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# Getting It Right First Time - GIRFT

Getting It Right First Time - GIRFT

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## Posts

- [Updates](https://gettingitrightfirsttime.co.uk/news/)
- [Pathway supports clinicians to diagnose and treat Cauda Equina Syndrome without delay](https://gettingitrightfirsttime.co.uk/pathway-supports-clinicians-to-diagnose-and-treat-cauda-equina-syndrome-without-delay/) - A new pathway helping clinicians to better diagnose and care for patients suspected of having a rare and serious spinal condition is now available from the Getting It Right First Time (GIRFT) team. Cauda Equina Syndrome (CES) is a spinal surgical emergency which can lead to lower limb paralysis and loss of bowel, bladder and sexual
- [GIRFT leads cross-specialty clinical group to develop best practice pathway for the rare syndrome HLH](https://gettingitrightfirsttime.co.uk/girft-leads-cross-specialty-clinical-group-to-develop-best-practice-pathway-for-the-rare-syndrome-hlh/) - New resources to support more clinicians to recognise the rare and devastating condition HLH – in turn helping to improve patient care and outcomes – have been developed by the Getting It Right First Time (GIRFT) team. GIRFT has led a collaborative, cross-specialty group of clinicians towards the first consensus pathway for the little-known condition
- [Exciting developments for ENT surgeons using NCIP](https://gettingitrightfirsttime.co.uk/exciting-developments-for-ent-surgeons-using-ncip/) - The National Consultant Information Programme (NCIP) is launching enhanced and refreshed ENT surgical dashboards at ENT UK Annual Innovation Meeting on 26 June. This will provide our ENT colleagues with objective, benchmarked data to drive clinical excellence covering general ENT, rhinology, otology and neck endocrine procedures. Quality metrics include volume, length of stay, readmissions, day
- [Customisable Advice & Guidance templates available for 14 common gynaecology conditions](https://gettingitrightfirsttime.co.uk/customisable-advice-guidance-templates-available-for-14-common-gynaecology-conditions/) - GIRFT has developed a set of templates for responding to Advice and Guidance (A&G) requests for 14 common gynaecological conditions, helping to clarify and support communication between primary and secondary care and reduce unnecessary delays. The new resources are part of a gynaecology A&G toolkit for secondary care clinicians, now available on the GIRFT FutureNHS
- [Paediatric rheumatology leads honoured for work on learning collaborative](https://gettingitrightfirsttime.co.uk/paediatric-rheumatology-leads-honoured-for-work-on-learning-collaborative/) - GIRFT’s joint clinical leads for paediatric rheumatology have picked up a prestigious specialty award for their work establishing a learning collaborative to improve the quality of care for children and young people with juvenile idiopathic arthritis (JIA). Dr Flora McErlane won the British Society for Rheumatology’s Paediatric Rheumatology Award for her abstract ‘Embedding quality improvement
- [Delivering a standardised approach to screening for MRSA](https://gettingitrightfirsttime.co.uk/delivering-a-standardised-approach-to-screening-for-mrsa/) - Guidance to help standardise MRSA screening in hospitals is now available, aiming to reduce delays in the surgical pathway and helping to manage demand for preoperative assessment (POA) services. The guidance has been developed by GIRFT in collaboration with the National Perioperative Collaborative, with input from NHS England’s national clinical directors for perioperative medicine and
- [Come and see us at NHS ConfedExpo 2025 in Manchester](https://gettingitrightfirsttime.co.uk/come-and-see-us-at-nhs-confedexpo-2025-in-manchester/) - Delegates attending this year’s NHS ConfedExpo event in Manchester will have plenty of opportunity to learn more about the GIRFT programme and some of our key areas of work. GIRFT is leading two sessions at the annual health and care conference, which runs on June 11 and 12 2025 at Manchester Central. The sessions will
- [GIRFT study shows that enhanced recovery pathways following elective surgery can help minimise hospital stay](https://gettingitrightfirsttime.co.uk/girft-study-shows-that-enhanced-recovery-pathways-following-elective-surgery-can-help-minimise-hospital-stay/) - A GIRFT study has found that adoption of enhanced recovery pathways following elective surgery can help to reduce the length of hospital stay for patients and contribute to easing the current NHS pressures on elective surgery. The DrEaMing (Drinking, Eating, Mobilising) initiative is one of the most widely adopted. Despite concerns that such pathways can
- [How-to manual supports urology teams to increase use of transurethral laser ablation (TULA) for bladder cancer](https://gettingitrightfirsttime.co.uk/how-to-manual-supports-urology-teams-to-increase-use-of-transurethral-laser-ablation-tula-for-bladder-cancer/) - GIRFT has developed a new how-to manual offering practical steps to help trust urology teams confidently establish and scale their transurethral laser ablation (TULA) services for bladder cancer patients. Supported by the British Association of Urological Surgeons (BAUS) and the British Association of Urological Nurses (BAUN), the new Transurethral Laser Ablation for bladder cancer pathway
- [Clinical lead appointed to focus on the delivery of neurodevelopmental services for children and young people](https://gettingitrightfirsttime.co.uk/clinical-lead-appointed-to-focus-on-the-delivery-of-neurodevelopmental-services-for-children-and-young-people/) - GIRFT has appointed a second clinical lead to its workstream for children and young people’s mental health (CYPMH) services, focusing on the delivery of neurodevelopmental services. Dr Holan Liang – an honorary consultant paediatric neuropsychiatrist at North East London Foundation NHS Trust (NELFT) and Cambridge University Hospitals NHS Foundation Trust, and senior clinical research associate
- [Finding evidence for clinical impact awards: a consultant's experience with NCIP](https://gettingitrightfirsttime.co.uk/finding-evidence-for-clinical-impact-awards-a-consultants-experience-with-ncip/) - As the 27 May deadline for Clinical Impact Award applications approaches, many consultants are gathering evidence to showcase their contributions to patient care and the NHS. We recently spoke with Mr. Taranjit Tatla about how he used the National Consultant Information Programme (NCIP) to support his successful application. The challenge of evidence For busy consultants,
- [Surgical hubs achieve accreditation for clinical and operational practice](https://gettingitrightfirsttime.co.uk/surgical-hubs-achieve-accreditation-for-clinical-and-operational-practice/) - Five more elective surgical hubs have been awarded accreditation as part of a GIRFT scheme to ensure the highest standards in clinical and operational practice. The hubs which exclusively perform planned surgery bring together the skills and expertise of staff under one roof, with protected facilities and theatres. They are helping to deliver shorter waits
- [GIRFT director and co-founder receives MBE from Her Royal Highness The Princess Royal at Windsor Castle](https://gettingitrightfirsttime.co.uk/girft-director-and-co-founder-receives-mbe-from-her-royal-highness-the-princess-royal-at-windsor-castle/) - Rachel Yates, director of the Getting It Right First Time (GIRFT) programme and its co-founder, has officially received her MBE from Her Royal Highness The Princess Royal during an investiture ceremony at Windsor Castle following her inclusion in the 2024 King’s New Year Honours. Rachel was recognised with a Member of the Order of the
- [New GIRFT lead for CYP mental health to continue work to improve community services](https://gettingitrightfirsttime.co.uk/new-girft-lead-for-cyp-mental-health-to-continue-work-to-improve-community-services/) - A new clinical lead has been appointed to head the Getting It Right First Time (GIRFT) children and young people’s mental health (CYPMH) workstream. Dr Johnny Downs, senior clinical lecturer and honorary consultant child and adolescent psychiatrist in community CAMHS at South London and Maudsley NHS Foundation Trust, will continue the work of Dr Guy
- [Implementing a co-ordinated approach to robotic-assisted surgery](https://gettingitrightfirsttime.co.uk/implementing-a-co-ordinated-approach-to-robotic-assisted-surgery/) - GIRFT has published a new guide to help the NHS increase its use of robotic-assisted surgery (RAS) programmes in NHS trusts, including training of staff, evaluation and safety monitoring. The guide presents a framework that will help NHS providers and ICBs as commissioners to adopt a co-ordinated approach, supporting clinical teams to implement RAS programmes that
- [GIRFT’s virtual wards guidance updated to reflect new NHSE operational framework](https://gettingitrightfirsttime.co.uk/girfts-virtual-wards-guidance-updated-to-reflect-new-nhse-operational-framework/) - Guidance to support the use of virtual wards to care for more patients in their home or care home has now been updated to reflect NHS England’s new virtual wards operational framework. Getting It Right First Time (GIRFT) and NHSE’s Virtual Ward programme first developed its easy-read guidance for clinicians looking to maximise their use
- [Delivering a standardised approach to preoperative urine testing](https://gettingitrightfirsttime.co.uk/delivering-a-standardised-approach-to-preoperative-urine-testing/) - GIRFT has published a second guide in its series on preoperative testing to deliver a standardised approach to screening, management and treatment for urinary infections prior to elective urology surgery. The guide forms part of a series of practical guides that aim to support hospital trusts to take a targeted and evidence-based approach to diagnostic
- [Supporting hospital teams with safe inpatient diabetes care](https://gettingitrightfirsttime.co.uk/supporting-hospital-teams-with-safe-inpatient-diabetes-care/) - GIRFT has produced a guide to support clinical teams in establishing diabetes safety boards. This follows a recommendation in GIRFT’s national specialty report on diabetes, published in November 2020, which advised that a trust-level diabetes safety board attended by multidisciplinary clinical teams would reduce complications for inpatients with diabetes. Diabetic ketoacidosis (DKA), foot ulceration and
- [SPaedIT wins prestigious HSJ Partnership Award!](https://gettingitrightfirsttime.co.uk/spaedit-wins-prestigious-hsj-partnership-award/) - We are thrilled to announce that SPaedIT, our innovative paediatric surgery data tool, has been awarded ‘Data Integration Project of the Year’ at the prestigious HSJ Partnership Awards. Developed by GIRFT and NHS England’s Children and Young People (CYP) Transformation team, working with partners Edge Health UK and the GIRFT projects team at RNOH, SPaedIT has been
- [New report outlines measures to improve care for tuberculosis patients](https://gettingitrightfirsttime.co.uk/new-report-outlines-measures-to-improve-care-for-tuberculosis-patients/) - A new data-driven national report into tuberculosis (TB) services across England outlines measures which can improve services for TB patients and the NHS staff who care for them. Produced by the GIRFT projects team at the Royal National Orthopaedic Hospital, the review shares critical findings and recommendations to help reduce the burden of TB on
- [GIRFT welcomes new sickle cell and thalassemia clinical lead](https://gettingitrightfirsttime.co.uk/girft-welcomes-new-sickle-cell-and-thalassemia-clinical-lead/) - Oxford consultant Dr Wale Atoyebi has been appointed to lead GIRFT’s sickle cell disease and thalassaemia workstream. Dr Atoyebi is a consultant haematologist at Oxford University Hospitals NHS Foundation Trust and honorary senior clinical lecturer at Oxford University with 24 years of experience. He also serves as clinical lead for the Wessex and Thames Valley
- [New guide supports functional urology service delivery](https://gettingitrightfirsttime.co.uk/new-guide-supports-functional-urology-service-delivery/) - A new GIRFT guide focusing on functional urological and urogynaecological conditions aims to help teams across primary and secondary care deliver improvements in care for patients with urinary and genital tract disorders and complex pelvic floor problems. The guidance ‘Improving functional, reconstructive urology and urogynaecology service delivery’ is a collaboration between GIRFT, the British Association
- [New OMFS dashboards now live on NCIP portal](https://gettingitrightfirsttime.co.uk/new-omfs-dashboards-now-live-on-ncip-portal/) - New data dashboards for oral and maxillofacial surgery (OMFS) are now available on the the National Consultant Information Programme (NCIP) portal, enabling consultant OMFS surgeons to review their procedures and outcomes for patients. All OMFS surgeons in England can register for access to the 18 OMFS dashboards now live on the NCIP portal. The tool
- [Interactive pathway to help diagnose and treat Cauda Equina Syndrome without delay is now live](https://gettingitrightfirsttime.co.uk/interactive-pathway-to-help-diagnose-and-treat-cauda-equina-syndrome-without-delay-is-now-live/) - GIRFT’s first interactive pathway – illustrating best practice for clinicians caring for patients suspected of having Cauda Equina Syndrome (CES) – has now gone live. The easy-to-navigate, web-based tool is designed for use by clinicians, nurses and allied health professionals (AHPs) at every stage of the CES patient pathway, from GP presentation to post-operative care.
- [GIRFT seeks lower gastrointestinal clinical lead to head new workstream](https://gettingitrightfirsttime.co.uk/girft-seeks-lower-gastrointestinal-clinical-lead-to-head-new-workstream/) - The GIRFT programme is seeking a national lower gastrointestinal (LGI) clinical lead to review surgical performance, with a focus on colorectal cancer. This includes assessing specialist practice, identifying providers of complex procedures and evaluating service distribution. Key priorities include ensuring appropriate surgical volumes, preventing low-volume activity, and reviewing stoma reversal rates to support best practice.
- [GIRFT supports major research hub to deliver a ‘greener’ NHS](https://gettingitrightfirsttime.co.uk/girft-supports-major-research-hub-to-deliver-a-greener-nhs/) - GIRFT is partnering with Exeter University to support the NHS in reducing its carbon footprint and promote environmentally sustainable models of healthcare. Exeter University has been awarded £6.5m from UK Research and Innovation (UKRI) and the National Institute for Health and Care Research (NIHR) to establish a national hub delivering research to address the challenge
- [Guide to support use of preoperative tests for elective surgery](https://gettingitrightfirsttime.co.uk/guide-to-support-use-of-preoperative-tests-for-elective-surgery/) - A new guide focused on when to use NT-pro-BNP tests and transthoracic echocardiogram in preoperative assessment of patients is now available to download. The guidance is the first in a series aimed at ensuring preoperative diagnostic testing is only used where the results are likely to change perioperative management by anaesthetists. GIRFT reviews – along
- [Call for primary care physician support to develop GIRFT greener care pathways](https://gettingitrightfirsttime.co.uk/call-for-primary-care-physician-support-to-develop-girft-greener-care-pathways/) - GIRFT has developed a methodology to produce national guidance for decarbonising healthcare pathways in practical ways. This approach has been piloted in bladder cancer. The NHS has a significant carbon footprint, producing 4-5% of the UK’s greenhouse gas emissions and has set a net zero target by 2045. Meeting this target is crucial to help avoid
- [GIRFT seeks national clinical lead for neurology](https://gettingitrightfirsttime.co.uk/girft-seeks-national-clinical-lead-for-neurology/) - The GIRFT programme is seeking a national clinical lead to focus on the improvement of adult neurology services across England. The scope of this role includes adults and older adults accessing, or needing to access, all levels of secondary and tertiary care neurology services. Using a data driven, evidence-based approach, the role of clinical lead
- [Two new guides from GIRFT support theatre productivity](https://gettingitrightfirsttime.co.uk/two-new-guides-from-girft-support-theatre-productivity/) - A seventh module in GIRFT’s popular series of practical guides for theatre productivity is now available, along with a supporting guide on optimising surgical throughput with high flow lists. The latest module focuses on children’s and young people’s surgery, outlining the key principles across many models currently in use that best support effective theatre flows.
