ACSA Clinical Reviewer Application Form

Application process

The following process for application and appointment of clinical reviewers has been agreed by the ACSA committee, the group that oversees the ACSA programme.  The process is:

  1. individuals apply using the form below, including your clinical directors support (please see end of form)
  2. the application is reviewed and approved by the ACSA committee
  3. the applicant is sent a list of available dates for training days and asked to sign up to one of them
  4. following attendance at the training day, the reviewer will be added to the list of ACSA clinical reviewers
  5. the list of ACSA reviewers is reviewed annually.

All applicants must complete all sections of the form, including addressing the essential criteria listed below. Please also ensure that your clinical director completes the final part of this application.

Essential criteria for ACSA clinical reviewers

Successful applicants:

  • are an anaesthetist with experience of managerial responsibility for service delivery
  • have experience of judging the performance of a peer, for example as an assessor, reviewer or examiner
  • are familiar with and able to apply the standards relevant to their clinical specialty
  • undertake sessions in general anaesthesia as part of their current position
  • are familiar with the concept of professional standards or regulation and able to work with ACSA tools and within the ACSA framework
  • possess excellent oral and written communication skills including the ability to write substantial reports collaboratively and to demonstrate understanding of others’ contributions
  • have highly developed interpersonal skills with proven ability to establish credible and effective working relationships and to chair significant meetings with senior professionals
  • are able to collect, analyse and synthesise information and record data accurately
  • have demonstrable integrity, and base judgements upon an unbiased and logical approach, maintaining flexibility and consideration of the wider context
  • are able to work effectively as a team member to complete a task
  • are able to manage a challenging and complex environment, sometimes under stressful conditions
  • are able to work under pressure and to deadlines, while maintaining enthusiasm
  • have a clear understanding of confidentiality in relation to both evidence and the review team’s deliberations; and have a commitment to its maintenance
  • have demonstrable commitment and respect for equality and diversity.

Any questions regarding the application process or the role of an ACSA Clinical Reviewer should be directed to the Clinical Quality team via email: or telephone: 020 7092 1697.

Please complete the following details.

Are you a licensed medical practitioner in good standing with the GMC and RCoA?
What grade is your current role?
College region (please select from the dropdown list)
From the following sub-specialties, please select those in which you have experience. You must work currently in these areas. This information will be used to match you to reviews. Please note all reviewers are required to review general anaesthesia services
Have you undertaken equal opportunities/diversity training?
300 words minimum
By signing this form you are indicating that you agree to be bound by the terms of reference for clinical reviewers.
Please sign above using your mouse or finger (if using a touchscreen device).

Clinical Director Support

An ACSA clinical reviewer not only benefits the development of the scheme but also the individual’s hospital by sharing of information and good practice throughout the UK. A reviewer not only represents the RCoA but also his/her local healthcare organisation. Please provide the contact details for your clinical director. They will be contacted to verify support of your application.

I am interested in the Member Engagement Panel
The Membership Engagement Panel is an online virtual panel of membership that receive surveys and opportunities to share feedback to the College and help us shape future strategy and work.


Data Protection Statement

The Royal College of Anaesthetists (RCoA) is fully committed to the principles of data protection, as set out in the Data Protection Act 2018 (C.12). The RCoA relies on legitimate interests as the lawful basis for processing of personal data. We process and maintain personal data about you so that we can manage your membership, provide you with appropriate products and services and share information with you about RCoA activities.

We will only use your information for the purposes as described and will not pass on your details to other third parties unless you have given us consent to do so.

We use appropriate organisational and technical measures to ensure that your data are secure and protected from loss, misuse and unauthorised access or alteration.

You have the right to ask for a copy of the information we hold about you and to have any inaccuracies in your information corrected. If you have any questions about data protection or require further information, please email

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