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 comprising: 

  • 18 Consultants in Anaesthesia and Perioperative Medicine
    4 Consultants in Anaesthesia, Pain and Perioperative Medicine
    7 Consultants in Critical Care, Anaesthesia and Perioperative Medicine
    2 Specialty Doctors
    8 Senior Fellow Anaesthetists
    10 Senior Specialty Trainee Anaesthetists
We specialise in providing anaesthesia for all forms of adult oncological surgery as well as perioperative, pain and critical care services throughout the patient surgical journey across two sites: Chelsea (London) and Sutton (Surrey). We are unique as one of the few centres nationally that exclusively provides anaesthesia for oncological surgery.
In 2017 we were the first centre in the UK 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 surgery over volatile gas anaesthesia more commonly used at other centres.

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

  • consultant led perioperative medicine clinics (with on-site Echo and Cardiopulmonary Exercise 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 scansWe 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.

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 to portfolio 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 receive good feedback from trainee anaesthetists in our GMC surveys. We run a number of fellowships for training anaesthetists across the UK and internationally in Leadership, Perioperative Medicine, Simulation and Patient Safety.


Anaesthetics, Perioperative Medicine and Pain Department staff

Clinical leads