- [GIRFT seeks specialty advisor for gastroenterology](https://gettingitrightfirsttime.co.uk/girft-seeks-specialty-advisor-for-gastroenterology/) - The Getting It Right First Time (GIRFT) programme is looking to appoint a national gastroenterology specialty advisor to support reducing unwarranted variation, with a focus on developing pathways, sharing best practice as well as providing focused support for challenged trusts. The role will involve working collaboratively with relevant stakeholders including the British Society of Gastroenterology,
- [Supporting the provision of urgent and emergency urology care: a new guide for clinicians](https://gettingitrightfirsttime.co.uk/supporting-the-provision-of-urgent-and-emergency-urology-care-a-new-guide-for-clinicians/) - A comprehensive guide for clinicians working in urgent care and emergency departments has been launched by GIRFT to support the provision of emergency urological care. Developed in collaboration with members of the British Association of Urological Surgeons (BAUS) and the British Association of Urological Nurses (BAUN), it incorporates valuable input from clinicians across community, primary,
- [Advice and Guidance templates for gastroenterology now available](https://gettingitrightfirsttime.co.uk/advice-and-guidance-templates-for-gastroenterology-now-available/) - In collaboration with the British Society of Gastroenterology and the Primary Care Society for Gastroenterology and Hepatology, GIRFT has developed an advice and guidance (A&G) toolkit to support GP decision-making aided by guidance from specialist gastroenterology teams. A&G, also known as Specialist Advice Services, enables GPs to seek timely advice from secondary care specialists. It
- [GIRFT starts work on £3.5m government programme to reduce waiting times for elective community MSK services](https://gettingitrightfirsttime.co.uk/girft-starts-work-on-3-5m-government-programme-to-reduce-waiting-times-for-elective-community-msk-services/) - GIRFT is getting started on a £3.5m programme of activity – funded by the Government’s Joint Work and Health Directorate – working with 17 integrated care systems (ICSs) with the highest waiting lists for elective community MSK services. The focus is on reducing waiting times for a community MSK appointment; to improve access to MSK
- [Focus on Community Dental Services in new GIRFT supplementary report](https://gettingitrightfirsttime.co.uk/focus-on-community-dental-services-in-new-girft-supplementary-report/) - GIRFT guidance to help improve the Community Dental Service (CDS) for children and adults with special needs is now available to download. The supplementary report was developed by a group of 25 experts working in a range of roles in different CDS providers from the specialties of paediatric dentistry and special care dentistry. As part
- [GIRFT director and co-founder awarded MBE in King’s New Year Honours 2024](https://gettingitrightfirsttime.co.uk/girft-director-and-co-founder-awarded-mbe-in-kings-new-year-honours-2024/) - Rachel Yates, GIRFT’s co-founder and director of clinical improvement, has been awarded a Member of the Order of the British Empire (MBE) in the 2024 King’s New Year Honours. Rachel is director of the GIRFT programme and its co-founder alongside Professor Tim Briggs. She receives the honour for services to clinical quality improvement and patient safety. Formerly
- [Report showcases two NHS centres using surgical hubs for paediatric elective care](https://gettingitrightfirsttime.co.uk/report-showcases-two-nhs-centres-using-surgical-hubs-for-paediatric-elective-care/) - The British Journal of Healthcare Management has published a paper exploring two approaches to the delivery of paediatric elective care through a surgical hub model. The report discusses key considerations for paediatric elective care drawing on insights from two NHS centres in Greater Manchester providing children’s surgery. GIRFT, which runs an accreditation scheme to assess
- [GIRFT data tools in the running for HSJ Partnership Awards 2025](https://gettingitrightfirsttime.co.uk/girft-data-tools-in-the-running-for-hsj-partnership-awards/) - Two of GIRFT’s key data tools – supporting elective recovery for children and young people (CYP) and improvement in the emergency department (ED) – have been shortlisted for prestigious awards in the upcoming HSJ Partnership Awards. GIRFT and data analytics supplier Edge Health are jointly nominated for their work on developing and delivering both the
- [New toolkit supports trust and system teams to make the most out of the GIRFT methodology](https://gettingitrightfirsttime.co.uk/new-toolkit-supports-trust-and-system-teams-to-make-the-most-out-of-the-girft-methodology/) - GIRFT has developed a new practical toolkit designed to help trusts and systems embed the GIRFT methodology as part of business as usual. Guidance, a checklist and good practice from trusts across England are all included in the new toolkit to help NHS colleagues – from executive leaders to operational managers –identify whether they are
- [GIRFT’s first greener pathway: Reducing the carbon footprint of the bladder cancer pathway while enhancing patient care](https://gettingitrightfirsttime.co.uk/girfts-first-greener-pathway-reducing-the-carbon-footprint-of-the-bladder-cancer-pathway-while-enhancing-patient-care/) - GIRFT’s first ‘greener’ pathway guide is now available to read and download – outlining practical steps trusts can take to decarbonise the bladder cancer pathway, helping to reduce the environmental impact of the NHS while improving patient care. Click here for GIRFT Greener pathways: A practical guide to decarbonising the bladder cancer care pathway The
- [How-to video supports you to make best use of GIRFT templates for Advice and Guidance requests](https://gettingitrightfirsttime.co.uk/how-to-video-supports-you-to-make-best-use-of-girft-templates-for-advice-and-guidance-requests/) - GIRFT has developed a short how-to video explaining how secondary care clinicians can make best use of the programme’s toolkits and templates to reduce the time taken to respond to Advice and Guidance (A&G) requests. The two-minute video demonstrates the benefits of using GIRFT’s range of A&G resources, which are designed to enhance communication between
- [Hospital dentistry teams can now access GIRFT data in the Model Health System](https://gettingitrightfirsttime.co.uk/hospital-dentistry-teams-can-now-access-girft-data-in-the-model-health-system/) - A new compartment of GIRFT data showing hospital dentistry activity is the latest to be added to the Model Health System, offering metrics across four key specialties. Around 170 metrics for paediatric dentistry, oral surgery, orthodontics and restorative dentistry are now available in the new compartment, offering contextual data and specific procedural data at site,
- [New clinical leadership team to drive forward GIRFT’s work in ENT services](https://gettingitrightfirsttime.co.uk/new-clinical-leadership-team-to-drive-forward-girfts-work-in-ent-services/) - A new clinical leadership team has been appointed to drive forward GIRFT’s work to maximise productivity in the ear, nose and throat (ENT) surgery specialty. Two clinical leads and two clinical advisors are now in place as the workstream further focuses on reducing the number of long waiting patients in England and developing new models
- [Recruitment under way for clinician to lead national review of sickle cell disorder (SCD) and thalassaemia](https://gettingitrightfirsttime.co.uk/recruitment-under-way-for-clinician-to-lead-national-review-of-sickle-cell-disorder-scd-and-thalassaemia/) - Recruitment is under way for a clinician to lead a new national review and improvement programme of services for patients with sickle cell disorder (SCD) and thalassaemia, in a collaboration between the NHS England Healthcare Inequalities Improvement Programme and Getting It Right First Time (GIRFT). Work will begin early in 2025 to undertake a series
- [Study identifies the potential to reduce rates of surgical postponements in England](https://gettingitrightfirsttime.co.uk/study-identifies-the-potential-to-reduce-rates-of-surgical-postponements-in-england/) - A study published in the British Journal of Surgery has identified substantial variation in rates of surgical postponements across NHS trusts in England and suggests how streamlining perioperative pathways can ensure better care for patients and support the NHS’s recovery of elective surgical services. Postponement of surgery in the days and weeks leading up to
- [Four more surgical hubs achieve accreditation for high standards of practice](https://gettingitrightfirsttime.co.uk/four-more-surgical-hubs-achieve-accreditation-2/) - Four more elective surgical hubs have been awarded accreditation as part of a GIRFT scheme to ensure the highest standards in clinical and operational practice. The hubs, which exclusively perform planned surgery, bring together the skills and expertise of staff under one roof, with protected facilities and theatres. They are helping to deliver shorter waits
- [Guide to support providers to replicate Nottingham’s Working to Achieve Value and Excellence (WAVE) programme](https://gettingitrightfirsttime.co.uk/guide-to-support-providers-to-replicate-nottinghams-working-to-achieve-value-and-excellence-wave-programme/) - Practical guidance to support trusts in England to replicate Nottingham University Hospitals NHS Trust’s successful WAVE improvement programme is now available for download. The Working to Achieve Value and Excellence (WAVE) programme has been running at NUH for six years and has been proven to improve the quality of services for patients, increase productivity, reduce
- [Personal procedure data in the NCIP portal now rolled out to all thoracic surgeons in England](https://gettingitrightfirsttime.co.uk/personal-procedure-data-in-the-ncip-portal-now-rolled-out-to-all-thoracic-surgeons-in-england/) - Consultant surgeons carrying out thoracic surgery now have access to their personal procedure data in the National Consultant Information Programme (NCIP) portal. All thoracic surgeons, as well as Responsible Officers, Medical Directors and specialty clinical leads, can register for access to the 28 dashboards live in the NCIP tool, covering procedures such as thoracoscopic and
- [Top diabetes award for team supporting national implementation of hybrid closed loop technology](https://gettingitrightfirsttime.co.uk/top-diabetes-award-for-team-supporting-national-implementation-of-hybrid-closed-loop-technology/) - The NHS England GIRFT team supporting trusts to move to hybrid closed loop (HCL) technology has won an award for its outstanding contribution in improving the quality of life for people living with diabetes. Professor Partha Kar (NHS England GIRFT Type 1 diabetes and technology lead) and the whole NHSE HCL team picked up the
- [Advice and Guidance response templates for common dermatology conditions now available](https://gettingitrightfirsttime.co.uk/advice-and-guidance-response-templates-for-common-dermatology-conditions-now-available/) - Templates for responding to Advice and Guidance (A&G) requests for seven common dermatological conditions are now available, helping to enhance communication between primary and secondary care and reduce unnecessary delays. The new outpatient resources – developed by GIRFT with the British Association of Dermatologists (BAD) – are part of a new dermatology A&G toolkit for
- [Myth-busting guidance aims to drive more HVLC spinal procedures being carried out in elective surgical hubs](https://gettingitrightfirsttime.co.uk/myth-busting-guidance-aims-to-drive-more-hvlc-spinal-procedures-being-carried-out-in-elective-surgical-hubs/) - NHS colleagues working in elective surgical hubs can now access new GIRFT guidance advising how to increase their volume of high-volume low complexity spinal procedures to help reduce waiting lists more quickly. Getting Spine Ready is GIRFT’s latest addition to its suite of elective surgical hub guidance, addressing common misconceptions and offering advice on how
- [Data in the NCIP portal now rolled out to gynaecology surgeons](https://gettingitrightfirsttime.co.uk/data-in-the-ncip-portal-now-rolled-out-to-gynaecology-surgeons/) - Consultant surgeons carrying out gynaecology surgery now have access to their personal procedure data in the National Consultant Information Programme (NCIP) portal, as part of a national rollout to all specialties. All gynaecology surgeons can log in to 33 dashboards live in the NCIP tool. The dashboards are categorised into three sub-specialties and cover procedures
- [GIRFT’s successful preoperative assessment network scoops top Nursing Times award](https://gettingitrightfirsttime.co.uk/girfts-successful-preoperative-assessment-network-scoops-top-nursing-times-award/) - GIRFT’s highly successful non-medical network for colleagues working to improve preoperative assessment (POA) has been recognised with a top award in the 2024 Nursing Times Awards. The POA network, established in 2022, was set up as part of GIRFT’s theatre productivity work, which supports providers and systems to maximise the effectiveness and throughput of their surgical
- [Spinal surgery report may bring benefits for tens of thousands of back pain patients](https://gettingitrightfirsttime.co.uk/spinal-surgery-report/) - Replacing short-term pain relief injections with long-term physical and psychological rehabilitation programmes could help tens of thousands more patients cope with debilitating back pain, according to a new Getting It Right First Time (GIRFT) report on spinal surgery.
- [Collaborative study outlines the landscape of elective surgical hubs in England](https://gettingitrightfirsttime.co.uk/collaborative-study-outlines-the-landscape-of-elective-surgical-hubs-in-england/) - A new study looking at the landscape of elective surgical hubs in England has been published as a result of a collaboration between the GIRFT programme and The Health Foundation. Published in The Bulletin of the Royal College of Surgeons of England, the study – entitled Elective surgical hubs for helping the recovery of elective
- [GIRFT issues principles to improve the flow and experience of patients through urgent and emergency care](https://gettingitrightfirsttime.co.uk/girft-issues-principles-to-improve-the-flow-and-experience-of-patients-through-urgent-and-emergency-care/) - Ten core principles to guide actions and behaviours for effective front door acute patient care are outlined in new guidance from the GIRFT Urgent and Emergency Care (UEC) team, in collaboration with the Royal College of Physicians. The principles – underpinned by existing national policy and expert clinical opinion – pinpoint ways of working which
- [Study identifies the potential to reduce the carbon footprint of cataract surgery by following GIRFT pathways](https://gettingitrightfirsttime.co.uk/study-identifies-the-potential-to-reduce-the-carbon-footprint-of-cataract-surgery-by-following-girft-pathways/) - A new study suggests that if all providers of cataract surgery in England were to match the best performers in following GIRFT’s best practice pathway, there is potential to save enough carbon dioxide equivalents to power almost 16,000 UK homes with electricity for one year. A team of GIRFT researchers* analysed data for more than
- [Changes to the day case compartment on the Model Health System... and how they affect you](https://gettingitrightfirsttime.co.uk/changes-to-the-day-case-compartment-on-the-model-health-system/) - The Model Health System (MHS) day case compartment has been updated in line with the latest British Association of Day Surgery (BADS) directory of procedures, supporting trusts and systems to monitor the delivery of some surgical procedures in the most efficient and clinically appropriate setting. BADS’ directory includes recommended rates for the percentage of procedures
- [Comparative prescribing data available as GIRFT metrics for rheumatology are added to the Model Health System](https://gettingitrightfirsttime.co.uk/comparative-prescribing-data-available-as-girft-metrics-for-rheumatology-are-added-to-the-model-health-system/) - NHS rheumatology teams can now access the most up-to-date GIRFT data for the specialty on the Model Health System (MHS), supporting them to better understand their service in comparison to others and identify where improvements are needed. The new GIRFT compartment for rheumatology features more than 150 metrics, covering outpatient activity (rates of ‘did not
- [Delivery pack supports trusts to ‘think day case first’ for elective and non-elective care](https://gettingitrightfirsttime.co.uk/delivery-pack-supports-trusts-to-think-day-case-first-for-elective-and-non-elective-care/) - Updated guidance supporting NHS trusts to expand and increase their use of day case surgery is now available to download on the Getting It Right First Time (GIRFT) website. GIRFT has worked with the British Association of Day Surgery (BADS) and the Centre for Perioperative Care (CPOC) to update its National Day Surgery Delivery Pack
- [Study identifies a trend towards better, more efficient and lower carbon care for knee surgery, in line with GIRFT recommendations](https://gettingitrightfirsttime.co.uk/study-identifies-a-trend-towards-better-more-efficient-and-lower-carbon-care-for-knee-surgery-in-line-with-girft-recommendations/) - Implementing leaner, more streamlined patient care pathways can help to reduce the carbon footprint of knee surgery, according to a new study. A team of GIRFT researchers* analysed data for all 648,861 primary total knee replacements conducted in England between April 2013 and March 2022 for a new study recently published in The Annals of
- [GIRFT and NHS Diabetes Programme launch new specialty review into services for children and young adults living with diabetes](https://gettingitrightfirsttime.co.uk/girft-and-nhs-diabetes-programme-launch-new-specialty-review-into-services-for-children-and-young-adults-living-with-diabetes/) - A national review of services for children and young adults living with diabetes is about to begin, in a joint initiative between the Getting It Right First Time (GIRFT) team and the NHS Diabetes Programme. The new workstream aims to tackle variation in care and outcomes between and within Integrated Care Systems (ICSs) in England,
- [Best practice guidance for effective post-menopausal bleeding clinics](https://gettingitrightfirsttime.co.uk/best-practice-guidance-for-effective-post-menopausal-bleeding-clinics/) - Best practice guidance for ensuring more women receive a timely, accurate diagnosis and effective treatments via post-menopausal bleeding clinics is now available to gynaecology teams. GIRFT has developed a supplementary guide focusing on optimising PMB clinics, to be used alongside the British Menopausal Society’s recent joint guideline on the management of unscheduled bleeding on hormone
