ACSA review visit briefing from *Hospital Name*

Introduction to the Organisation A brief overview of the organisation and its recent history (e.g. when became a foundation trust, local events, etc)

Location

Patient Population and Demographics

Staff and facilities overview

Statistics Numbers regarding staff, etc. Recommended inclusions: # of anaesthesia staff, # of core anaesthesia staff, trainees, etc. # of nurses # of patients treated # of obstetrics deliveries per year.

Level of activity

Management Structure

Clinical Governance Who is responsible? Meetings – how often and who attends? Mechanisms for learning from experience and making changes Audits/QI Project participation

Safety Record Examples of how Critical Incident reporting is used Learning from mistakes and near misses and making changes Implementation of changes and measuring the impact of changes

Preassessment Describe how it works, patient information and communication relating to this.

Key Achievements Achievements or practices that the department is particularly proud of