Performance measure	We recommend that the endoscopy service ensure that all staff (including the leadership team) have the necessary training and achieve the required competencies to undertake their roles
Domain	Staffing
Category	Process
Rationale	This is a basic requirement of any service within or outside of healthcare and there are two key aspects to this recommendation: ▪ the service needs to have instruments to assess competencies – or otherwise create them ▪ the service needs to have staff who are able to provide the training; in certain circumstances the service will not have the capability to carry out the training, in which case this should be ‘outsourced’ elsewhere, with the necessary resources to do this being identified
Standards	Minimum standard: access to service and procedure-specific competencies and methods to assess them Target standard: a training and assessment process that ensures the workforce is properly trained and competent, including procedure-specific education and training
Consensus agreement	96.15%
PICO	Not applicable
Concordance with other guidelines	ASGE Yes	Canada Yes	EU Yes	GRS/JAG accreditation Yes
Evidence grading	Low/very low