- [GIRFT issues quick-look format of guidance for management of unscheduled bleeding on HRT](https://gettingitrightfirsttime.co.uk/girft-issues-quick-look-format-of-guidance-for-management-of-unscheduled-bleeding-on-hrt/) - A quick-look summary of the British Menopause Society’s recent guideline for managing unscheduled bleeding on hormone replacement therapy (HRT) is now on offer from GIRFT, supporting clinical decision-making and helping to ensure women receive the right care. GIRFT was among the contributors to the BMS’s detailed guidance on management of unscheduled bleeding on hormone replacement
- [Updated and improved: Changes to GIRFT diabetes metrics on the Model Health System](https://gettingitrightfirsttime.co.uk/updated-and-improved-changes-to-girft-diabetes-metrics-on-the-model-health-system/) - GIRFT’s metrics for diabetes on the Model Health System (MHS) have been updated and improved in response to feedback from clinical teams. The programme’s diabetes compartment has been available on the MHS portal since 2022, featuring trust- and system-specific data for diabetes care, amputations, surgical care and other hospital-wide metrics for inpatients with diabetes. The
- [GIRFT offers guidance to choosing a digital supplier to support pre-operative care](https://gettingitrightfirsttime.co.uk/girft-offers-guidance-to-choosing-a-digital-supplier-to-support-pre-operative-care/) - NHS decision-makers looking to adopt digital solutions to support pre-operative care can find operational guidance on the various options on GIRFT’s FutureNHS workspace. Pre-operative support guidance has been developed as part of the programme’s review of digital health technologies (DHTs), providing a framework for assessing and evaluating the DHTs available (at July 2023). Click here
- [GIRFT shares posters to schools to raise awareness of testicular torsion](https://gettingitrightfirsttime.co.uk/girft-shares-posters-to-schools-to-raise-awareness-of-testicular-torsion/) - A series of NHS posters aiming to raise awareness among boys and education leaders of the need to act quickly on testicular torsion has been made available to schools. In February, GIRFT shared its national pathway for best practice in the management of testicular torsion, developed by a multi-disciplinary group of more than 50 NHS
- [New research concludes that surgical hubs can speed up efforts to tackle hospital waiting lists](https://gettingitrightfirsttime.co.uk/new-research-concludes-that-surgical-hubs-can-speed-up-efforts-to-tackle-hospital-waiting-lists/) - Important new research has provided evidence that NHS surgical hubs increase treatment volumes and reduce the length of time patients spend in hospital, helping to speed up efforts to tackle waiting lists. GIRFT has worked with The Health Foundation’s Improvement Analytics Unit (IAU) to support its independent evaluation of the impact of elective hubs on
- [Third clinical lead for ophthalmology joins GIRFT to build on elective recovery work](https://gettingitrightfirsttime.co.uk/third-clinical-lead-for-ophthalmology-joins-girft-to-build-on-elective-recovery-work/) - A third clinical lead for ophthalmology has joined the GIRFT team, as the programme builds on its work to support trusts with elective recovery and increasing capacity for cataract surgery. Dr Elizabeth Wilkinson, a consultant ophthalmologist at Royal Devon University Healthcare NHS Foundation Trust and the clinical director at the Centre of Excellence for Eyes
- [Two additional clinicians join the GIRFT clinical leadership team for cardiology](https://gettingitrightfirsttime.co.uk/two-additional-clinicians-join-the-girft-clinical-leadership-team-for-cardiology/) - GIRFT has appointed two additional clinicians to lead its cardiology workstream, helping to drive forward new work to improve cardiology services for patients, staff and the wider NHS in England, and support elective recovery. Dr Mark Sopher (consultant cardiologist at University Hospitals Dorset NHS Foundation Trust) and Dr Stephen Hoole (consultant cardiologist at Royal Papworth
- [Advice and Guidance response templates for children and young people’s conditions now available to paediatricians](https://gettingitrightfirsttime.co.uk/advice-and-guidance-response-templates-for-children-and-young-peoples-conditions-now-available-to-paediatricians/) - Templates for responding to Advice and Guidance (A&G) requests for 20 frequently-requested children and young people’s conditions are now available, helping to enhance communication between primary and secondary care and with families, and reducing unnecessary delays. The new outpatient resources – supported by the Royal College of Paediatrics and Child Health (RCPCH) – are part
- [Four more surgical hubs achieve accreditation](https://gettingitrightfirsttime.co.uk/four-more-surgical-hubs-achieve-accreditation/) - Four more elective surgical hubs have been awarded accreditation as part of a GIRFT scheme to ensure the highest standards in clinical and operational practice. The hubs which exclusively perform planned surgery bring together the skills and expertise of staff under one roof, with protected facilities and theatres. They are helping to deliver shorter waits
- [Module on workforce planning and deployment completes GIRFT series of guides for theatre productivity](https://gettingitrightfirsttime.co.uk/module-on-workforce-planning-and-deployment-completes-girft-series-of-guides-for-theatre-productivity/) - The sixth module in GIRFT’s popular series of practical guides for theatre productivity is available now. The latest module focuses on workforce planning and deployment, outlining key principles for workforce planning to best support effective theatre flows. It completes a series of guides designed to support staff to understand how finetuning each part of the
- [Good practice guide aims to maximise the efficiency of imaging in the operating theatre](https://gettingitrightfirsttime.co.uk/good-practice-guide-aims-to-maximise-the-efficiency-of-imaging-in-the-operating-theatre/) - Guidance outlining good practice for imaging in the operating theatre has been shared by GIRFT. The new resource is for use by all NHS colleagues responsible for providing radiography in theatres – theatre managers and staff, radiology service managers, and radiographers – and covers how best to maximise efficiency, at the same time as maintaining
- [Bigger and better GIRFT compartment on Model Health System now covers the entire vascular surgical practice](https://gettingitrightfirsttime.co.uk/bigger-and-better-girft-compartment-on-model-health-system-now-covers-the-entire-vascular-surgical-practice/) - New and improved GIRFT metrics for vascular surgery have gone live on the Model Health System platform, allowing vascular units to identify where they are performing well and areas where they can target quality improvement. More than 100 metrics covering the entire vascular surgical practice in England are included in the new compartment for procedures
- [SAMIT 75+ data available to help improve services for older and frail patients](https://gettingitrightfirsttime.co.uk/samit-75-tab-available-to-help-improve-services-for-older-and-frail-patients/) - A new tool showing site-level, up-to-date emergency medical pathway data specific to older and frail patients has been added to the GIRFT suite of resources supporting urgent and emergency care (UEC). SAMIT 75+ is a new tab within GIRFT’s existing Summary Acute Medicine Indicator Table (SAMIT) data tool, offering national comparative data for frailty at
- [GIRFT’s preoperative assessment network shortlisted for top Nursing Times award](https://gettingitrightfirsttime.co.uk/girfts-preoperative-assessment-network-shortlisted-for-top-nursing-times-award/) - GIRFT’s successful non-medical network for colleagues working to improve preoperative assessment (POA) has been shortlisted for a prestigious award in the 2024 Nursing Times Awards. The POA network, established in 2022, was set up as part of GIRFT’s theatre productivity work, which supports providers and systems to maximise the effectiveness and throughput of their surgical
- [Take part in GIRFT’s snapshot diabetes inpatient survey](https://gettingitrightfirsttime.co.uk/take-part-in-girfts-snapshot-diabetes-survey-during-insulin-safety-week-2024/) - Diabetes inpatient teams across England are being asked to take part in a GIRFT survey, to help create a snapshot of current service provision. All teams have been invited to fill in the questionnaire (one per site), which takes around 30-60 minutes to complete. Click to fill in our GIRFT diabetes snapshot survey The GIRFT
- [Data in the NCIP portal now rolled out to upper and lower GI surgeons](https://gettingitrightfirsttime.co.uk/data-in-the-ncip-portal-now-rolled-out-to-upper-and-lower-gi-surgeons/) - Consultant surgeons carrying out upper and lower gastrointestinal surgery now have access to their personal procedure data in the National Consultant Information Programme (NCIP) portal, as part of a national rollout to all specialties. All upper and lower gastrointestinal surgeons and those carrying out GI procedures can log in to around 60 dashboards live in
- [GIRFT dermatology lead awarded MBE in King’s Birthday Honours 2024](https://gettingitrightfirsttime.co.uk/girft-dermatology-lead-awarded-mbe-in-kings-birthday-honours/) - Professor Nick Levell, GIRFT’s clinical lead for dermatology, has been awarded a Member of the Order of the British Empire (MBE) in the 2024 King’s Birthday Honours. Professor Levell, who has been the GIRFT lead since 2017, receives the honour for services to the care of people with skin diseases. He has been a consultant dermatologist at
- [Endocrinology teams can now access GIRFT data in the Model Health System](https://gettingitrightfirsttime.co.uk/endocrine-surgery-teams-can-now-access-girft-data-in-the-model-health-system/) - A compartment for GIRFT data on endocrine surgery and outpatients is the latest to be added to the Model Health System, enabling NHS teams working in the specialty to gauge their performance and make improvements. More than 30 metrics for thyroidectomy, parathyroidectomy, adrenalectomy and pituitary surgery are available in the new compartment, offering data in
- [GIRFT spotlight at NHS ConfedExpo on moving further and faster in elective recovery](https://gettingitrightfirsttime.co.uk/girft-spotlight-at-nhs-confedexpo-on-moving-further-and-faster-in-elective-recovery/) - GIRFT Chair and NHSE’s National Director for Clinical Improvement and Elective Recovery, Professor Tim Briggs, will lead a learning theatre session at the 2024 NHS ConfedExpo conference in Manchester on how to create capacity and reduce patient waiting times. Professor Briggs will present the GIRFT approach to reducing patient waiting times while also ensuring sustainable
- [Study shows day case laparoscopic cholecystectomy is safe and can support post-pandemic elective recovery](https://gettingitrightfirsttime.co.uk/study-shows-day-case-laparoscopic-cholecystectomy-is-safe-and-can-support-post-pandemic-elective-recovery/) - Increasing day case rates for laparoscopic cholecystectomy (surgery to remove the gall bladder) is likely to be key if NHS systems are to increase activity levels up to and beyond pre-pandemic levels, according to a new GIRFT study. Laparoscopic cholecystectomy is regularly performed as day-case surgery across England, but rates vary across regions and Integrated
- [QR code poster offers easy access to GIRFT’s diabetes in the ED interactive pathways](https://gettingitrightfirsttime.co.uk/qr-code-poster-offers-easy-access-to-girfts-diabetes-in-the-ed-interactive-pathways/) - A poster enabling clinicians in the emergency department and other acute care teams to quickly access GIRFT’s interactive pathways for patients with diabetes is now available for download and printing. In 2023, GIRFT developed a range of interactive resources to support NHS colleagues caring for people with diabetes in ED, demonstrating examples of the processes
- [Elective surgical hub survey seeks staff views](https://gettingitrightfirsttime.co.uk/elective-surgical-hub-survey-seeks-staff-views/) - Colleagues working in or with elective surgical hubs are encouraged to take part in a new survey from The Health Foundation, supported by GIRFT. An online consultation has been launched seeking insights about hub processes and outcomes from stakeholders and staff who work in surgical hubs or are involved in their management or development. The
- [Non-ambulatory fragility fracture (NAFF) pathway aims to ensure patients with similar needs receive good and equitable care](https://gettingitrightfirsttime.co.uk/non-ambulatory-fragility-fracture-naff-pathway-aims-to-ensure-patients-with-similar-needs-receive-good-and-equitable-care/) - GIRFT has shared a new national pathway outlining the best practice concepts for ensuring patients with all types of fragility fracture receive excellent and equitable NHS care. Many thousands of older people are admitted to hospital with a fracture every year; hip fractures alone lead to around 70,000 older people hospital admissions in England annually,
- [Advice and Guidance response templates for urology now available in GIRFT outpatient resources](https://gettingitrightfirsttime.co.uk/advice-and-guidance-response-templates-for-urology-now-available-in-girft-outpatient-resources/) - Templates for responding to Advice and Guidance (A&G) requests are now available as part of a collection of resources from GIRFT to support urology teams to transform and improve outpatient services. The outpatient resources include a toolkit and the templates as well as guidance for improving the use of Patient Initiated Follow Up (PIFU) and
- [GIRFT cardiology data now available as new Model Health System compartment goes live](https://gettingitrightfirsttime.co.uk/girft-cardiology-data-now-available-as-new-model-health-system-compartment-goes-live/) - NHS cardiology teams in England can now access GIRFT data for the specialty via the Model Health System, allowing them to gauge their performance and see where they might improve. More than 70 metrics covering emergency percutaneous coronary interventions (PCI) and electrophysiology procedures such as pacemaker insertion and ablations are included in the new compartment,
- [Four more surgical hubs successfully accredited as part of GIRFT scheme](https://gettingitrightfirsttime.co.uk/four-more-surgical-hubs-successfully-accredited-as-part-of-girft-scheme/) - Four more elective surgical hubs have been awarded accreditation as part of a GIRFT scheme to ensure the highest standards in clinical and operational practice. The hubs, which exclusively perform planned surgery, bring together the skills and expertise of staff under one roof, with protected facilities and theatres. They are helping to deliver shorter waits
- [GIRFT clinical lead named as dermatology clinician of the year 2024](https://gettingitrightfirsttime.co.uk/girft-clinical-lead-named-as-dermatology-clinician-of-the-year-2024/) - GIRFT’s clinical lead for dermatology, Professor Nick Levell, has been named as the British Association of Dermatologists’ Clinician of the Year 2024, marking his ongoing contribution to the specialty. Nick, who was nominated by his colleagues at Norfolk and Norwich University Hospitals NHS Foundation Trust, will be presented with the award at this year’s BAD
- [Two new clinicians join GIRFT radiology team to focus on IR and imaging networks](https://gettingitrightfirsttime.co.uk/two-new-clinicians-join-girft-radiology-team-to-focus-on-ir-and-imaging-networks/) - GIRFT’s work to improve radiology services across England is being further strengthened with the launch of two new national specialty reviews, focusing on Interventional Radiology and Imaging Networks. Clinicians have been appointed to lead both workstreams and data sets are being prepared ahead of review meetings getting under way. Interventional Radiology Alex Barnacle has been
- [GIRFT guidance aims to improve diagnosis and treatment times for men with suspected prostate cancer](https://gettingitrightfirsttime.co.uk/girft-guidance-aims-to-improve-diagnosis-and-treatment-times-for-men-with-suspected-prostate-cancer/) - Best practice guidance to help improve the care of patients with suspected prostate cancer is now available to NHS colleagues in a new Getting It Right First Time (GIRFT) resource. The practical guidance, supported by the British Association of Urological Surgeons (BAUS) and the British Association of Urological Nurses (BAUN), includes a delivery checklist and
- [New appointments announced as GIRFT strengthens its musculoskeletal (MSK) portfolio](https://gettingitrightfirsttime.co.uk/new-appointments-announced-as-girft-strengthens-its-musculoskeletal-msk-portfolio/) - GIRFT’s long-standing joint clinical lead for rheumatology – Lesley Kay – has been appointed as the NHS England National Clinical Director (NCD) for musculoskeletal. At the same time, GIRFT has launched a new workstream focusing on community musculoskeletal (MSK) services, with former NCD Andrew Bennett as its clinical advisor. Lesley, a consultant rheumatologist in Newcastle
- [Clinical advisor appointed for review of services for children and young adults living with diabetes](https://gettingitrightfirsttime.co.uk/clinical-advisor-appointed-for-review-of-services-for-children-and-young-adults-living-with-diabetes/) - GIRFT has appointed a new clinical advisor to support the delivery of its national review of services for children and young adults living with diabetes, being run as a joint initiative between the Getting It Right First Time (GIRFT) team and the NHS Diabetes Programme. Dr Dita Aswani, a consultant paediatrician specialising in diabetes and
- [NCIP rollout getting under way for 400 consultant spinal surgeons in England](https://gettingitrightfirsttime.co.uk/ncip-rollout-under-way-for-400-consultant-spinal-surgeons-in-england/) - A national rollout of the National Consultant Information Programme (NCIP) portal is taking place to all consultant spinal surgeons in England, enabling them to review their individual outcomes data to improve clinical quality and patient safety. Around 400 consultant spinal surgeons have been registered for the portal, gaining access to around 30 dashboards of high-quality,
- [GIRFT launches new specialty review into paediatric rheumatology services](https://gettingitrightfirsttime.co.uk/girft-launches-new-specialty-review-into-paediatric-rheumatology-services/) - The Getting It Right First Time (GIRFT) programme has appointed two specialist clinicians to lead a new national review into rheumatology services for children and young people. Dr Flora McErlane (paediatric rheumatology clinical lead at Newcastle Hospitals NHS Foundation Trust), and Dr Gavin Cleary (paediatric rheumatologist at Alder Hey Childrens NHS Foundation Trust) will work
- [GIRFT appoints second mental health clinician to lead national review](https://gettingitrightfirsttime.co.uk/girft-appoints-second-mental-health-clinician-to-lead-national-review/) - The Getting It Right First Time (GIRFT) programme has recruited a second leading clinician for its mental health workstream. Dr Guy Northover joins clinical lead Dr Sridevi Kalidindi in the national review of mental health. Dr Northover will focus on Child and Adolescent Mental Health Services (CAMHS), while Dr Kalidindi leads on Mental Health Rehabilitation.
