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Departments should ensure that staff who whistle blow are treated with respect and not disadvantaged by their action either by members of the department or the wider organisation.

The department should undertake appropriate review of concerns that have been highlighted, and should take timely and proportionate action.^{115,116,117,118}

The anaesthetic department should review clinical and operational risk on a regular basis. This should be done by using information obtained from other sources (e.g. literature and lessons learned from other clinical services) as well as communicating and discussing information they have identified to staff members and other clinical services.^119,120

The anaesthetic department should identify and agree plans to address and mitigate those risks identified in their risk register. The risk register should be a dynamic and responsive document that is regularly reviewed to ensure that all risks are being actively managed and should be disseminated appropriately. Members of the anaesthetic department should be educated in the benefits of using...

The anaesthetic department should escalate those risks that are identified as being beyond the control of the clinical service to those charged with overall hospital/organisation risk management. The department should receive a response and regular update if the risk is not satisfactorily mitigated against.

An anaesthetic office space located in close proximity to relevant departments (e.g. theatres, ICU and labour ward) should be available to allow local supervision of trainees. The size of this space should be proportionate to the size of the department.¹²¹

Private office spaces should also be available for CPD, to conduct assessments and for confidential meetings such as appraisals.

The department should have access to appropriately sized and resourced meeting facilities for education, training and clinical governance activities.

Departments should consider providing staff with access to virtual meeting software to facilitate remote attendance at meetings or education activities.

Mechanisms should be in place to enable staff to access hospital systems remotely to work from home, as local circumstances dictate.