesthetists.

Training in anaesthesia is one of the cornerstones of the profession. It is often cited as one of the specific attractions of choosing anaesthesia as a career. However, anaesthetists in training are unfortunately not immune from the challenges faced by all resident doctors working within the UK.

In recent years, there have been growing concerns about low morale and burnout. Anaesthetists in training provide a pivotal role in the provision of services in many areas of secondary care. Furthermore, there is a well recognised shortage of consultant anaesthetists in the UK. It’s essential that the NHS is able to train and retain this uniquely skilled workforce to provide care for patients both now and in the future.

It’s apparent from both the College’s own work, such as the 2017 survey on morale and welfare in anaesthetists in training (‘A need to listen’) and also evidence from the GMC’s National Trainee Survey (NTS), that there is a high proportion of anaesthetists in training at risk of burnout. There have also been significant external factors impacting on the training programme, such as the transition to the 2021 curriculum and the COVID-19 pandemic. Competition ratios to enter anaesthetic training are at record levels, and concerns remain about training-post numbers and progression between Core and Higher training programmes.

Blood transfusion during hip fracture – insights from research

Dr Joyce Yeung talks with three experts in the field, Dr Michael Gillies, Dr Rhona Sinclair, and Dr Alixe Kilgour on the Result Hip Trial. They speak through the improvements they have seen, challenges encountered, and what it could mean for the Clinical practice.