Quality systems and key performance indicators which are relevant to medical device management services are introduced. Practical examples of applying ISO 901:2000 to a medical device management service are described. One example set of key performance indicators to monitor service delivery and performance is presented. Direct professional advice to managers, doctors and nurses on the use of medical equipment is essential in ensuring patient safety. Analysis of MHRA (Medicines and Healthcare products Regulatory Agency) and manufacturers' information ensures that potential problems are identified before they occur. Writing policy documents relating to medical equipment is an important part of the role.