- [GIRFT invites all trusts to go further and faster to reduce 52-week waiting times](https://gettingitrightfirsttime.co.uk/girft-invites-all-trusts-to-go-further-and-faster-to-reduce-52-week-waiting-times/) - Following a successful pilot, Getting It Right First Time (GIRFT) is rolling out its Further Faster programme to all NHS trusts in England to support them in rapidly reducing the number of patients waiting over a year. GIRFT is inviting all trusts to follow the Further Faster methodology developed during the pilot phase – that
- [Breast cancer now added to summary guide supporting the NHS 28-day cancer diagnosis standard](https://gettingitrightfirsttime.co.uk/breast-cancer-now-added-to-summary-guide-supporting-the-nhs-28-day-cancer-diagnosis-standard/) - A new section on breast cancer has been added to GIRFT’s summary guidance supporting NHS clinicians to better meet the Faster Diagnosis Standard (FDS) for cancer. In 2023, Getting It Right First Time (GIRFT) and NHS England’s Cancer Programme worked in partnership to produce concise guidance for Best practice timed diagnostic cancer pathways, outlining how cancer
- [Guidance for hip and knee surgery outlines measures to support a significant reduction in length of stay](https://gettingitrightfirsttime.co.uk/guidance-for-hip-and-knee-surgery-outlines-measures-to-support-a-significant-reduction-in-length-of-stay/) - Clinical guidance demonstrating best practice ambulatory care for elective hip and knee patients is now available from the Getting It Right First Time (GIRFT) team. Click for our guide to delivering perioperative ambulatory care for patients requiring joint replacement surgery Exemplar practice from teams across England is captured in the new document, which offers practical
- [New summary guide supports NHS ambition to increase the use of virtual wards](https://gettingitrightfirsttime.co.uk/new-summary-guide-supports-nhs-ambition-to-increase-the-use-of-virtual-wards/) - Practical guidance for clinicians and NHS managers aiming to maximise the use of virtual wards for the benefit of patients is now available, in a partnership between Getting It Right First Time (GIRFT) and NHS England’s Virtual Ward programme. Making the most of virtual wards, including Hospital at Home pulls together summaries of existing virtual
- [National report on cranial neurosurgery published](https://gettingitrightfirsttime.co.uk/cranial-neurosurgery-report/) - Click here to download and read the GIRFT national report for cranial neurosurgery > Review of cranial neurosurgery identifies opportunities to reduce length of hospital stay Recommendations seek to optimise the use of surgical resources and help more patients receive treatment sooner Patients with some types of brain tumour could avoid long stays in hospital
- [National report on cardiothoracic surgery published](https://gettingitrightfirsttime.co.uk/cardiothoracic-surgery-report/) - Click here to download and read the GIRFT national report for cardiothoracic surgery > Cardiothoracic proposals promise less delays and more successful outcomes for patients GIRFT report makes 20 recommendations to improve practice, process and outcomes Smarter bed management and using designated specialist teams for key cardiothoracic surgery procedures will deliver better outcomes for thousands
- [National report on urology surgery published](https://gettingitrightfirsttime.co.uk/urology-report/) - Extended role of specialist urology nurses will support outpatient treatment for patients National review of urology services highlights workforce and service configuration The latest report from the Getting It Right First Time (GIRFT) programme has called for the further development of specialist urological nursing to deliver high quality, patient-focused urological care. The GIRFT national report
- [Two further specialties added to updated guidance on reducing outpatient demand](https://gettingitrightfirsttime.co.uk/two-further-specialties-added-to-updated-guidance-on-reducing-outpatient-demand/) - An updated version of joint guidance from Getting It Right First Time (GIRFT) and the Outpatient Recovery and Transformation (OPRT) programme is available to download, now including guidance for rheumatology and endocrinology and updating the resources for several other specialties and themes. The GIRFT/OPRT Clinically-led specialty outpatient guidance was originally shared in November 2022 to
- [More sight-saving surgery possible, says national report](https://gettingitrightfirsttime.co.uk/ophthalmology-national-report/) - A national report into ophthalmology services recommends all trusts perform routine cataract surgery in 30 minutes or less, allowing even more patients to have vision-restoring treatment. Making the best use of hospital theatre time allocated for routine cataract surgery will enable more patients to be treated, and more quickly, according the latest national report from
- [Toolkit published to help trusts get the most out of GIRFT](https://gettingitrightfirsttime.co.uk/getting-the-most-out-of-girft-toolkit/) - Click here to register for our ‘getting the most from GIRFT’ lunchtime webinar > This webinar will be held via Zoom at 12.30 – 13.30 on Thursday 9th September All NHS managers and clinicians are invited to hear from a panel of senior leaders, clinicians and GIRFT leads from the Calderdale and
- [Local networks for oral and maxillofacial surgery support better outcomes for patients](https://gettingitrightfirsttime.co.uk/omfs-report/) - Click here to download the GIRFT national report for oral and maxillofacial surgery > “No patient wants to have to make unnecessary repeat visits or stay for long periods of time in hospital, and this work will crucially improve the experiences of patients undergoing often very invasive procedures. “We are determined to support trusts to
- [GIRFT radiology report puts patients at the centre of the post-COVID service](https://gettingitrightfirsttime.co.uk/radiology-report/) - Recommendations to deliver imaging in the right place at the right time Improving the experience of patients should be at the heart of work to increase capacity in radiology services within the constraints of COVID-19, according to a new national report on the specialty from the Getting It Right First Time (GIRFT) programme. Download the
- [GIRFT vascular surgery national report published](https://gettingitrightfirsttime.co.uk/vascular-surgery-report/) - Read the GIRFT national report for vascular surgery (2018) Health Minister Stephen Barclay said: “These important recommendations from Professor Mike Horrocks could not only save the lives of 100 patients a year, but get vascular patients quicker test results, shorter waiting times and better recoveries, all while saving the NHS £16 million. I urge trusts
- [Delivery guide supports heart teams to increase volume of TAVI procedures](https://gettingitrightfirsttime.co.uk/delivery-guide-supports-heart-teams-to-increase-volume-of-tavi-procedures/) - Cardiology teams looking to increase their use of Transcatheter Aortic Valve Implantation (TAVI) for suitable patients can now access detailed pathway guidance based on best practice from colleagues at James Cook University Hospital. Patients with severe aortic stenosis (narrowing of the aortic valve) are at high risk of death and poor quality of life if
- [‘Patient safety must be at forefront of post-COVID care’ says GIRFT diabetes national report](https://gettingitrightfirsttime.co.uk/diabetes-report-published/) - Specialist inpatient teams recommended for every trust to help prevent errors and protect patients Every hospital should have a specialist team dedicated to caring for inpatients with diabetes to help ensure their safety, according to a new national report. Click here to view or download the GIRFT national report for diabetes > Up to
- [New advice pack to support integrated networks of care for oral and maxillofacial services](https://gettingitrightfirsttime.co.uk/omfs-networks/) - A new advice pack on the organisation of oral and maxillofacial services into networks has been issued by the GIRFT programme and the British Association of Oral and Maxillofacial Surgeons (BAOMS.) The advice pack supports the implementation of recommendations in the GIRFT national report on oral and maxillofacial surgery, published in November 2018, to improve
- [Guidance issued after health checks at vaccination centres help to reduce stroke risk](https://gettingitrightfirsttime.co.uk/guidance-issued-after-health-checks-at-vaccination-centres-help-to-reduce-stroke-risk/) - Offering older people a simple heart rhythm check when they get their COVID-19 jab is helping to reduce health risks associated with stroke. Initial pilot projects have demonstrated the benefit of giving people aged over 65 attending vaccination centres the option of an additional check to establish if they have atrial fibrillation (AF), an irregular
- [New video offers a chance to learn from exemplar centre for ambulatory arthroplasty](https://gettingitrightfirsttime.co.uk/new-video-offers-a-chance-to-learn-from-exemplar-centre-for-ambulatory-arthroplasty/) - A detailed video guiding viewers through the pathways and protocols of a successful centre for ambulatory hip and knee replacement surgery is now available to view. Getting It Right First Time (GIRFT) worked with clinical staff and managers at the South West Ambulatory Orthopaedic Centre (SWAOC) to shoot the video, to support other teams to
- [New research supports NHS teams to increase day case surgery rates for inguinal hernia repair](https://gettingitrightfirsttime.co.uk/new-research-supports-nhs-teams-to-increase-day-case-surgery-rates-for-inguinal-hernia-repair/) - A largescale study into the reasons why patients listed for day case inguinal (groin) hernia repair surgery end up staying overnight in hospital has been carried out by the GIRFT team. Published in the February 2024 issue of Hernia Journal, findings from the study – titled Factors associated with conversion from day-case to in-patient elective
- [Paper outlines GIRFT’s ‘unique position’ in supporting the NHS drive for net zero carbon emissions](https://gettingitrightfirsttime.co.uk/paper-outlines-girfts-unique-position-in-supporting-the-nhs-drive-for-net-zero-carbon-emissions/) - A review outlining how the GIRFT programme is well-placed to support the NHS in reducing carbon emissions to net zero by 2045 has been published in a respected journal. Research by a group of 10 GIRFT clinicians, many of them Fellows working with the programme, is available to read now in the March edition of
- [Largest specialty rollout begins as 2,600 consultant orthopaedic surgeons are invited to access the NCIP portal](https://gettingitrightfirsttime.co.uk/largest-specialty-rollout-begins-as-2600-consultant-orthopaedic-surgeons-are-invited-to-access-the-ncip-portal/) - A national rollout of the National Consultant Information Programme (NCIP) portal is now taking place to all consultant orthopaedic surgeons in England, enabling them to review their individual outcomes data to improve clinical quality and patient safety. Around 1,900 consultant orthopaedic surgeons are being invited to join the 700+ who have already registered for the
- [Expert working group develops national consensus pathway for suspected testicular torsion](https://gettingitrightfirsttime.co.uk/expert-working-group-develops-national-consensus-pathway-for-suspected-testicular-torsion/) - A new pathway aiming to reduce delays and prevent more boys and young men losing a testicle as a result of testicular torsion has been developed by the GIRFT team. GIRFT has brought together a multi-disciplinary group of more than 50 NHS colleagues – comprising urologists, paediatric surgeons, general surgeons, anaesthetists, emergency care physicians, radiologists
- [Two GIRFT clinicians newly appointed to national NHS leadership roles](https://gettingitrightfirsttime.co.uk/two-girft-clinicians-newly-appointed-to-national-nhs-leadership-roles/) - Two clinical leads leading workstreams for the Getting It Right First Time (GIRFT) programme begin work as National Clinical Directors (NCDs) today (02.02.24) after being appointed to NHS England clinical leadership roles for their specialties. NCDs are senior practising clinicians who provide overarching national clinical leadership to NHS England to support programmes and priorities, in
- [New training resources support trusts and systems to adopt the Mutual Aid process](https://gettingitrightfirsttime.co.uk/new-training-resources-support-trusts-and-system-to-adopt-the-mutual-aid-process/) - A new training video and practical guide are now available to support providers through the Mutual Aid process; ensuring patients get the information they need to make an informed decision about accepting treatment further away from home to be seen and treated more quickly. Trusts across England are taking steps to deliver equity of access
- [National rollout of NCIP portal to consultant paediatric surgeons is now under way](https://gettingitrightfirsttime.co.uk/national-rollout-of-ncip-portal-to-consultant-paediatric-surgeons-is-now-under-way/) - A national rollout of the National Consultant Information Programme (NCIP) portal is now taking place for consultant paediatric surgeons across England, enabling them to review their practice to help improve clinical quality and patient safety. All consultant paediatric surgeons are invited to register for access to the 84 dashboards now live in the portal, across
- [Medicine usage data available as GIRFT metrics for dermatology are added to the Model Health System](https://gettingitrightfirsttime.co.uk/medicine-usage-data-available-as-girft-metrics-for-dermatology-are-added-to-the-model-health-system/) - NHS dermatology teams can now access GIRFT data for the specialty on the Model Health System (MHS), supporting them to better understand their service and identify where improvements are needed. The new GIRFT compartment for dermatology contains around 90 metrics, including data on the use of medicines for psoriasis, eczema and acne – the first
- [Cancer Alliance view now available in second release of GIRFT breast surgery metrics on Model Health System](https://gettingitrightfirsttime.co.uk/cancer-alliance-view-now-available-in-second-release-of-girft-breast-surgery-metrics-on-model-health-system/) - Additional GIRFT metrics for breast surgery procedures are now live in the Model Hospital System (MHS), including the ability to view data organised by each of the 21 Cancer Alliances in England. More than 90 metrics for breast surgery were added to MHS in 2022, enabling users to gauge their performance for procedures such as
- [One third of all surgical hubs now accredited under GIRFT scheme](https://gettingitrightfirsttime.co.uk/one-third-of-all-surgical-hubs-now-accredited-under-girft-scheme/) - Nearly one third of all elective surgical hubs in England have now been accredited, following awards to a further seven hubs as part of a GIRFT scheme to ensure the highest standards in clinical and operational practice. This brings the total number of hubs accredited to 31 since the scheme began in March 2023, out
- [Learn how GIRFT breast surgery data on Model Health System can help teams to maximise capacity](https://gettingitrightfirsttime.co.uk/learn-how-girft-breast-surgery-data-on-model-health-system-can-help-teams-to-maximise-capacity/) - Breast surgery teams are invited to sign up for a webinar to learn more about using soon-to-be published Getting It Right First Time (GIRFT) data on the Model Health System (MHS) to help maximise capacity. Breast surgery will be the next specialty added to MHS by the GIRFT team, enabling trust and system colleagues to
- [Pilot visits for GIRFT pancreatic cancer review about to begin](https://gettingitrightfirsttime.co.uk/pilot-visits-for-girft-pancreatic-cancer-review-about-to-begin/) - Pilot visits for GIRFT’s national review of pancreatic cancer services are about to get under way, ahead of national deep dives at all specialist centres and their referring hospitals in England. Data-driven meetings with the surgical centre at Oxford University Hospitals and its referring trusts (Great Western Hospitals, Buckinghamshire Healthcare, Milton Keynes University Hospital and
- [GIRFT’s data for paediatric neurosurgery units now live on the Model Health System](https://gettingitrightfirsttime.co.uk/girfts-data-for-paediatric-neurosurgery-units-now-live-on-the-model-health-system/) - Comprehensive data allowing clinicians and managers for paediatric neurosurgery to monitor activity in England’s specialist units is now being shared by Getting It Right First Time (GIRFT) on the Model Health System (MHS) platform. Data for around 70 metrics covering elective and non-elective care is now live, organised by Operational Delivery Network (ODN) and drilling
- [National rollout of NCIP portal to consultant vascular surgeons is now under way](https://gettingitrightfirsttime.co.uk/national-rollout-of-ncip-portal-to-consultant-vascular-surgeons-is-now-under-way/) - A national rollout of the National Consultant Information Programme (NCIP) portal is now taking place for consultant vascular surgeons across England, enabling them to review their practice to help improve clinical quality and patient safety. Vascular surgery is only the second specialty to be selected for a national rollout of NCIP; all consultant vascular surgeons
- [GIRFT paediatric surgery lead awarded OBE in New Year Honours](https://gettingitrightfirsttime.co.uk/girft-paediatric-surgery-lead-awarded-obe-in-new-year-honours/) - Professor Simon Kenny, the clinical lead for Getting It Right First Time’s paediatric general surgery and urology workstream, has been made an Officer of the Most Excellent Order of the British Empire (OBE) in the 2024 New Year Honour list. Professor Kenny, who is also NHS England’s national clinical director for children and young people, receives
- [NHS England guidance aims to achieve earlier diagnoses of COPD, asthma and heart failure](https://gettingitrightfirsttime.co.uk/nhs-england-guidance-aims-to-achieve-earlier-diagnoses-of-copd-asthma-and-heart-failure/) - GIRFT has supported NHS England in developing new guidance which aims to enhance GP direct access to diagnostic tests for patients with clinical features of suspected chronic obstructive pulmonary disease (COPD), asthma or heart failure. The tests are: spirometry for the diagnosis of COPD with fractional exhaled nitric oxide (FeNO) for suspected asthma; and N-terminal
- [Latest GIRFT data shared to the Model Health System will help to improve care in cardiothoracic surgery](https://gettingitrightfirsttime.co.uk/latest-girft-data-shared-to-the-model-health-system-will-help-to-improve-care-in-cardiothoracic-surgery/) - Data which enables NHS trusts and systems to understand and improve how they care for patients undergoing cardiothoracic surgery in England has been published on the Model Health System (MHS) by the Getting It Right First Time (GIRFT) team. A range of metrics covering service and contextual data and specific cardiac and thoracic procedures are
- [Delivery guide supports NHS teams to meet requirements for early screening, risk assessment and health optimisation](https://gettingitrightfirsttime.co.uk/delivery-guide-supports-nhs-teams-to-meet-requirements-for-early-screening-risk-assessment-and-health-optimisation/) - Trusts and systems working to provide early screening, risk assessment and optimisation of adult patients waiting for surgery can now access a new delivery guide developed by the Getting It Right First Time (GIRFT) programme. The new guide aims to support providers in implementing a system for all patients by the end of March 2024,
- [Six key steps to implementing a single point of access for aortic stenosis patients outlined in new GIRFT guidance](https://gettingitrightfirsttime.co.uk/six-key-steps-to-implementing-a-single-point-of-access-for-aortic-stenosis-patients-outlined-in-new-girft-guidance/) - Specialists from heart centres across England and Wales have worked with the Getting It Right First Time (GIRFT) team to develop new guidance for implementing a Single Point of Access (SPA) for patients with aortic stenosis, with a view to ensuring patients are seen more quickly. The new resource addresses the challenges of SPA implementation
- [Trusts in GIRFT Further Faster pilot demonstrate success in reducing 52-week waits](https://gettingitrightfirsttime.co.uk/trusts-in-girft-further-faster-pilot-demonstrate-success-in-reducing-52-week-waits/) - Since July 2023, GIRFT has been working with a group of 25 NHS trusts in England on a ‘Further Faster’ pilot, bringing together teams of highly-engaged clinicians and operational colleagues with the challenge of collectively going further and faster to reduce 52-week waits. Data from the pilot shows that from October to mid-November 2023 the
- [Two clinical leads appointed to head up GIRFT’s vascular surgery workstream](https://gettingitrightfirsttime.co.uk/two-clinical-leads-appointed-to-head-up-girfts-vascular-surgery-workstream/) - Two new clinical leads have been appointed by Getting It Right First Time (GIRFT) to review the current provision of vascular surgery services in England and move forward with priorities for improvement. Consultant vascular surgeons Rachel Bell (The Newcastle-upon-Tyne Hospitals NHS Foundation Trust) and Jonathan Boyle (Cambridge University Hospitals NHS Foundation Trust) pick up the
- [Study findings support the drive to increase day case surgery for inguinal hernia repair](https://gettingitrightfirsttime.co.uk/study-findings-support-the-drive-to-increase-day-case-surgery-for-inguinal-hernia-repair/) - Reducing the variation in day case rates for the repair of inguinal (groin) hernias across trusts in England can help address the current NHS pressures on elective surgery, according to a new study. A team of GIRFT researchers examined day case rates across providers, as well as evaluating the safety of day case surgery, for
- [Advice for heart failure patients added to GIRFT’s virtual wards guidance](https://gettingitrightfirsttime.co.uk/advice-for-heart-failure-patients-added-to-girfts-virtual-wards-guidance/) - Practical advice to support the use of virtual wards to care for people with heart failure has now been added to guidance developed by Getting It Right First Time (GIRFT) and NHS England’s Virtual Ward programme. The new section contains information on inclusion criteria and stages of the pathway for heart failure patients who chose
- [GIRFT pilot to address challenges in community mental health services for children and young people gets under way](https://gettingitrightfirsttime.co.uk/girft-pilot-to-address-challenges-in-community-mental-health-services-for-children-and-young-people-gets-under-way/) - A new Getting It Right First Time (GIRFT) pilot project is under way to help understand the challenges in community mental health services for children and young people (CYP), and to identify solutions and best practice. The GIRFT team are working with two ICBs – Hertfordshire & West Essex and Devon – to examine the
- [A further eight surgical hubs achieve accreditation for high standards of practice](https://gettingitrightfirsttime.co.uk/a-further-eight-surgical-hubs-achieve-accreditation/) - Eight more elective surgical hubs have been awarded accreditation as part of a GIRFT scheme to ensure the highest standards in clinical and operational practice. The hubs, which exclusively perform planned surgery, bring together the skills and expertise of staff under one roof, with protected facilities and theatres, helping to deliver shorter waits for surgery.
