Anaesthesia associate registration assessment – clinical capability assessment guide for UK student anaesthesia associates 

Published 30 October 2025

The anaesthesia associate registration assessment – clinical capability assessment (AARA-CCA) is a workplace-based assessment undertaken during an anaesthesia associates (AAs) course of study.

You can find out more information by reading our AARA-CCA guidance.

The CCA consists of five entrustable professional activities, or EPAs, to assess a student’s clinical and professional skills. EPAs cover key activities which newly-qualified AAs should be capable of performing with appropriate supervision.

During the second year of your course, you will need to collate evidence that demonstrates that you are able to work at specific levels of supervision through supervised learning events (SLEs) using entrustment scales. Once all EPAs have been completed, your course provider will verify them and then submit an AARA-CCA completion form.

We will review all AARA-CCA submissions. We will confirm if your AARA-CCA is approved once we are assured all requirements have been met, and following the next meeting of the AARA board.

The AARA board meeting takes place four times a year. The deadline for CCA submissions is two weeks prior to each board. Please contact your course provider if you require further information on these dates.

Candidates who have had a CCA submitted by their course provider have grounds to appeal their result if they have been adversely affected by:

  • Administrative errors occurring in a submission or its presentation to the AARA Board

An AARA-CCA pass will remain valid for two years from the course providers recorded date of verification at submission.

Where a submission does not meet our quality assurance requirements you may be asked to submit further evidence or arrange for a re-submission.

If you have any questions about your CCA or the evidence you need to collate, please speak to your course provider.

You may also wish to refer to the AA registration assessment content map and guidance.