NHS anaesthetist shortage prevents 1.5m operations a year, report finds

There are 2,256 fewer anaesthetists than needed in the UK, the report seen by the Guardian finds. Photograph: Mikalai Sayevich/imageBroker/Shutterstock View image in fullscreen There are 2,256 fewer anaesthetists than needed in the UK, the report seen by the Guardian finds. Photograph: Mikalai Sayevich/imageBroker/Shutterstock NHS anaesthetist shortage prevents 1.5m operations a year, report finds Exclusive: Alarming shortfall of specialists stops about 4,000 procedures a day, many for patients in urgent need of surgery The NHS is unable to perform 1.5m operations a year because of a drastic shortage of anaesthetists, a report reveals. More than 8 million patients are on waiting lists across England, Scotland, Wales and Northern Ireland. Many are in urgent need of a surgical procedure. But an alarming lack of anaesthetists – specialist doctors who provide anaesthesia and pain relief before, during and after operations – is preventing the health service from performing about 4,000 procedures a day, the most comprehensive review of anaesthetic services has found. The UK has 2,256 fewer anaesthetists than it needs, and the record shortfall is derailing NHS efforts to tackle the backlog of care, according to the 63-page report seen by the Guardian. The crisis is leading to painful delays for thousands of patients, with many on waiting lists experiencing a decline in their physical and mental health, the report says. As well as limiting NHS capacity, the shortage of anaesthetists is driving up costs, with hospitals having to divert funding to pay for agency locums and shifting staff to plug gaps. The findings of the review, compiled by the Royal College of Anaesthetists, are being studied by officials in the Department of Health and Social Care, sources said. Anaesthesia is the single largest hospital speciality in the NHS. Anaesthetists provide essential care in a range of health settings, such as operating theatres, maternity wards, intensive care units and pain services. They are key to addressing the NHS waiting list crisis – and boosting NHS productivity – as most operations cannot take place without them, the report found. The number of anaesthetists has grown slightly in recent years, but not by enough to meet demand. There are 16% fewer anaesthetists than needed, with a shortfall of 2,256 posts across the UK. The largest gap is among consultants – the most senior grade of anaesthetist – according to the report. The consultant gap is about 1,640 or 73% of the total shortfall. Anaesthetists quitting over stress and workload is a considerable problem. But the single biggest cause of the shortage is a lack of training places, the report says. Last year, there were 6,770 applications for just 539 core anaesthetic training positions. The shortage is having a “severe impact” on NHS performance, the review found. Among clinical leaders interviewed for the report, 88% said surgeries were postponed due to a lack of anaesthetists, with 43% reporting this