London School of Anaesthesia and Intensive Care Medicine


The London School of Anaesthesia and Intensive Care Medicine (ICM) is responsible for the delivery and quality assurance of training in Core Anaesthesia, Acute Care Common Stem Anaesthesia, Higher Anaesthesia and Intensive Care Medicine across the whole of London. The School has more than 1,000 trainees and offers programmes at prestigious teaching centres across the capital. 


The London School of Anaesthesia and Intensive Care Medicine mission is three-fold:

  • to inspire excellence among our trainees
  • to ensure our patients receive the highest standard of clinical care
  • to inspire all disciplines linked with our specialties to perform to the highest standards

We offer the highest quality of anaesthesia and ICM training and provide our trainees with the skills and experience needed to meet the challenges and demands of the NHS today and tomorrow.

Head of School

Dr Aasifa Tredray MB ChB FRCA, started working as Head of School for Anaesthesia and Intensive Care Medicine in February 2021.

She graduated from the University of Sheffield Medical School in 1996, where she started her Anaesthetic career. She moved to London in 2001 and completed her anaesthetic training in South West London and has been a Consultant Anaesthetist at St George's University Hospital NHS Foundation Trust since 2006. 

Her clinical areas of interest are in Airway and Regional Anaesthesia. Educationally she has been an Advanced Module Lead, Educational Supervisor, College Tutor and most recently the Lead and Higher Training Programme Director for South West London and the South London Anaesthetic Programme Specialist Training Committee Chair.

Dr Tredray's vision is to continue delivering the high standard of training and education for all Anaesthetic and Intensive Care Medicine trainees across London so that they are ready for their future roles as consultants. She wants all trainees to feel valued, supported, celebrated in excellence, and treated equally and fairly in an open and transparent manner.

"I look forward to continuing the work of my predecessors and taking the London School of Anaesthetics and Intensive Care Medicine into the future."

Deputy Head of School

Dr Charlotte Anderson MBBS FRCA FFICM, is a Consultant Intensivist at King's College Hospital having dual trained in Anaesthesia and Intensive Care Medicine in London.

She was appointed Deputy Head of School in August 2020 having previously held positions as Faculty Tutor for Intensive Care Medicine, Training Programme Director for Stage 2 and Stage 3 ICM, Lead Training Programme Director for ICM and Chair of the Pan-London ICM Specialty Training Committee.

Dr Anderson is passionate about the rich educational opportunities London has to offer Anaesthesia & Intensive Care Medicine training and is privileged to work with educators across the Capital to provide training that not only prepares trainees for the Consultant role of today but also that of the future.

Training Programmes

The London School of Anaesthesia and ICM is comprised of two Anaesthetic training programmes, one in North London and one in South London, and a Pan-London ICM Programme. We train anaesthetists and ICM doctors, based in all geographical areas of London. Working in world-renowned centres of excellence, trainees have an unparalleled opportunity to participate in every possible range, type and specialty of anaesthetic and ICM practice. Programmes are led by enthusiastic, experienced and committed trainers.  The diverse nature of London's population offers unique clinical challenges and the opportunity to work in a variety of clinical contexts. These include district general hospitals, dedicated ambulatory care centres, teaching hospitals, research units and specialist internationally renowned centres including: Great Ormond Street Hospital, Queen’s Square, UCLH, Bart’s Health, St George’s Hospital, Guys and St Thomas' Hospital, King’s College Hospital, Imperial and Queen Charlotte’s Hospital.

The School works closely with its constituent programmes of anaesthesia and ICM, the Royal College of Anaesthetists and Faculty of Intensive Care Medicine to take maximum advantage of the excellent resources and opportunities London has to offer. We are enhancing access to state-of-the-art simulation centres to provide additional training opportunities and we offer a range of didactic teaching and training courses. Trainees sit on the Anaesthetic and ICM Specialty Training Committees and elect representatives to sit on the board of the London School of Anaesthesia and ICM. We believe training in the London School of Anaesthesia & ICM represents an opportunity to become part of a world-class scheme that will benefit not only our patients but generations of trainees to come.


For more information regarding the North London and South London Anaesthetics Programme and ICM Programme please click on the links below:

North London Anaesthetic Programme

South London Anaesthetic Programme

Intensive Care Medicine Programme


School Structure

To view the School Structure please click here.



Less Than Full Time

For more information on LTFT please click here.

Wellbeing and SRTT

For more information on Supported Return to Training please visit the SRTT section of the website by clicking here.


Pan-London Academic Training Programme Director in Anaesthesia and Intensive Care Medicine

Dr Gudrun Kunst, MD, PhD (habil.), EDAIC, FRCA, FFICM started working as the Pan-London Academic TPD in 2019.

