Anaesthetics, Perioperative Medicine and Pain Department

The Anaesthetics, Perioperative Medicine and Pain Department is a team of 26 consultants with senior trainees (ST 5-7) and fellows.


The Royal Marsden's Department of Anaesthesia, Perioperative Medicine,  Pain and Critical Care is a collaborative group of consultants compromising: 

  • 18 Consultants in Anaesthesia and Perioperative Medicine; 
  • 4 Consultants in Anaesthesia, Pain and Perioperative Medicine
  • 7 Consultants in Critical Care, Anaesthesia and Perioperative Medicine
  • 8 Senior Fellow Anaesthetists
  • 10 Senior Specialty Trainee Anaesthetists

We specialise in providing anaesthesia to all forms of  adult oncological surgery as well has perioperative, pain and critical care services throughout the patient surgical journey across two sites Chelsea (London) and Sutton (Surrey). We are unique because we are one of the few centres nationally that exclusively provide anaesthesia for oncological surgery. In 2017 we were the first centre in the U.K to host the international congress of Anaesthesia; Pain and Critical Care in Oncology. We are a consultant led service (with over 80% of anaesthetics led by a consultant anaesthetist) and we use total intravenous anaesthesia (TIVA) for the majority of our patients. This technique may be beneficial in cancer patients over the more commonly volatile gas technique used other centres.

We are also lead a number of services outside the operating theatre including: 

  • consultant led perioperative medicine clinics (with onsite ECHO and cardiopulmonary testing) ; 
  • clinics for "high risk surgical patients", 
  • frailty services (for older frail patients)
  • anaemia and iron transfusion service
  • Portacath service and Intravenous Access Service
  • Sedation for children having intrathecal chemotherapy and scans

We have a nationally respected pain service specialising in acute, chronic and transitional cancer pain. As well as providing specialist services such as acupuncture and HiFu for cancer pain.

The department has a strong interest in research with a perioperative theme on our Biomedical Research portfolio. For the last few years we have been one of the highest national recruiters of portfolios anaesthesia and perioperative studies. We also have our own academic output publishing a number of original research papers, book chapters and articles each year with themes in cancer pain and the effect of anaesthesia on cancer outcomes being areas of interest.

We pride ourselves on providing high quality training to anaesthetists and consistently get good feedback from trainee anaesthetists in our GMC surveys. We  run a number of fellowships for training anaesthetists across the U.K and internationally  in Leadership; Perioperative Medicine; Simulation and Patient Safety.

Anaesthetics, Perioperative Medicine and Pain Department staff

Clinical leads