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      • Leave your feedback on our patient resources
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      • The Patient Information Group
      • PatientsVoices@RCoA
      • The PatientsVoices@RCoA Award 2025
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    • About anaesthesia
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      • FAQs about anaesthesia
      • Anaesthesia explained
      • Shared decision making
      • The anaesthesia team
      • A to Z of medical terms
      • Anaesthesia & the environment
  • Training & careers
    Training & careers
    • Considering a career in anaesthesia
      Considering a career in anaesthesia
      • What do anaesthetists do?
      • The stages of training
      • Medical school anaesthesia societies
      • Career resources
    • Training Hub
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      • Stage 1
      • Stage 2
      • Stage 3
      • Supporting resources
      • Legacy curricula
      • Flexibility in training
      • Supervising and assessing
      • Portfolio Pathway
      • External Adviser for ARCP
    • Working in anaesthesia
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      • Industrial action advice and FAQs
      • AACs and JD approvals
      • BJA Education online
      • Anaesthesia Associates
      • Revalidation
      • SAS and Specialty Doctors
      • Workforce planning
      • Simulation
    • Lifelong Learning
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      • Account request form
      • CPD accreditation of courses and events
      • Change of School form
      • Curriculum change form
      • Contact the Lifelong Learning team
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      Research bodies
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      • Centre for Research and Improvement
      • Perioperative Medicine Clinical Trials Network
      • Trainee Research Networks
      • NIHR Clinical Research Networks
    • Research projects
      Research projects
      • National Audit Projects (NAPs)
      • National Emergency Laparotomy Audit (NELA)
      • eFONAr: Emergency Front of Neck Airway Registry
      • Perioperative Quality Improvement Programme (PQIP)
      • Sprint National Anaesthesia Projects (SNAPs)
      • Children's Acute Surgical Abdomen Programme (CASAP)
      • Timeliness to Emergency Laparotomy
    • Get involved in Research
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      • Research grants and awards
      • Research priorities
      • Academic training
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    • Anaesthesia Clinical Services Accreditation
      Anaesthesia Clinical Services Accreditation
      • ACSA Online Portal
      • The ACSA standards
      • The ACSA process
      • Who is accredited?
      • ACSA resources and information
    • Guidance and resources
      Guidance and resources
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      • Coronavirus COVID-19
      • Consultation and Endorsement
    • Patient safety
      Patient safety
      • Cappuccini Test
      • Flash card team training
      • Patient safety strategy
      • Safe Anaesthesia Liaison Group
      • Unrecognised oesophageal intubation
    • Professional support
      Professional support
      • Clinical Leaders
      • Invited Reviews
      • Networks
      • Prehabilitation
    • Quality Improvement
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      • The Quality Improvement Working Group and Vacancies
      • Quality Improvement Strategy
      • Raising the standards: QI Compendium
      • Quality Network
      • Career Development Programme and QI Training Resources
      • Quality Improvement Case Studies
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      • QI and BJA Open
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      Strategy and vision
      • Environment and sustainability
      • Trustees’ Fiduciary and Environmental, Social & Governance Investment Statement
      • Equality, Diversity and Inclusion
      • Perioperative care
      • A new home for the College
    • Global Partnerships
      Global Partnerships
      • Global Partnerships Strategy
      • Our global projects
      • Overseas doctors training in the UK
      • Working in Low and Middle Income Countries
      • International Academy of Colleges of Anaesthesiologists
      • Global Fellowship Scheme
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      • Capacity and prices
      • Contact the venue hire team
      • Terms and conditions
      • Book now for up to 30% off room hire in July and August
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Common events and risks for children and young people

Listing summary
Find out about the risks and side effects of general anaesthetics in children.

Annual reporting on the FRCA Examination 

Listing summary
At the beginning of November, the College publishes annual reports on the performance of the Primary and Final components of the FRCA exam in the previous academic year. 

Accessible resources

Listing summary
Easy Read, translations and British Sign Language.

Risks associated with regional anaesthesia

Listing summary
Browse our leaflets to learn about the risks and side effects of regional anaesthesia, including spinals and epidurals.

Update: credential for the pain medicine specialist

Dr Lorraine de Grey provides an update on the credential for the pain medicine specialist, following a stall in progress due to the pandemic.