She trained at Heidelberg University Hospital and at the Royal Brompton Hospital in London and she has been a Consultant Anaesthetist at King’s College Hospital since 2004. Her clinical interests include cardiovascular anaesthesia and anaesthesia for day surgery procedures.

She was promoted to Professor of Cardiovascular Anaesthesia at King’s College London in 2020. Her research interests include perioperative organ protection and biomarkers for acute organ failure.

Gudrun is an examiner for the Primary FRCA, where she is Deputy Lead of the OSCE Working Party. She is the Scientific Officer and the Treasurer of the Association of Cardiothoracic Anaesthetists and Critical Care (ACTACC).

She was awarded two prestigious national research prizes in anaesthesia: the Royal College of Anaesthetists (RCoA) – NIHR Senior Research Clinician Prize in 2017 and the RCoA Macintosh Professorship in 2019.

Internationally, Gudrun is a Board Member of the European Board of Cardiovascular Perfusion (EBCP), and she chairs the Cardiopulmonary Bypass Committee of the European Association of Cardiothoracic Anaesthesiology and Intensive Care (EACTAIC) and the Scientific Committee of EBCP.

Patient outcomes are better at research-active hospitals. Professor Kunst has the vision of broad acceptance and maximal supportive structures for clinical research by academic and clinical trainees towards excellence in research projects for the benefit of our patients. 

For further information about Academic please click here.


Pan-London & KSS Training Programme Director for Advanced Pain Training

Dr Fauzia Hasnie MBBS, BSc (Hons), PhD, FRCA is a Consultant in Pain Medicine and Anaesthesia at Guy’s & St. Thomas’ NHS Foundation Trust in London.

She was appointed Training Programme Director for Pain, Pan London and KSS in June 2021, having previously been Faculty Tutor for Pain. She is responsible for managing the APT programme across London and KSS; and leading and organising the APT regional study day programme.

Dr Hasnie has a background in pre-clinical research having completed a Wellcome Trust funded PhD in the study of neuropathic pain at Imperial College where she was also a member of the London Pain Consortium. She is now actively involved in clinical research with experience as Principal- and Sub-Investigator in clinical trials related to diabetic neuropathy, CRPS and lumbosacral radiculopathy. Her clinical interests also extend to opioid analgesia and pain in sickle cell disease. She is Lead Pain Specialist for a multidisciplinary Neuropathic Pain Clinic, joint Lead for the Sickle-Pain and Diabetes-Pain Clinics and leads a multidisciplinary Opioid Clinic at St Thomas’. 

Dr Hasnie is committed to supporting trainees at all levels of pain training. She values a collaborative style of training reflecting more multidisciplinary/ multispecialty clinical working; and more personalised training where specific interests can be developed.


Useful links for trainees:

Advanced Pain Training Post Information for Potential Applicants:

For trainees who wish to apply for Advanced Pain Training, please see below post information from the trusts/sites which provides additional information about the training they deliver. You can also find details of who is best to contact at each site.

To view this information, please click on the relevant link below:


School Trainee Reps

For more information about Recruitment please click here.

Study Leave

For more information about Study Leave please click here.

OOP (Out of Programme)

The London School of Anaesthesia and Intensive Care Medicine is highly supportive of trainees wishing to take a period of time out of programme to develop themselves further. There are multiple forms of OOP trainees can undertake which should be discussed as early as possible with your Training Programme Director (both programme TPD's should be informed if you are a dual specialty trainee):

  • OOPT (Training): Time out of programe for approved clinical training in a post which already has prospective approval from the GMC. (Your CCT date may not change)
  • OOPE (Experience): Time out of programme for clinical experience in a post which will not count towards the award of a CCT. (Your CCT date will be extended)
  • OOPR (Research): Time out of programme to undertake research leading to an MD or a PhD.
  • OOPC (Career Break): Planned time out of programme to pursue other interests (e.g. domestic responsibilities, work in industry, developing talents in other areas and entrepreneurship). OOPC should not be used to cover sickness.
  • OOPP (Pause): Allows trainees to step out of training for a period of time and have competencies gained whilst out of training assessed upon their return. This may potentially allow competencies/capabilities accrued whilst out of programme contribute towards training (a key difference from OOPE).

Information regarding OOP options and the application process can be found here.

School guidance, which has been produced to help support conversations with your TPD and navigate the application process successfully, can be found here.

Please be aware that any OOP requires prospective formal agreement of the PG Dean and applications must be submitted at least six months in advance of the anticipated start date (and some programmes have application “windows” – please discuss with your TPD).  The Postgraduate Dean remains the Responsible Officer for Doctors in training on OOP and they will still require an annual ARCP. You should also ensure you are fully understanding of any impact OOP may have on your visa status, statutory rights, continuation of service and pension. The FAQ section on the PGMDE Support Portal can help with queries related to this and can be found here.

For more information regarding OOP please click here.

News and Updates
Simulation and TEL