- [Guidance offers best practice and advice for adopting biosimilar ranibizumab](https://gettingitrightfirsttime.co.uk/guidance-offers-best-practice-and-advice-for-adopting-biosimilar-ranibizumab/) - The Getting It Right First Time (GIRFT) programme is sharing practical advice and example case studies supporting ophthalmology and pharmacy teams to adopt biosimilar alternatives to the drug Lucentis®​ – potentially saving the NHS up to £45m per year. GIRFT has worked with the NHS England Medicines Value and Access teams to develop the Adopting
- [Three new interactive pathways support NHS teams at the ‘front door’ to care for patients with diabetes](https://gettingitrightfirsttime.co.uk/three-new-interactive-pathways-support-nhs-teams-at-the-front-door-to-care-for-patients-with-diabetes/) - Interactive resources to help ensure people with diabetes receive the best possible hospital care when in emergency and other acute care departments have been developed by the Getting It Right First Time (GIRFT) team. Interactive versions of three GIRFT pathways for diabetes are now available to support NHS colleagues, demonstrating examples of the processes and
- [Study shows fewer patients having repeat injections for back pain since GIRFT report](https://gettingitrightfirsttime.co.uk/study-shows-fewer-patients-having-repeat-injections-for-back-pain-since-girft-report/) - A new study published in an international spine journal shows that the number of patients in England having repeat lumbar injections for back pain has significantly reduced, in line with a key recommendation in Getting It Right First Time’s 2019 national report for spinal services. The study – entitled Trends Over Time in the Use,
- [Urology vanguard spearheads launch of new-look NCIP data tool](https://gettingitrightfirsttime.co.uk/urology-vanguard-spearheads-launch-of-new-look-ncip-data-tool/) - A new and improved version of the National Consultant Information Programme (NCIP) portal is now available for hospital consultant surgeons, clinical leads, medical directors and responsible officers to view their surgical outcomes data to help improve clinical quality and patient safety. Urology has been developed as a vanguard specialty for the improved portal, and a
- [Toolkit to support elective hub teams picks up two excellence awards](https://gettingitrightfirsttime.co.uk/toolkit-to-support-elective-hub-teams-picks-up-two-excellence-awards/) - Getting It Right First Time’s online toolkit supporting the development of surgical hubs has picked up two awards for excellence in orthopaedics. The extensive resource – developed in a collaboration between GIRFT and the South West London Elective Orthopaedic Centre (SWLEOC) – won the top awards for Partnership and Integration Initiative and Innovation in Orthopaedics
- [Insights to help increase day case hysterectomy now available in new ‘hysterectomy hub’](https://gettingitrightfirsttime.co.uk/insights-to-help-increase-day-case-hysterectomy-now-available-in-new-hysterectomy-hub/) - Guidance to support NHS providers to carry out more hysterectomy operations as day surgery has been developed by Getting It Right First Time (GIRFT), as part of a new ‘hysterectomy hub’ of resources. GIRFT’s Best practice day case hysterectomy delivery guide draws on the learning of teams who are successfully delivering a day case hysterectomy
- [Successful GIRFT Fellows programme expanded to include nurses and AHPs](https://gettingitrightfirsttime.co.uk/successful-girft-fellows-programme-expanded-to-include-nurses-and-ahps/) - Getting It Right First Time (GIRFT) has announced an expansion of its successful Clinical Fellows programme for 2023/24, increasing the number in the annual cohort and including allied health professional (AHP) and nursing fellows for the first time. The GIRFT Clinicals Fellows programme launched in October 2022 as a two-year pilot study, with a cohort
- [Concise guide offers actions for reducing waiting times for children and young people’s surgery](https://gettingitrightfirsttime.co.uk/concise-guide-offers-actions-for-reducing-waiting-times-for-children-and-young-peoples-surgery/) - NHS teams focusing on reducing surgical waiting times for children and young people can now access guidance featuring ten practical measures to help tackle the backlog. NHS colleagues are working hard to restore elective care, but data shows that activity for children and young people (CYP) is still below pre-pandemic levels and recovery remains behind
- [Urology pathway delivery guides support trusts and networks to improve patient care](https://gettingitrightfirsttime.co.uk/urology-pathway-delivery-guides-support-trusts-and-networks-to-improve-patient-care/) - Delivery guides which will enable trusts and urology networks to deliver measurable improvements in the care of their patients have been developed by GIRFT, working alongside more than 60 clinicians. The pathway delivery guides have been developed by urology groups for the GIRFT Academy, led by urologists Andrew Dickinson (University Hospitals Plymouth NHS Trust), Stephen
- [Data quality dashboard launched to help improve theatre productivity](https://gettingitrightfirsttime.co.uk/data-quality-dashboard-launched-to-improve-theatre-productivity/) - A new dashboard showing the quality of theatre data submissions is now available via the Model Health System (MHS), supporting trusts and systems to improve productivity and helping to drive elective recovery. NHS England’s National Theatre Programme – which is supported by Getting It Right First Time (GIRFT) – has launched the Theatre Data Quality
- [GIRFT launches new specialty review into services for pancreatic cancer patients](https://gettingitrightfirsttime.co.uk/girft-launches-new-specialty-review-into-services-for-pancreatic-cancer-patients/) - The Getting It Right First Time (GIRFT) programme has appointed a team of five specialist clinicians to lead a national review into services for pancreatic cancer patients in England. The new workstream supports the delivery of the Optimal Care Pathway, a Pancreatic Cancer UK-led initiative which has brought together 300 health professionals and people affected
- [GIRFT issues six measures to help improve acute hospital flow during winter](https://gettingitrightfirsttime.co.uk/girft-issues-six-measures-to-help-improve-acute-hospital-flow-during-winter/) - Guidance setting out six vital steps acute hospitals should take to improve flow during the winter months is available to download, in a collaboration between Getting It Right First Time (GIRFT) and the Society for Acute Medicine (SAM). The detailed guidance has been developed based on the views of acute physicians currently working in a
- [Seven principles of best practice for preoperative assessment outlined in new guidance](https://gettingitrightfirsttime.co.uk/seven-principles-of-best-practice-for-preoperative-assessment-outlined-in-new-guidance/) - Guidance outlining the seven principles for best practice in preoperative assessment (POA) – and advice for achieving them – is now available to read and download. Getting It Right First Time (GIRFT) has developed the preoperative assessment services guidance to support non-medical pre-assessment leads, clinicians and managers who want to embed best practice in their
- [Data dashboard now available to support acute and general medicine teams](https://gettingitrightfirsttime.co.uk/data-dashboard-now-available-to-support-acute-and-general-medicine-teams/) - A range of new data-rich resources supporting acute and general medicine teams to transform services is now on offer from the Getting It Right First Time (GIRFT) team. The Summary Acute Medicine Indicator Table (SAMIT) has now gone live. This overarching data dashboard is designed to identify unwarranted variation which is adversely affecting patient care
- [Two new clinical leads join GIRFT head and neck cancer review](https://gettingitrightfirsttime.co.uk/two-new-clinical-leads-join-girft-head-and-neck-cancer-review/) - Two new clinical leads have joined the GIRFT team working on head and neck cancer, offering their expertise in restorative dentistry to the national review. Lorna MacNab is a consultant and honorary clinical senior lecturer in restorative dentistry at the Glasgow Dental Hospital and School, as well as being the head and neck cancer clinical
- [Summary guide pulls together best practice for meeting NHS 28-day cancer diagnosis standard](https://gettingitrightfirsttime.co.uk/summary-guide-pulls-together-best-practice-for-meeting-nhs-28-day-cancer-diagnosis-standard/) - Summary guidance to support NHS clinicians to better meet the Faster Diagnosis Standard (FDS) for cancer is now available to download. Getting It Right First Time (GIRFT) and NHS England’s Cancer Programme have worked in partnership to produce guidance for Best practice timed diagnostic cancer pathways, outlining how cancer alliances and local organisations can implement NHSE’s best
- [GIRFT data for neurosurgery now live in the Model Health System](https://gettingitrightfirsttime.co.uk/girft-data-for-neurosurgery-now-live-in-the-model-health-system/) - GIRFT data which allows neurosurgery clinicians and managers in specialist providers to monitor activity for all patients in England is now live on the Model Health System (MHS). More than 70 metrics for elective and non-elective care are available, covering procedures such as subarachnoid haemorrhage, brain tumours, pituitary surgery and cranioplasty, as well as data
- [Animated video supports patients to make an informed choice on having surgery at an elective hub](https://gettingitrightfirsttime.co.uk/animated-video-supports-patients-to-make-an-informed-choice-on-having-surgery-at-an-elective-hub/) - GIRFT has worked with the Patients Association to create an animated video for patients about the benefits of elective surgical hubs. The video explains how some patients may be offered the option to have their surgery at a hub instead of their local hospital as part of the national drive to reduce waiting times for
- [More surgical hubs awarded accreditation for meeting top clinical and operational standards](https://gettingitrightfirsttime.co.uk/more-surgical-hubs-awarded-accreditation-for-meeting-top-clinical-and-operational-standards/) - A further eight elective surgical hubs have been accredited for delivering high standards in clinical and operational practice. The scheme, run by GIRFT in collaboration with the Royal College of Surgeons of England and supported by the Royal College of Anaesthetists, assesses hubs against a framework of standards to help deliver faster access to some
- [Guidance, pathways and case studies to support improvements in ENT surgery](https://gettingitrightfirsttime.co.uk/guidance-pathways-and-case-studies-to-support-improvements-in-ent-surgery/) - A range of new resources for teams working to provide ear, nose and throat surgery is now available from the Getting It Right First Time (GIRFT) team. The guidance, pathways and case studies are designed to support improvements in the specialty, offering clinical insight and examples of best practice for teams to emulate. Available now
- [GIRFT guide supports better care for people with kidney cancer](https://gettingitrightfirsttime.co.uk/girft-guide-supports-better-care-for-people-with-kidney-cancer/) - Practical guidance for NHS clinicians and managers who care for people with kidney cancer is now available. The guidance – a collaboration between Getting It Right First Time, the British Association of Urological Surgeons (BAUS) and the British Association of Urological Nurses (BAUN) –describes the key features of a good kidney cancer service and lists
- [International excellence award for project which improves the perioperative care of people with diabetes](https://gettingitrightfirsttime.co.uk/international-excellence-award-for-project-which-improves-the-perioperative-care-of-people-with-diabetes/) - A GIRFT-led initiative which is helping to improve the care of patients with diabetes before, during and after surgery has won an international excellence award. Improving the Perioperative Pathway of People with Diabetes (IP3D) is named as the top global winner in the 2022 UNIVANTS of Healthcare Excellence Awards. Project leaders Professor Gerry Rayman MBE,
- [Data tool launched to support elective recovery for children and young people](https://gettingitrightfirsttime.co.uk/data-tool-launched-to-support-elective-recovery-for-children-and-young-people/) - A new data tool helping providers to accelerate elective recovery for children and young people (CYP) has now gone live. The Summary Paediatric Indicator Table (SPaedIT) brings together provider-level data summarising demand, capacity, flow and outcomes, all in one place in an easily-accessible dashboard. Refreshed monthly, the data is available across eight key paediatric surgical
- [Six steps to better care for older people in hospital are outlined in new guidance](https://gettingitrightfirsttime.co.uk/six-steps-to-better-care-for-older-people-in-hospital-are-outlined-in-new-guidance/) - A key piece of guidance aiming to support hospital teams in their work to improve care of older people living with frailty is now available, in a collaboration between Getting It Right First Time (GIRFT) and the British Geriatrics Society (BGS). Six Steps to Better Care for Older People in Acute Hospitals is designed to
- [Guidance aims to standardise and improve coding for hospital dentistry specialties](https://gettingitrightfirsttime.co.uk/guidance-aims-to-standardise-and-improve-coding-for-hospital-dentistry-specialties/) - Detailed guidance to help standardise and improve outpatient coding across four key hospital dentistry specialties – in turn driving ongoing improvements in patient care – is available from Getting It Right First Time (GIRFT), working in close collaboration with a range of royal colleges and specialist associations. The new guides for outpatient activity coding cover
- [GIRFT radiology lead awarded OBE in King’s Birthday Honours](https://gettingitrightfirsttime.co.uk/girft-radiology-lead-awarded-obe-in-kings-birthday-honours/) - Dr Giles Maskell, clinical lead for the Getting It Right First Time programme’s radiology workstream, has been made an Officer of the Most Excellent Order of the British Empire (OBE) in The King's Birthday Honours List 2023. Dr Maskell, a consultant radiologist at the Royal Cornwall Hospital NHS Trust, receives the honour for services to diagnostic
- [Third in GIRFT and RCP frailty webinar series to look at community-focused care](https://gettingitrightfirsttime.co.uk/third-in-girft-and-rcp-frailty-webinar-series-to-look-at-community-focused-care/) - Delegates are invited to sign up for the third in a series of Getting It Right First Time (GIRFT) and Royal College of Physicians (RCP) webinars focusing on the challenge posed by increasing demand for frailty care from an ageing population in England. A session examining how community-focused frailty care can offer an alternative to
- [Chance to discuss surgical hubs at NHS ConfedExpo 2023](https://gettingitrightfirsttime.co.uk/chance-to-discuss-surgical-hubs-at-nhs-confedexpo-2023/) - Delegates at NHS ConfedExpo 2023 can network with some of the GIRFT team to discuss support for maximising elective recovery through elective hubs. Dr Elena Bechberger (National Programme Director for HVLC) and Jane Rooney (GIRFT Elective Hub Accreditation lead) will be on hand to meet attendees interested in the development of surgical hubs, in particular
- [Discussion series to focus on elective recovery for children and young people](https://gettingitrightfirsttime.co.uk/discussion-series-to-focus-on-elective-recovery-for-children-and-young-people/) - Getting It Right First Time (GIRFT) is supporting NHS England’s Elective Recovery programme and the Children and Young People’s Transformation programme with a seven-week focus on elective recovery for children and young people (CYP). A series of weekly webinars and round tables is being held from 13 June to 31 July, bringing together national and
- [Improving day case rates for bladder tumour surgery could help reduce NHS carbon footprint, study shows](https://gettingitrightfirsttime.co.uk/improving-day-case-rates-for-bladder-tumour-surgery-could-help-reduce-nhs-carbon-footprint-study-shows/) - Increasing day case rates for bladder tumour surgery has the potential to significantly reduce carbon emissions and help the NHS achieve its ambition of net zero by the year 2040, according to a new study published in a European journal. In a collaboration between NHS England’s Getting It Right First Time (GIRFT) and Greener NHS
- [Online toolkit launched to help develop excellence in running a surgical hub](https://gettingitrightfirsttime.co.uk/online-toolkit-launched-to-help-develop-excellence-in-running-a-surgical-hub/) - A new online toolkit has been launched to support the development of surgical hubs and help hospital trusts establish sites specifically for planned operations and procedures. The comprehensive online toolkit, which guides NHS colleagues through the detailed processes of setting up and running an effective surgical hub, supports a key NHS priority to tackle waiting
- [SEDIT V5.0 goes live – GIRFT’s ED data portal refreshed ahead of webinar](https://gettingitrightfirsttime.co.uk/sedit-v5-0-goes-live-girfts-ed-data-portal-refreshed-ahead-of-webinar/) - An updated and improved version of GIRFT’s emergency medicine data portal – the Summary Emergency Department Indicator Table (SEDIT) – is now live. With new and improved data filtering options, version 5.0 of the SEDIT enables ED and NHS trust leadership teams to better understand the complexities of demand, capacity, flow and outcomes in Type 1
- [Pathway to help increase paediatric forearm fracture manipulation in the ED](https://gettingitrightfirsttime.co.uk/pathway-to-help-increase-paediatric-forearm-fracture-manipulation-in-the-ed/) - A pathway supporting hospital clinicians in treating children who present in the emergency department (ED) with a forearm fracture is on offer from the Getting It Right First Time (GIRFT) programme. The pathway for paediatric forearm fracture manipulation in the ED has been developed through a series of workshops with clinical stakeholders from across the
- [Data tool now includes GIRFT metrics on the hospital care of older patients living with frailty](https://gettingitrightfirsttime.co.uk/data-tool-now-includes-girft-metrics-on-the-hospital-care-of-older-patients-living-with-frailty/) - Data allowing NHS teams to assess performance across the whole hospital emergency pathway of older patients with frailty is now being shared by Getting It Right First Time (GIRFT) on the Model Health System (MHS) platform. Metrics covering all stages of the patient pathway, from admission to discharge, are included in the new specialty compartment
- [Online improvement tool rolled out to help ease pressure on emergency departments](https://gettingitrightfirsttime.co.uk/online-improvement-tool-rolled-out-to-help-ease-pressure-on-emergency-departments/) - An online improvement tool from Getting It Right First Time (GIRFT) and Integrated Urgent and Emergency Care (iUEC) colleagues is being rolled out to help systems ease local pressures on their hospital emergency departments. The Alternatives to ED (A-tED) tool offers a simple and easily understandable scoring system to measure, rate and compare the accessibility,
- [GIRFT launches NHS Cancer Programme review into services for head and neck cancer patients](https://gettingitrightfirsttime.co.uk/girft-launches-nhs-cancer-programme-review-into-services-for-head-and-neck-cancer-patients/) - The Getting It Right First Time (GIRFT) programme has appointed a team of seven specialist clinicians to lead a national review into services for head and neck cancer patients. Commissioned and funded by NHS England’s Cancer Programme, the new workstream will focus on supporting England’s 21 Cancer Alliances to better provide timely, equitable and effective
- [Eight surgical hubs win recognition for meeting top clinical and operational standards](https://gettingitrightfirsttime.co.uk/eight-surgical-hubs-win-recognition-for-meeting-top-clinical-and-operational-standards/) - Eight elective surgical hubs have been awarded accreditation as part of a pilot scheme to ensure the highest standards in clinical and operational practice. The scheme, run by NHS England’s Getting It Right First Time (GIRFT) programme in collaboration with the Royal College of Surgeons of England, assesses hubs against a framework of standards to
- [Fourth webinar in series on tackling demand for outpatient appointments aimed at SAS colleagues](https://gettingitrightfirsttime.co.uk/fourth-webinar-in-series-on-tackling-demand-for-outpatient-appointments-aimed-at-sas-colleagues/) - Registration is now open for the fourth in a series of Getting It Right First Time (GIRFT) webinars, this time supporting specialty and associate specialist (SAS) colleagues to make the most of outpatient resources. GIRFT has worked closely with the Outpatient Recovery and Transformation (OPRT) programme to produce a suite of resources highlighting actions services
- [Scenarios for asthma and pneumonia published to support improvements across the patient pathway](https://gettingitrightfirsttime.co.uk/scenarios-for-asthma-and-pneumonia-published-to-support-improvements-across-the-patient-pathway/) - Two new scenarios for asthma and pneumonia have been developed by RightCare, supported by the Getting It Right First Time (GIRFT) programme. RightCare scenarios support local health and care systems to think strategically about designing optimal care for people with long term or high impact conditions, and their carers. They help local systems understand how
- [GIRFT guidance supports better care pathways for children with abdominal pain to reduce unnecessary surgery](https://gettingitrightfirsttime.co.uk/girft-guidance-supports-better-care-pathways-for-children-with-abdominal-pain-to-reduce-unnecessary-surgery/) - Guidance to further drive a national reduction in the number of children having their appendix removed unnecessarily and ensure consistent standards of care is now available to NHS teams in England. A cross-specialty group of 35 clinicians – drawn from specialist and non-specialist centres, and including nurses with interests in pain, surgery, community care and
- [Diagnostics delivery guide pulls together GIRFT advice and developments from eight key specialties](https://gettingitrightfirsttime.co.uk/diagnostics-delivery-guide-pulls-together-girft-advice-and-developments-from-eight-key-specialties/) - NHS teams working to free up diagnostic capacity and run effective services can now access GIRFT’s data-driven insight and recommendations across a range of specialties in a new diagnostics delivery guide. The new GIRFT diagnostics delivery guide pulls together key findings and recommendations from GIRFT’s extensive resource library – including national reports, pathways and specialty
- [New CQUIN for 2023 to ensure more patients drink, eat and mobilise within 24 hours of surgery](https://gettingitrightfirsttime.co.uk/new-cquin-for-2023-to-ensure-more-patients-drink-eat-and-mobilise-within-24-hours-of-surgery/) - An updated Commissioning for Quality and Innovation (CQUIN) indicator, helping to ensure more patients are supported to drink, eat and mobilise within 24 hours of major surgery, has been published for 2023/24. Drinking, eating and mobilising (known as DrEaMing) is a simplified programme of care intended to revitalise efforts to improve patients’ recovery after surgery.