The GMC states that ‘credentials will bring assured training and regulatory oversight to areas where consistent clinical standards, recognised across the UK, are necessary for better patient care. They will support areas of practice where patients are at risk due to workforce gaps…’

In 2018, the Faculty of Pain Medicine applied to the GMC to be one of the first five pilot credentials on the basis that:

ACSA: quality improvement

The Anaesthesia Clinical Services Accreditation (ACSA) scheme has the concept of continuous quality improvement at its heart, and departments who engage with the scheme have to demonstrate this in order to gain and retain accreditation.

The ACSA scheme has the concept of continuous quality improvement at its heart, and departments who engage with the scheme have to demonstrate this in order to gain and retain accreditation.

One way we drive improvements is through our annual review of the ACSA standards, where we introduce new standards to focus departments’ energy on areas of growing importance to the specialty. New standards introduced in the 2022 edition cover responsible opioid stewardship, environmental sustainability, leadership within departments, and protecting time for clinical-governance activities. Through these new standards we will also be able to collect examples of good practice, which we then share with other departments via the ACSA IT portal. The latest version of the standards, along with a summary of changes, are available here.

Updated guidance on the College website

We have recently been adding some important updates to the Revalidation section of the College website, and we would like to draw your attention to these. The first update focuses on appraisal: a key component of revalidation is the annual appraisal during which doctors will discuss their supporting information to demonstrate that they are continuing to meet the principles and values set out in Good Medical Practice.

We have recently been adding some important updates to the Revalidation section of the College website, and we would like to draw your attention to these.

The first update focuses on appraisal: a key component of revalidation is the annual appraisal during which doctors will discuss their supporting information to demonstrate that they are continuing to meet the principles and values set out in Good Medical Practice.1

Centre for Perioperative Care (CPOC): New guidance on the perioperative management of anaemia

Dr Steve Evans, ST7 Anaesthetics talks us through the new guidance on the perioperative management of anaemia.

As we were: my Pask certificate of honour

Dr Richard Knight provides a gripping first-hand account of military surgical facilities during the Falklands War..."The doctrine under which the unit had trained was essentially the same as was used during the Second World War: treat a wound, evacuate and repeat to a major facility. The Falklands were 8,000 miles from any tertiary facility. Helicopter evacuation at night, when most battles took place, was extremely difficult."

Author: Dr Richard Knight, Retired Anaesthetist, archives@rcoa.ac.uk

In April 1982, I was grinding through a locum session in a Swedish regional hospital when my wife telephoned me to tell me that the duty officer in my UK medical unit has asked her to say a single word to me – the super-secret word designating the necessity to report immediately to the unit. 

This was my initiation into Mrs Thatcher's plan to recapture the Falkland Islands.

Most men in the unit knew where Argentina could be found in an atlas, mainly because of the forthcoming football tournament starring Maradona. This had not been the situation when Dr David Owen as Foreign Secretary, had put the unit on stand-by to repel invading Guatemalans from entering British Honduras. Then, the staff sergeant was compelled to send his wife to the NAAFI to buy an atlas.

After days of packing and repacking equipment, the unit was trucked to Southampton to join 2 Para on board a North Sea car ferry. Cabins were allocated, in the best military tradition, by rank, but in reality were all the same tiered bunks. The major in the overhead bunk was to read and reread his copy of Herodotus, in Greek.

Translating vision into reality

Dr Alison Pittard, OBE: "The end of my tenure brings an opportunity to reflect on the last three years. COVID-19 has dominated and it is easy to focus on the negatives, but, as an eternal optimist, I see many positives. I had three objectives when I became dean, the first of which was to promote our specialty."

COVID-19 has dominated and it is easy to focus on the negatives, but, as an eternal optimist, I see many positives. I had three objectives when I became dean, the first of which was to promote our specialty.

I think everyone now knows what we do and, as a result, we have increased training numbers, expanded capacity, and embedded enhanced care. My second objective was to develop international partnerships. Despite travel being restricted, embracing digital platforms afforded us the opportunity to work with the College of Intensive Care Medicine of Australia and New Zealand and the Apollo group in India.

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