Performance measure	We recommend that the endoscopy service has a plan to address shortfalls, plus replacement and purchase of facilities and equipment
Domain	Facilities and equipment
Category	Process
Rationale	Planning equipment replacement is a basic requirement as it ensures safe continuity of the service
Standards	Minimum standard: systems in place to ensure that all facilities and equipment replacement identified in Performance measures 2.1 and 2.2 is planned, including a rolling programme of replacement of endoscopic equipment Target standard: acquisition of necessary facilities and equipment is not constrained by business planning, purchasing, or tendering processes
Consensus agreement	96.3%
PICO	Not applicable
Concordance with other guidelines	ASGE Not assessed	Canada Yes	EU Yes	GRS/JAG accreditation Yes
Evidence grading	Low/very low