- [Conscious sedation guide supports improving patient care and choice in dentistry](https://gettingitrightfirsttime.co.uk/conscious-sedation-guide-supports-improving-patient-care-and-choice-in-dentistry/) - Secondary care teams providing NHS dentistry can now access a new guide on establishing conscious sedation services, helping to reduce reliance on general anaesthetic and improve patient care and choice. Pain and anxiety control are fundamental aspects of patient-centred healthcare. It is estimated that 12% of the population have high levels of dental anxiety and
- [Study offers evidence of a volume-outcome link for surgeons carrying out specialist endoscopic pituitary surgery](https://gettingitrightfirsttime.co.uk/study-offers-evidence-of-a-volume-outcome-link-for-surgeons-carrying-out-specialist-endoscopic-pituitary-surgery/) - A GIRFT-led study to support the setting of minimum annual volumes for surgeons carrying out endoscopic surgery on the pituitary gland has been published in the British Journal of Neurosurgery. A team of GIRFT researchers examined the data of almost 4,600 endoscopic transsphenoidal pituitary surgery (ETSPS) patients who had procedures in England between April 2013
- [Operational checklist supports service managers working to reduce outpatient waiting times](https://gettingitrightfirsttime.co.uk/operational-checklist-supports-service-managers-working-to-reduce-outpatient-waiting-times/) - A practical, operational checklist supporting NHS service managers to reduce long waits for outpatient appointments is now available from the Getting It Right First Time (GIRFT) and Outpatient Recovery and Transformation Programme (OPRT) teams. The Clinically-led Outpatient Guidance: checklist follows on from joint guidance released at the end of 2022, offering practical advice for the 15
- [Applications open for programme aiming to develop leadership in NHS stroke services](https://gettingitrightfirsttime.co.uk/applications-open-for-programme-aiming-to-develop-leadership-in-nhs-stroke-services/) - Applications are now open for a new multi-professional leadership programme aiming to grow and sustain leadership across NHS stroke services in England. The Royal College of Physicians (RCP) is running the year-long GIRFT stroke leadership academy (stroke specific) programme as a means of fulfilling a key recommendation from the GIRFT national report for stroke (2022).
- [New GIRFT metrics for respiratory medicine shared on Model Health System can support winter bed planning](https://gettingitrightfirsttime.co.uk/new-girft-metrics-for-respiratory-medicine-shared-on-model-health-system-can-support-winter-bed-planning/) - GIRFT metrics now available on the Model Health System (MHS) can support NHS respiratory medicine teams to recover services from the impact of Covid-19, as well as helping to ease winter pressures. More than 70 metrics relating to activity for high-volume respiratory conditions such as pleural disease, pneumonia, chronic obstructive pulmonary disease (COPD) and asthma
- [Outpatient guidance for diabetes, respiratory medicine and geriatric medicine now added to advice pack](https://gettingitrightfirsttime.co.uk/outpatient-guidance-for-diabetes-respiratory-medicine-and-geriatric-medicine-now-added-to-advice-pack/) - Getting It Right First Time (GIRFT) and the Outpatient Recovery and Transformation (OPRT) programme have now added three more specialties to their range of guidance highlighting actions services can take to tackle escalating demand for outpatient appointments. Guidance for diabetes, respiratory and sleep medicine, and geriatric medicine can now be downloaded, each pulling together a
- [Join our webinars to hear about new guidance to help tackle demand for outpatient appointments](https://gettingitrightfirsttime.co.uk/join-our-webinars-to-hear-about-new-guidance-to-help-tackle-demand-for-outpatient-appointments/) - Registration is now open for a series of Getting It Right First Time (GIRFT) webinars, showing trainee, surgical and medical colleagues how to make the most of new outpatient guidance. GIRFT is working closely with the Outpatient Recovery and Transformation (OPRT) programme to highlight actions services can take to tackle escalating demand for outpatient appointments.
- [Data-driven study provides evidence that day case sinus surgery is safe](https://gettingitrightfirsttime.co.uk/data-driven-study-provides-evidence-that-day-case-sinus-surgery-is-safe/) - New research led by the Getting It Right First Time (GIRFT) team has supported the safety of performing endoscopic sinus surgery (ESS) as a day case for most patients. As the NHS works to recover from the peaks of the Covid-19 pandemic, it is widely recognised that increasing the range and number of operations which
- [New animation video released to promote GIRFT-developed emergency medicine data dashboard](https://gettingitrightfirsttime.co.uk/new-animation-video-released-to-promote-girft-developed-emergency-medicine-data-dashboard/) - The Getting It Right First Time (GIRFT) programme has produced a new three-minute animation video to introduce new users to the Summary Emergency Department Indicator Table (SEDIT) data platform. With over 16 million ED attendances in England in 2022, the SEDIT supports emergency department (ED) teams to understand their demand, capacity, flow and outcomes –
- [Study supports orthopaedic trend to stop traditional post-operative precautions for hip replacement patients](https://gettingitrightfirsttime.co.uk/study-supports-orthopaedic-trend-to-stop-traditional-post-operative-precautions-for-hip-replacement-patients/) - Hip replacement patients who do not receive the traditional warnings about post-operative movement and activities are no more likely to have a dislocation after surgery than those who do, according to new published research by the Getting It Right First Time (GIRFT) team. Rehabilitation precautions once routinely issued to primary total hip arthroplasty (THA, or
- [Focus on demand for frailty care in new GIRFT and RCP winter webinar series](https://gettingitrightfirsttime.co.uk/focus-on-demand-for-frailty-care-in-new-girft-and-rcp-winter-webinar-series/) - Getting It Right First Time (GIRFT) and the Royal College of Physicians (RCP) are collaborating on a series of two webinars this winter to focus on the challenge posed by increasing demand for frailty care from an ageing population in England. The first webinar will take place on Thursday 15th December 2022 (1–2pm), examining how
- [Getting It Right in Orthopaedics follow-up shared with trusts](https://gettingitrightfirsttime.co.uk/orthopaedics-follow-up/) - GIRFT has shared a follow-up pack on the orthopaedics specialty, which looks back at the substantial improvements seen in orthopaedic services since Professor Briggs held his first deep-dive visits to trusts in late-2012. Click here to download a PDF of the follow-up on orthopaedics > The follow-up's findings show evidence of substantial improvement against all
- [Sign up for new webinar to learn from trust’s best practice for day case discectomy](https://gettingitrightfirsttime.co.uk/sign-up-for-new-webinar-to-learn-from-trusts-best-practice-for-day-case-discectomy/) - Getting It Right First Time (GIRFT) has shared the best practice of a top-performing trust in new guidance to support spinal teams to increase rates of day case discectomy. Through its national review of spinal services, GIRFT identified the spinal surgery team at Northern Care Alliance NHS Foundation Trust (NCA) as an exemplar in improving
- [Study demonstrates safety of same day discharge for posterior lumbar decompression and discectomy](https://gettingitrightfirsttime.co.uk/study-demonstrates-safety-of-same-day-discharge-for-posterior-lumbar-decompression-and-discectomy/) - A large-scale study published in an international spine journal provides evidence that discharging patients on the same day after some types of low-complexity spinal surgery is no less safe than keeping them in hospital overnight. The data-driven study in the Global Spine Journal – Safety of Same-Day Discharge Posterior Lumbar Decompression and/or Discectomy: An Observational
- [GIRFT Chair Professor Tim Briggs appointed to key NHS England elective recovery role](https://gettingitrightfirsttime.co.uk/girft-chair-professor-tim-briggs-appointed-to-key-nhs-england-elective-recovery-role/) - I look forward to utilising the wealth of experience of the GIRFT implementation and elective hub teams, clinicians from the GIRFT programme, and NHS England’s National Clinical Directors involved in elective recovery, to help support the national elective recovery effort Professor Tim Briggs Tweet Professor Tim Briggs – Chair of the GIRFT programme – has
- [New leaflets for clinicians and patients advise on the use of MRI scans for spinal conditions](https://gettingitrightfirsttime.co.uk/new-leaflets-for-clinicians-and-patients-advise-on-the-use-of-mri-scans-for-spinal-conditions/) - New leaflets which aim to reduce unwarranted variation in requests for MRI scans for spinal conditions have been issued in a collaboration between the BestMSKHealth Collaborative programme and Getting It Right First Time (GIRFT). GIRFT’s clinical lead for spinal services, Mike Hutton, who is also the lead of the spinal services BestMSKHealth recovery programme, worked
- [New GIRFT metrics on Model Health System can support NHS gastroenterology teams to recover and improve](https://gettingitrightfirsttime.co.uk/new-girft-metrics-on-model-health-system-can-support-nhs-gastroenterology-teams-to-recover-and-improve/) - A range of key GIRFT metrics to help gastroenterology teams gauge their performance and work to recover services impacted by the pandemic are now available on the Model Health System. More than 70 metrics relating to endoscopy, hepatobiliary, luminal gastroenterology and nutrition services can now be found by logging in at https://model.nhs.uk/ and navigating to the GIRFT
- [Royal College of Surgeons webinar on the use of surgical hubs to tackle elective backlog](https://gettingitrightfirsttime.co.uk/royal-college-of-surgeons-webinar-on-the-use-of-surgical-hubs-to-tackle-elective-backlog/) - Getting It Right First Time (GIRFT) Chair Professor Tim Briggs is joining a panel of experts to discuss the case for expanding the use of surgical hubs to help tackle the elective backlog, in a webinar hosted by the Royal College of Surgeons (RCS). The webinar – The case for surgical hubs – takes place on 13th
- [Latest GIRFT data released on Model Health System supports teams to improve care of inpatients with diabetes](https://gettingitrightfirsttime.co.uk/latest-girft-data-released-on-model-health-system-supports-teams-to-improve-care-of-inpatients-with-diabetes/) - Data to enable NHS trusts and systems to understand how they care for people with diabetes while in hospital – and help them target improvements accordingly – has been published on the Model Health System (MHS) by the Getting It Right First Time (GIRFT) team. A range of metrics looking at diabetes care, amputations, surgical
- [Stroke toolkit helps networks to improve services and reduce health inequalities](https://gettingitrightfirsttime.co.uk/stroke-toolkit-helps-networks-to-improve-services-and-reduce-health-inequalities/) - A new stroke toolkit developed by RightCare – in partnership with GIRFT and the National Stroke Programme – is now available to download. The toolkit highlights the priorities in stroke prevention, identification, acute care, and rehabilitation, as identified in the National Stroke Service Model (NSSM), the GIRFT national report for stroke and Integrated Community Stroke Service Model, to support
- [Webinar to focus on making the most of GIRFT’s data on the Model Health System](https://gettingitrightfirsttime.co.uk/webinar-to-focus-on-making-the-most-of-girfts-data-on-the-model-health-system/) - Getting It Right First Time (GIRFT) clinicians and data experts are teaming up with the Model Health System (MHS) to showcase the breadth of GIRFT data now available to NHS teams, and how it can be used to identify and support improvement. A webinar on 5th September 2022 (12:30–13:30) – entitled Using GIRFT data on the
- [New range of guidance for best practice documentation of surgical procedures](https://gettingitrightfirsttime.co.uk/new-range-of-guidance-for-best-practice-documentation-of-surgical-procedures/) - Best practice guidance for the effective documentation of five common surgical procedures is now available, to help improve the investigation of episodes of care if they lead to patient safety incidents or NHS litigation claims. Getting It Right First Time (GIRFT) has worked with NHS Resolution, the Royal College of Surgeons of England (RCS), the
- [GIRFT data for anaesthesia and perioperative medicine on Model Health System can help to drive up day surgery rates](https://gettingitrightfirsttime.co.uk/girft-data-for-anaesthesia-and-perioperative-medicine-on-model-health-system-can-help-to-drive-up-day-surgery-rates/) - Getting It Right First Time data which can help NHS teams increase their day surgery rates and reduce patients’ length of stay (LoS) in hospital has now been published on the Model Health System. Metrics for anaesthesia and perioperative medicine (APOM) have been added to the MHS platform as GIRFT builds on its work to
- [Join us at NHS ConfedExpo to hear how the GIRFT HVLC programme can help reduce the elective backlog](https://gettingitrightfirsttime.co.uk/join-us-at-nhs-confedexpo-to-hear-how-the-girft-hvlc-programme-can-help-reduce-the-elective-backlog/) - Delegates at the 2022 NHS ConfedExpo conference can hear about best practice and innovations from frontline NHS teams who have successfully adopted GIRFT high volume low complexity (HVLC) principles to carry out surgical procedures at scale, helping to reduce their elective backlog. GIRFT is hosting an hour-long session at the event at ACC Liverpool (15&16
- [Data from GIRFT’s paediatric trauma and orthopaedic review now available on Model Health System](https://gettingitrightfirsttime.co.uk/data-from-girfts-paediatric-trauma-and-orthopaedic-review-now-available-on-model-health-system/) - GIRFT data to help NHS teams improve the care and outcomes of children undergoing trauma and orthopaedic surgery has been added to the Model Health System. A new compartment of clinical metrics for trauma and orthopaedic surgery on patients under 17 is now available via the improvement tool, giving trusts and systems the opportunity to
- [Study supports GIRFT’s recommendation on concentration of surgical expertise for parathyroid operations](https://gettingitrightfirsttime.co.uk/study-supports-girfts-recommendation-on-concentration-of-surgical-expertise-for-parathyroid-operations/) - New research has been published in support of GIRFT’s recommendation that patients who need surgery to remove their parathyroid gland should be directed to surgeons who perform the operation most often. Volume-Outcome Associations for Parathyroid Surgery in England, written by a team of GIRFT clinicians and researchers, is published in the journal JAMA Surgery, showing
- [GIRFT videos highlight measures to improve insulin safety for inpatients with diabetes](https://gettingitrightfirsttime.co.uk/girft-videos-highlight-measures-to-improve-insulin-safety-for-inpatients-with-diabetes/) - Three videos highlighting the importance of patients with diabetes being able to administer their own insulin while in hospital are being shared by the Getting It Right First Time (GIRFT) programme, to co-incide with Insulin Safety Week 2022. The GIRFT national report for diabetes, published in November 2020, showed that up to 20% of all
- [GIRFT pilot programme leads to better outcomes for patients with diabetes undergoing surgery](https://gettingitrightfirsttime.co.uk/girft-pilot-programme-leads-to-better-outcomes-for-patients-with-diabetes-undergoing-surgery/) - A GIRFT-led pilot programme has been successful in improving the care of patients with diabetes before, during and after surgery, according to an independent post-pilot evaluation. Improvements in patient safety, fewer complications, less time spent in hospital and a better overall patient experience are among the benefits demonstrated as a result of the Improving the
- [Join our webinar on addressing unwarranted variation in adult critical care](https://gettingitrightfirsttime.co.uk/join-our-webinar-on-addressing-unwarranted-variation-in-adult-critical-care/) - Registration is now open for the next event in GIRFT’s webinar series, discussing unwarranted variation in adult critical care and how to improve services. GIRFT’s clinical lead for adult critical care Dr Anna Batchelor, honorary secretary of the Intensive Care Society (ICS) Dr Paul Dean, and dean of the Faculty of Intensive Care Medicine (FICM)
- [Metrics to gauge performance and improvement in oral and maxillofacial surgery now published](https://gettingitrightfirsttime.co.uk/metrics-to-gauge-performance-and-improvement-in-oral-and-maxillofacial-surgery-now-published-on-model-health-system/) - GIRFT data to help NHS teams improve the care and outcomes of patients in need of oral and maxillofacial surgery (OMFS) has been added to the Model Health System. A new compartment of clinical metrics for OMFS is now available via the improvement tool, giving trusts and systems the opportunity to gauge their own performance
- [New clinical lead for ENT ‘looking forward to the challenge’](https://gettingitrightfirsttime.co.uk/new-clinical-lead-for-ent-looking-forward-to-the-challenge/) - A new clinical lead has been appointed to head the GIRFT ear, nose and throat (ENT) workstream as the programme drives forward its work to support elective recovery across the NHS in England. Francis (Frank) Stafford, a consultant ENT and head and neck surgeon at South Tyneside and Sunderland NHS Foundation Trust, replaces Andrew Marshall
- [Third clinical lead joins GIRFT’s team for ophthalmology](https://gettingitrightfirsttime.co.uk/third-clinical-lead-joins-girfts-team-for-ophthalmology/) - The Getting It Right First Time (GIRFT) programme has appointed a third clinician to join its clinical leadership team for ophthalmology, supporting trusts and systems to meet surgical demand as part of the NHS’ elective recovery drive. Jonathan (Jon) Bhargava, a consultant ophthalmic and oculoplastic surgeon at the Countess of Chester Hospital NHS Foundation Trust,
- [Log in to access new GIRFT ophthalmology metrics on Model Health System](https://gettingitrightfirsttime.co.uk/log-in-to-access-new-girft-ophthalmology-metrics-on-model-health-system/) - A series of key metrics to help NHS teams gauge performance and improvement across eye care services has been published to the Model Health System. As the NHS works to restore activity to better than pre-COVID levels, GIRFT has worked with the National Eye Care Recovery and Transformation Programme (NECRTP) to gather data via a
- [New guidance to help teams deliver more high flow cataract surgery to tackle waiting list backlog](https://gettingitrightfirsttime.co.uk/new-guidance-to-help-teams-deliver-more-high-flow-cataract-surgery-to-tackle-waiting-list-backlog/) - Guidance for developing effective hubs for most types of cataract surgery have been published by the Royal College of Ophthalmologists (RCOphth) in partnership with GIRFT, to help health systems deliver more sight-saving operations and better tackle the waiting list backlog. The High Flow Cataract Surgery guidance, available on the RCOphth website and in the GIRFT
- [Series of webinars to focus on improving delivery of care for hospital dentistry patients](https://gettingitrightfirsttime.co.uk/series-of-webinars-to-focus-on-improving-delivery-of-care-for-hospital-dentistry-patients/) - The Getting It Right First Time (GIRFT) programme and the Faculty of Dental Surgery (FDS) at the Royal College of Surgeons are coming together for a series of three webinars to discuss how recommendations in the GIRFT national report for hospital dentistry can be used to improve care. The webinars in early 2022 will focus
- [GIRFT lead honoured for 'outstanding leadership' in endocrinology](https://gettingitrightfirsttime.co.uk/girft-lead-honoured-for-outstanding-leadership-in-endocrinology/) - Professor John Wass, the clinical lead for endocrinology for the Getting It Right First Time (GIRFT) programme, has been honoured by the international Endocrine Society for his outstanding leadership in the specialty. The Endocrine Society’s Laureate Awards recognise the highest achievements in the field of endocrinology, including ground-breaking research and innovations in clinical care. Professor
