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All staff managing patients in the postoperative period must be familiar with the arrangements determining mental capacity in the part of the UK in which they are working and pathways of care for patients with dementia.^{111,254,255,256}

Each department of anaesthesia should have a lead anaesthetist for patients with cognitive impairment with sufficient time identified for the role in their job plan.²⁴⁸

There should be established liaison with social services for patients who need such support to prevent delay in discharge.

Every hospital should nominate an anaesthetic lead for patients with obesity undergoing surgery with time identified for this role in their job plan.²⁴¹

Medical records should include the patient’s weight and body mass index (BMI).²⁵⁸

Ideally, patients with morbid obesity should undergo preassessment by a senior anaesthetist.²⁵⁸

Advanced warning of elective patients with morbid obesity should be given to the appropriate ward/ theatre environment by the preoperative assessment team. Additional specialised equipment is necessary and should be available for every patient with morbid obesity at all stages of the perioperative pathway.²⁵⁸

Patients undergoing bariatric surgery should be considered for level 2 or 3 critical care postoperatively.²²

Patient dignity should be maintained preoperatively by ensuring appropriate theatre clothing is available in the day case suite or admissions area.

The safe movement and positioning of patients with obesity may require additional staff and specialised equipment.^259,260 An operating table, hoists, beds, positioning aids (including for induction of anaesthesia) and transfer equipment appropriate for the care of patients with obesity should be available in appropriate quantities for the caseload, and staff should be trained in its use.^258...