Performance measure	We recommend that the endoscopy service undertakes regular reviews of staffing in relation to activity to identify gaps, and to improve the match between the skills of staff and the work undertaken
Domain	Staffing
Category	Process
Rationale	The qualitative and quantitative demands on an endoscopy service change with time, which means that the type and number of staff required to deliver the service is also likely to change, so regular review of the staffing of a service is essential if it is going to manage the demands placed upon it The European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) has developed a European profile and a core curriculum for nurses working in endoscopy; however, it should be recognized that it is not only physicians and nurses who work in endoscopy units but also technicians and administrative staff, so it is essential that these roles are included in the review
Standards	Minimum standard: an annual review of staffing in relation to activity Target standard: staffing matches the recommendations of the review, with ad hoc reviews following any significant changes in service provision (such as new premises or new procedures) or in response to significant adverse events or shortfalls in quality that identify concerns about staffing levels
Consensus agreement	96.3%
PICO	Not applicable
Concordance with other guidelines	ASGE Yes	Canada Yes	EU Not assessed	GRS/JAG accreditation Yes
Evidence grading	Low/very low