- [New GIRFT clinical lead for general surgery aims to focus on support for rebuilding elective work](https://gettingitrightfirsttime.co.uk/new-girft-clinical-lead-for-general-surgery-to-focus-on-support-for-rebuilding-elective-work/) - A new clinical lead has been appointed to head the Getting It Right First Time (GIRFT) general surgery workstream, driving the programme’s work to support and enable specialty teams to meet the challenges presented by the pandemic. Mark Cheetham, a consultant in general and colorectal surgery at Shrewsbury and Telford NHS Hospital Trust (SaTH), will
- [Join lunchtime webinar to hear more on moving towards patient-focused pathology](https://gettingitrightfirsttime.co.uk/join-lunchtime-webinar-to-hear-more-on-move-towards-patient-focused-pathology/) - The Getting It Right First Time (GIRFT) programme is bringing together a panel of leaders from the world of pathology to discuss how a shift in approach outlined in the GIRFT national report can be implemented to shape a more effective and efficient service for patients. A lunchtime webinar – entitled Right test, right time,
- [Virtual visits begin as GIRFT mental health rehabilitation review gets under way](https://gettingitrightfirsttime.co.uk/virtual-visits-begin-as-girft-mental-health-rehabilitation-review-gets-under-way/) - The Getting It Right First Time (GIRFT) programme has begun its nationwide review of mental health rehabilitation services, with virtual visits to 56 trusts planned to help improve patient care. GIRFT clinical lead Dr Sridevi Kalidindi – a consultant rehabilitation psychiatrist at South London & Maudsley NHS Foundation Trust – will be meeting virtually with
- [Research supports GIRFT recommendation to improve care for patients with acute kidney injury (AKI)](https://gettingitrightfirsttime.co.uk/research-paper-supports-girft-recommendation-to-help-improve-care-for-patients-with-acute-kidney-injury-aki/) - A landmark paper paving the way for NHS care to be improved for patients with post-hospitalisation acute kidney injury (AKI) has been published by the UK Renal Registry (UKRR) in collaboration with the Getting It Right First Time (GIRFT) programme. Centre variation in mortality following post-hospitalisation acute kidney injury: Analysis of a large national cohort
- [Experts to discuss how recommendations from GIRFT’s renal report can be put into practice](https://gettingitrightfirsttime.co.uk/experts-to-discuss-how-recommendations-from-girfts-renal-report-can-be-put-into-practice/) - A panel of experts in renal medicine are coming together for a webinar to discuss how the new national report from Getting It Right First Time (GIRFT) – alongside collaboration with other national bodies – can deliver improved patient care, address variation and redesign services for the specialty. GIRFT’s clinical leads Dr Will McKane and
- [Observational study aims to help teams prepare for future surges of COVID-19](https://gettingitrightfirsttime.co.uk/observational-study-aims-to-help-teams-prepare-for-future-surges-of-covid-19/) - A GIRFT study examining the profile and outcomes of people hospitalised with COVID-19 in the first and second waves of the pandemic has been published, aiming to help teams prepare for future case surges. COVID-19 hospital activity and in-hospital mortality during the first and second waves of the pandemic in England is published in BMJ
- [Webinar series to focus on the integration of housing within mental health pathways](https://gettingitrightfirsttime.co.uk/webinar-series-to-focus-on-the-integration-of-housing-within-mental-health-pathways/) - A webinar series hosted by the Housing Associations' Charitable Trust (HACT) in collaboration with Getting It Right First Time (GIRFT) will look at the central role played by housing in realising both the ambitions of the NHS Long Term Plan for mental health and the aims of GIRFT’s adult mental health programmes. The GIRFT programme
- [Expert panel lined up for webinar to discuss how to reduce dermatology waiting lists](https://gettingitrightfirsttime.co.uk/expert-panel-lined-up-for-webinar-to-discuss-how-to-reduce-dermatology-waiting-lists/) - The Getting It Right First Time (GIRFT) programme is joining with the British Association of Dermatologists (BAD) for a webinar to examine how waiting lists can be reduced for dermatology patients. GIRFT dermatology lead Professor Nick Levell and Dr Tanya Bleiker, president of the BAD, are jointly hosting the lunchtime event on 2nd December 2021.
- [Join event to discuss how GIRFT endocrinology report can support NHS elective recovery](https://gettingitrightfirsttime.co.uk/webinar-to-discuss-how-girft-endocrinology-report-can-support-nhs-elective-recovery/) - Endocrinology teams are invited to a GIRFT webinar to hear how recommendations from the recently-published national report for endocrinology can support service improvement and elective recovery. The new GIRFT national report adds to growing evidence that consolidating thyroid, parathyroid, adrenal and pituitary surgery can lower the rate of complications, improve outcomes from surgery and reduce
- [Website tool launched to inform decisions about childhood circumcision](https://gettingitrightfirsttime.co.uk/website-tool-launched-to-inform-decisions-about-childhood-circumcision/) - A website to better educate boys, their parents and clinicians about foreskin conditions and the options for treatment has been launched, linking to the work of GIRFT’s national review of paediatric surgery. As GIRFT’s clinical lead for paediatric general surgery and urology, Professor Simon Kenny carried out in-depth visits to all 22 specialist trusts in
- [GIRFT lead on list of 50 most influential Black, Asian and minority ethnic people in health](https://gettingitrightfirsttime.co.uk/girft-lead-on-list-of-50-most-influential-black-asian-and-minority-ethnic-people-in-health/) - Professor Partha Kar OBE, joint clinical lead for the Getting It Right First Time (GIRFT) diabetes workstream, has been named by the Health Service Journal for the second year running as one of the 50 most influential Black, Asian and minority ethnic figures working in healthcare in England. In addition to his GIRFT role, Professor Kar is
- [Second event in webinar series to focus on recovery and transformation of glaucoma services](https://gettingitrightfirsttime.co.uk/second-event-in-ophthalmology-webinar-series-to-focus-on-recovery-and-transformation-of-glaucoma-services/) - Registration is now open for the second webinar in a series looking at the recovery and transformation of eye care services, this time with a focus on glaucoma. COVID-19 has challenged all eye care services over the past 18 months, including glaucoma outpatient services, resulting in substantial delays and the increased risk of avoidable sight
- [Call for transformation, innovation and improvement ideas from the NHS frontline](https://gettingitrightfirsttime.co.uk/call-for-transformation-innovation-and-improvement-ideas-from-the-frontline/) - NHS Improvement’s Beneficial Changes Network is now open for a second round of transformation, innovation or improvement submissions from the frontline. In the first year, the network received thousands of submissions from frontline stakeholders and partners across health and care and harvested their innovative and collaborative initiatives to share the learning. The growing network now
- [New webinar series to focus on recovery and transformation of eye care services](https://gettingitrightfirsttime.co.uk/new-webinar-series-to-focus-on-recovery-and-transformation-of-eye-care-services/) - GIRFT is joining with the Royal College of Ophthalmologists (RCOphth) for a series of webinars on the recovery and transformation of eye care services. Optometrists, ophthalmologists, Allied Health Professionals (AHPs) and specialist nurses are invited to join the webinars, which will discuss how GIRFT’s high volume low complexity (HVLC) programme and the NHS National Eye
- [No evidence of poorer outcomes for children having tonsillectomy as day case, study shows](https://gettingitrightfirsttime.co.uk/no-evidence-of-poorer-outcomes-for-children-having-tonsillectomy-as-day-case-study-shows/) - A new Getting It Right First Time (GIRFT) paper examining the safety of paediatric tonsillectomy carried out as day surgery has concluded there is no strong or consistent evidence that children seen as a day case have poorer outcomes than those who stay overnight in hospital. In a study to be published on the Anaesthesia
- [GIRFT issues 18 new national reports to boost NHS recovery and improvement](https://gettingitrightfirsttime.co.uk/girft-issues-18-new-national-reports-to-boost-nhs-recovery-and-improvement/) - The Getting It Right First Time (GIRFT) programme is supporting the collective NHS effort to restore routine care and help tackle waiting lists with the publication of 18 new national reports. The reports cover a broad spectrum of surgical and medical specialties, examining unwarranted variation in clinical practice and service delivery. They present wide-ranging
- [Masterclass helps to understand and optimise use of GIRFT metrics on Model Health System](https://gettingitrightfirsttime.co.uk/hundreds-attend-masterclass-to-understand-and-optimise-use-of-girft-metrics-on-model-health-system/) - More than 350 people took part in a masterclass webinar to learn more about understanding and navigating GIRFT metrics on the Model Health System (MHS). Speakers from both organisations guided viewers from across the NHS in how to make the best use of GIRFT’s clinical and gateway metrics on the MHS portal and how trusts,
- [Learn how HVLC pathways can support general surgery in the Midlands](https://gettingitrightfirsttime.co.uk/learn-how-hvlc-pathways-can-support-general-surgery-in-the-midlands/) - NHS staff in the Midlands working in general surgery are being invited to learn more about how high volume low complexity (HVLC) pathways can support elective recovery, and how trusts are using them with success. General surgery consultants, matrons, anaesthetists, diagnosticians, allied health professionals (AHPs), GPs with special interest (GPwSI), operational managers and commissioners can
- [Junior doctors, nurses and AHPs urged to sign up for webinars to learn how GIRFT improves care](https://gettingitrightfirsttime.co.uk/junior-doctors-and-nurses-urged-to-sign-up-for-webinars-to-learn-how-girft-improves-patient-care/) - A series of regional webinars to help junior doctors, nurses and Allied Health Professionals (AHPs) learn more about how the Getting It Right First Time (GIRFT) programme can benefit patients are taking place throughout June and July. Seven clinical improvement webinars are scheduled for the following dates: 9 June: East of England - watch the
- [Leaflet supports patients with diabetes to stay healthy in the lead-up to surgery](https://gettingitrightfirsttime.co.uk/leaflet-supports-patients-with-diabetes-to-stay-healthy-in-the-lead-up-to-surgery/) - A leaflet to help patients with diabetes stay healthy in the lead-up to elective surgery has been produced in association with one of GIRFT’s clinical leads. Professor Gerry Rayman MBE, a consultant diabetologist at East Suffolk and North Essex NHS Foundation Trust and GIRFT joint clinical lead for diabetes, worked with surgeons, anaesthetists and staff
- [GIRFT team publishes research into the volume-outcome effect for robot-assisted prostate surgery](https://gettingitrightfirsttime.co.uk/girft-team-publishes-research-into-the-volume-outcome-effect-for-robot-assisted-prostate-surgery/) - A data-driven study demonstrating that men undergoing robot-assisted prostate surgery for cancer are more likely to have better outcomes at centres which perform the operation most often has been published in an international medical journal. The observational study of volume-outcome effects for robot-assisted radical prostatectomy (RARP) in England is authored by a team from the
- [GIRFT supports webinars helping acute medical teams develop best practice](https://gettingitrightfirsttime.co.uk/girft-supports-webinars-helping-acute-medical-teams-to-develop-best-practice/) - The Getting It Right First Time (GIRFT) programme is supporting two webinars run by the Royal College of Physicians (RCP) aiming to support clinicians working on acute medical pathways. The webinars are on: 22 July 2021: The acute medicine and specialty interface (register here) 29 July 2021: Same day emergency care across medical specialties (register
- [Dermatology lead receives ultimate accolade for services to the specialty](https://gettingitrightfirsttime.co.uk/girft-dermatology-lead-receives-ultimate-accolade-for-services-to-the-specialty/) - Professor Nick Levell, the clinician leading GIRFT’s dermatology workstream, has been honoured by his professional association for his outstanding service to the speciality. Professor Levell was awarded the prestigious Sir Archibald Gray Medal at the 2021 British Association of Dermatologists’ (BAD) annual meeting, by the president Dr Tanya Bleiker. Named after the founder of the
- [GIRFT Chair outlines key priorities as programme strengthens its NHS partnership](https://gettingitrightfirsttime.co.uk/girft-chair-outlines-key-priorities-as-programme-strengthens-its-nhs-partnership/) - Professor Tim Briggs, Chair of the Getting It Right First Time (GIRFT) programme and National Director of Clinical Improvement for the NHS, has spoken of the programme’s ongoing priorities as GIRFT strengthens its partnership with NHS England and NHS Improvement. In a video message to mark GIRFT’s transfer from the Royal National Orthopaedic Hospital NHS
- [NHS to make ‘every contact count’ with health MOTs offered at vaccination centres](https://gettingitrightfirsttime.co.uk/nhs-to-make-every-contact-count-with-health-mots-offered-at-vaccination-centres/) - Guidance published by the Getting It Right First Time (GIRFT) programme in collaboration with the Oxford Academic Health Science Network (AHSN) suggests that one patient could be prevented from suffering a stroke for every 5,000 people aged over-65 offered heart rhythm checks at vaccination centres. Now NHS England has set out how the health service
- [Study finds patients who receive thyroid surgery from high-volume surgeons have better outcomes](https://gettingitrightfirsttime.co.uk/study-finds-patients-who-receive-thyroid-surgery-from-high-volume-surgeons-have-better-outcomes/) - Directing patients who need their thyroid gland removed to surgeons who perform the operation most often leads to fewer complications and readmissions, according to a new published paper. The volume and outcome relationship for thyroidectomy in England, co-authored by members of the Getting It Right First Time (GIRFT) team, is published in Langenbeck's Archives of
- [Two GIRFT clinical leads receive birthday honours from the Queen](https://gettingitrightfirsttime.co.uk/two-girft-clinical-leads-receive-birthday-honours-from-the-queen/) - Two of the GIRFT programme’s leading clinical experts have received honours in the Queen’s Birthday Honours list for their services to the NHS, especially during the COVID-19 crisis. Professor Carrie MacEwen, one of Getting It Right First Time’s leads for ophthalmology, has been awarded a damehood for her work in the specialty and for her
- [Leading clinicians join GIRFT](https://gettingitrightfirsttime.co.uk/leading-clinicians-join-girft/) - Programme appoints leads for 14 new specialty reviews Leading clinicians from across the NHS have joined the Getting It Right First Time (GIRFT) programme to lead reviews into a range of medical and surgical specialities. GIRFT today announced the appointment of surgical leads and senior advisors for 14 new workstreams. Professor Tim Briggs, Chair of
- [GIRFT appoints leads for emergency medicine review](https://gettingitrightfirsttime.co.uk/girft-appoints-leads-emergency-medicine-review/) - Dr Christopher Moulton and Dr Clifford Mann to head up work stream Dr Christopher Moulton, the Vice President of the Royal College of Emergency Medicine, and Dr Clifford Mann*, the Royal College’s Immediate Past President, have been appointed as joint medical leads for the Emergency Medicine work stream, the latest review to be carried out
- [National general surgery report published](https://gettingitrightfirsttime.co.uk/national-general-surgery-report-published-2/) - CLICK HERE FOR GENERAL SURGERY REPORT > FOR FURTHER INFORMATION CLICK HERE > CLICK HERE TO VIEW THE REPORT AT THE NHS IMPROVEMENT RESOURCES HUB > Changing general surgery procedures could improve care for patients and save the NHS millions. The NHS could see a significant reduction in the amount of people unnecessarily admitted for
- [GIRFT programme appoints top clinicians for national specialty reviews](https://gettingitrightfirsttime.co.uk/clinical-leads-appointed-nov/) - Getting It Right First Time (GIRFT), a programme designed to improve clinical quality and efficiency within the NHS by reducing unwarranted variations, has appointed six more leading clinicians to join its national review of 35 medical and surgical specialties. Getting It Right First Time (GIRFT), a programme designed to improve clinical quality and efficiency within
- [New Year’s Honours recognise GIRFT clinicians](https://gettingitrightfirsttime.co.uk/new-years-honours-2018/) - Professor Tim Briggs, Chairman of the Getting It Right First Time programme (GIRFT) has been made a Commander of the Most Excellent Order of the British Empire (CBE) in the New Year’s Honours List for services to the surgical profession. Professor Briggs said: “I feel very honoured to have been made a CBE which is
- [Clinical ambassadors appointed to support local NHS trusts](https://gettingitrightfirsttime.co.uk/clinical-ambassadors-appointed/) - Getting It Right First Time (GIRFT), a programme designed to improve clinical quality and efficiency within the NHS by reducing unwarranted variation, has appointed 17 leading clinicians to join its regional implementation teams as Clinical Ambassadors. The Clinical Ambassadors will work with clinicians and senior managers at local NHS Trusts to improve quality of care
- [Opportunities for senior clinicians to work at GIRFT](https://gettingitrightfirsttime.co.uk/clinical-ambassador-opportunities/) - GIRFT has advertised new opportunities for senior clinicians to join the programme as Clinical Ambassadors, working to reduce unwarranted variation and improve quality of care for patients. Clinical Ambassador will work across all specialties within the local area and will be instrumental to the success of the GIRFT approach. The role offers a unique opportunity
- [GIRFT recruiting top surgeons to lead trauma and plastic surgery](https://gettingitrightfirsttime.co.uk/girft-recruiting-top-surgeons-clinical-leads-trauma-plastic-surgery/) - The Getting It Right First Time (GIRFT) programme is advertising vacancies for leading surgeons to join as Clinical Leads for trauma and Clinical Lead for plastic surgery. Clinical Leads will lead a project to compile a data and insight driven report into trauma services or plastic surgery services, which is then followed up by trust
- [GIRFT appoints leads for pathology review](https://gettingitrightfirsttime.co.uk/pathology-clinical-leads-appointed/) - Simon Knowles, Tom Lewis, Marion Wood and Martin Myers to head up workstream Simon Knowles, Tom Lewis and Marion Wood have been appointed as joint clinical leads for the GIRFT review of pathology, alongside senior clinical advisor Martin Myers. The top clinicians have been appointed with the endorsement of the Royal College of Pathologists and
- [Eight leading clinicians appointed to GIRFT programme](https://gettingitrightfirsttime.co.uk/july-2018-clinical-leads/) - The Getting It Right First Time (GIRFT) programme has appointed eight more leading clinicians to join its national review of 35 medical and surgical specialties. Four consultants have been appointed to lead on reviews for surgical and medical specialties in plastic surgery and burns, trauma surgery, outpatient services, and mental health services. A further two
- [Retirement of David Richens, GIRFT Clinical Lead for cardiothoracic surgery](https://gettingitrightfirsttime.co.uk/david-richens-retirement/) - David Richens, GIRFT Clinical Lead and author of the national report on cardiothoracic surgery, has announced his retirement. David joined GIRFT in 2016 as National Clinical Lead for cardiothoracic surgery after a long career as a surgeon, including work in service development, clinical leadership and standards setting.
- [GIRFT at Health Care and Innovation Expo 2018](https://gettingitrightfirsttime.co.uk/girft-at-expo-2018/) - As part of the ‘Improving Care’ feature zone, jointly with Rightcare and the Elective Care Transformation Programme, GIRFT will be showcasing how we are using a clinically-led approach to tackling unwanted variation in all of our specialities across the country. We will also be demonstrating how we are working closely together with the other two
- [Getting It Right In Emergency Care advice pack available](https://gettingitrightfirsttime.co.uk/emergency-care-available/) - The Getting It Right In Emergency Care advice pack has been produced by the GIRFT programme in collaboration with the Emergency Care Intensive Support Team (ECIST.) The advice pack aims to encourage the implementation of existing good practice, but setting out examples of interventions that NHS trusts can adopt to improve patient flow and help to
- [GIRFT Chair appointed to top NHS role](https://gettingitrightfirsttime.co.uk/girft-chair-appointed-to-top-nhs-role/) - Professor Tim Briggs, Chair of the Getting It Right First Time (GIRFT) programme, has been appointed to the new role of National Director of Clinical Improvement for the NHS. Professor Briggs was formerly National Director of Clinical Quality and Efficiency at NHS Improvement and heads up the GIRFT programme, which aims to improve the quality
- [GIRFT study finds patient outcomes 'just as good' following day surgery for bladder tumour resections](https://gettingitrightfirsttime.co.uk/girft-study-finds-patient-outcomes-just-as-good-following-day-surgery-for-bladder-tumour-resections/) - Data examined by the Getting It Right First Time (GIRFT) programme suggests that patients undergoing bladder tumour resection surgery as a day case have at least as good HES-reported outcomes as those having an overnight stay. The findings have been published in the Journal of Clinical Urology following a study of 2017/18 data for all
- [Increase in day case surgery would improve care for ear, nose and throat patients](https://gettingitrightfirsttime.co.uk/increase-in-day-case-surgery-would-improve-care-for-ear-nose-and-throat-patients/) - Patients, clinicians and trusts to benefit from latest GIRFT recommendations Both patients and hospital trusts will benefit if more ear, nose and throat (ENT) surgery in England is carried out as a day case, according to the latest national report from the Getting It Right First Time (GIRFT) programme. The GIRFT review of ENT services
- [Webinar to focus on GIRFT’s role in post-COVID recovery of elective surgery](https://gettingitrightfirsttime.co.uk/webinar-to-focus-on-girfts-role-in-post-covid-recovery-of-elective-surgery/) - A webinar hosted by the National Orthopaedic Alliance (NOA) is to outline the role of the Getting It Right First Time (GIRFT) programme in supporting the post-COVID recovery and transformation of elective surgery across London. GIRFT chair Professor Tim Briggs CBE, who is also the National Director of Clinical Improvement for the NHS, will present
- [Thrombosis survey deadline extended to gather COVID-19 data](https://gettingitrightfirsttime.co.uk/thrombosis-survey-deadline-extended-to-gather-covid-19-data/) - A survey on rates of thrombosis in England’s hospitals has been extended to help capture and learn from data on increased venous thrombosis in COVID-19 patients. The Getting It Right First Time (GIRFT) Thrombosis Survey was launched in 2019 to gather information on hospital-acquired thrombosis (HAT), with the aim of determining how many cases might
- [‘We must use this crisis as a huge opportunity for change’ says GIRFT Chair](https://gettingitrightfirsttime.co.uk/we-must-use-this-crisis-as-a-huge-opportunity-for-change-says-girft-chair/) - Professor Tim Briggs – Chair of Getting It Right First Time (GIRFT) and the National Clinical Director of Improvement for the NHS – has spoken of the programme’s role in setting standards and shaping the ‘new normal’ for healthcare as services recover and restart after the COVID-19 pandemic. In an interview for InQuisit website, Professor
- [Guide supports stroke teams in the restoration and recovery phase of COVID-19 pandemic](https://gettingitrightfirsttime.co.uk/guide-supports-stroke-teams-in-the-restoration-and-recovery-phase-of-covid-19-pandemic/) - Practical guidance to help stroke teams across England deliver high-quality care in the restoration and recovery phase of the COVID-19 pandemic has been made available in a collaboration between the Oxford Academic Health Science Network (Oxford AHSN) and the stroke leads for the Getting It Right First Time (GIRFT) programme. Restoration and recovery of stroke
- [New guide to help vascular teams resume surgery past the COVID-19 peak](https://gettingitrightfirsttime.co.uk/new-guide-to-help-vascular-teams-resume-surgery-past-the-covid-19-peak/) - Guidance on resuming vascular surgery in the light of the COVID-19 pandemic has been issued by the national body for joint working in vascular services across England. The National Joint Vascular Implementation (NJVI) Board, which is chaired by Getting It Right First Time (GIRFT) clinical lead Professor Mike Horrocks and Dr Michael Gregory, NHS England’s
- [Former England cricketer joins webinar to offer a patient view on stroke care](https://gettingitrightfirsttime.co.uk/former-england-cricketer-joins-webinar-to-offer-a-patient-view-on-stroke-care/) - Former England cricketer Rob Key was a surprise guest on a national webinar for stroke teams, offering a patient’s perspective on receiving care at the height of the COVID-19 pandemic. The one-time Kent and England batsman, who is now a familiar face to viewers of Sky’s cricket coverage, suffered an ischemic stroke in May and
- [New agreement between GIRFT and the Care Quality Commission (CQC)](https://gettingitrightfirsttime.co.uk/new-agreement-between-girft-and-the-care-quality-commission-cqc/) - The Getting It Right First Time (GIRFT) programme and the Care Quality Commission (CQC) have published a new Memorandum of Understanding (MoU) agreement. The agreement sets out how the independent regulator of health and adult social care in England will work with those leading the GIRFT programme to safeguard the wellbeing of people receiving health
- [Feature shows how GIRFT has influenced fall in litigation claims for orthopaedic surgery](https://gettingitrightfirsttime.co.uk/feature-shows-how-girft-has-influenced-fall-in-litigation-claims-for-orthopaedic-surgery/) - A new feature published in an international journal highlights the positive impact the Getting It Right First Time (GIRFT) programme has had on reducing litigation claims in orthopaedic surgery. GIRFT Chair Professor Tim Briggs and litigation clinical lead John Machin worked with Daren Forward, an orthopaedic consultant from Nottingham, to write the article for Bone
- [Royal College and GIRFT advice on cataract services in response to COVID-19](https://gettingitrightfirsttime.co.uk/royal-college-and-girft-advice-on-restarting-and-redesigning-cataract-services-in-response-to-covid-19/) - The Royal College of Ophthalmologists and GIRFT have updated their advice on restarting and redesigning cataract services in response to the COVID-19 pandemic. The advice sets out the need for high flow cataract surgery to resume now, in order to address the backlog and provide patients with a timely service and avoid compromising patients' quality
- [Webinar highlights new advice pack to help trusts increase and improve day surgery](https://gettingitrightfirsttime.co.uk/webinar-highlights-new-advice-pack-to-help-trusts-increase-and-improve-day-surgery/) - A webinar hosted by the Getting It Right First Time (GIRFT) programme outlined how trusts can maximise their use of day surgery, based on measures featured in a new National Day Surgery Delivery Pack produced jointly with the British Association of Day Surgery (BADS) and the Centre for Perioperative Care (CPOC). More than 250 attendees
- [Fifth GIRFT clinician appointed to national NHS leadership role](https://gettingitrightfirsttime.co.uk/fifth-girft-clinician-appointed-to-national-nhs-leadership-role/) - Dr Martin Allen, Getting It Right First Time’s clinical lead for respiratory medicine, has been appointed as a National Specialty Adviser to the NHS. National Clinical Directors (NCDs) and National Specialty Advisers (NSAs) are practicing clinicians appointed to work part-time at NHS England and NHS Improvement, providing leadership, advice and expertise across a range conditions
- [GIRFT clinical lead named as one of the 50 most influential BAME figures in English healthcare](https://gettingitrightfirsttime.co.uk/girft-clinical-lead-named-as-one-of-the-50-most-influential-bame-figures-in-english-healthcare/) - Professor Partha Kar, GIRFT co-clinical lead for diabetes, has been named by the Health Service Journal as one of the 50 most influential black, Asian and minority ethnic figures working in healthcare in England. The list is made up of individuals who it is thought will exercise the greatest power and influence in the English
- [New guidance helps primary care teams deliver best CVD services during the pandemic](https://gettingitrightfirsttime.co.uk/new-guidance-helps-primary-care-teams-deliver-best-cvd-services-during-the-pandemic/) - A new practical guide has been produced to help primary care teams across England overcome limitations created by COVID-19 and continue to deliver quality cardiovascular disease (CVD) prevention services. Since the arrival of the pandemic, patients are likely to have had less contact with healthcare professionals, leading to lower detection rates for CVD risk factors
- [GIRFT publishes framework and tool to support urology services in the COVID-19 era](https://gettingitrightfirsttime.co.uk/girft-publishes-framework-to-support-urology-services-in-the-covid-19-era/) - Getting It Right First Time (GIRFT) has published a framework document, aimed at clinicians and managers in NHS trusts, describing the scope of work needed to build high quality and robust urology services for the COVID-19 era. The framework has been developed by the GIRFT Clinical Leads for urology Kieran O’Flynn and John McGrath, consultant
- [Four trusts gain Veteran Aware accreditation in the lead-up to Remembrance Day](https://gettingitrightfirsttime.co.uk/four-trusts-gain-veteran-aware-accreditation-in-the-lead-up-to-remembrance-day/) - As the UK marks Remembrance Day on November 11, four more trusts have gained formal accreditation from the Veterans Covenant Healthcare Alliance (VCHA) for their commitment to improving care for veterans, reservists and members of the armed forces community. Essex Partnership University NHS Foundation Trust, Derbyshire Community Health Services NHS Foundation Trust, Coventry and Warwickshire
- [GIRFT diabetes lead awarded OBE in New Year Honours](https://gettingitrightfirsttime.co.uk/girft-diabetes-lead-awarded-obe-in-new-year-honours/) - Professor Partha Kar, one of the joint clinical leads of the Getting It Right First Time programme’s diabetes workstream, has been made an Officer of the Most Excellent Order of the British Empire (OBE) in the New Year Honours list 2021. Professor Kar, a consultant in diabetes and endocrinology at Portsmouth Hospitals NHS Trust and national
- [Webinar shares best practice in the management of COVID-19 patients](https://gettingitrightfirsttime.co.uk/webinar-to-share-best-practice-in-the-management-of-covid-19-patient/) - The Getting It Right First Time (GIRFT) team recently hosted a lunchtime webinar to share best practice and insight from its recently-published guidance for improving the care of COVID-19 patients. The webinar took place on Tuesday 9th February 2021, from 12.30pm to 1.30pm. A recording of the webinar can be seen below. Following the success
- [GIRFT endorses new ward rounds report](https://gettingitrightfirsttime.co.uk/girft-endorses-new-ward-rounds-report/) - The GIRFT programme has endorsed a new report from UK healthcare professional leaders, including the Royal College of Physicians (RCP), setting out best practice for modern ward rounds. The RCP has worked with NHS England and NHS Improvement, other key stakeholders and patients to publish Modern Ward Rounds: Good practice for multidisciplinary inpatient review, to
- [GIRFT authors’ study into COVID-19 mortality published in The Lancet](https://gettingitrightfirsttime.co.uk/girft-authors-study-into-covid-19-mortality-published-in-the-lancet/) - A new paper published in The Lancet (Respiratory Medicine) shows that the rate of in-hospital deaths from COVID-19 in NHS hospitals in England fell during the first wave of the pandemic as a result of rapid learning by clinicians leading to improved treatment of patients. The study, entitled Patient factors and temporal trends associated with
- [New guidance helps healthcare systems get back on track with cardiovascular disease prevention](https://gettingitrightfirsttime.co.uk/new-guidance-helps-healthcare-systems-get-back-on-track-with-cardiovascular-disease-prevention/) - A new practical guide is helping teams in healthcare systems across England to overcome disruption in work to prevent cardiovascular disease (including stroke, heart disease and vascular dementia) caused by COVID-19. The guidance – a collaboration between the Oxford Academic Health Science Network (Oxford AHSN), the Getting It Right First Time (GIRFT) programme and the
- [Guidance on high volume cataract lists and hubs aims to improve patient care post-COVID](https://gettingitrightfirsttime.co.uk/guidance-on-high-volume-cataract-lists-and-hubs-aims-to-improve-patient-care-post-covid/) - The Royal College of Ophthalmologists (RCOphth) and Getting It Right First Time (GIRFT) have jointly produced a new document offering guidance and recommendations for setting up cataract hubs and high volume cataract lists, to improve help patient care post-COVID. Ophthalmology is the highest volume outpatient specialty in England, providing over 7.5 million outpatient appointments a
- [GIRFT lunchtime webinar aims to improve perioperative experience for diabetes patients](https://gettingitrightfirsttime.co.uk/girft-lunchtime-webinar-aims-to-improve-perioperative-experience-for-diabetes-patients/) - On 15th April, GIRFT held a lunchtime webinar to discuss a project called 'Improving the Perioperative Pathway for Patients with Diabetes' (IP3D). