Support from ‘external’ respected sources (eg, BSG Endoscopy lead)

Support from other departments familiar with checklist (eg, anaesthetics, surgery and management)

Endorsement from trust medical director

Strong leadership from within the endoscopy team; core team members leading by example

Followership encouraged: following by example (eg, by more junior staff or new team members)

Lack of evidence from within endoscopy (currently being addressed by ongoing work)

Professional hierarchy

‘Tick-box’ exercise

Partial uptake and suboptimal practice tolerated

Cumbersome repetitive processes with duplicate forms

Lack of team engagement and feedback on successes, failures and modifications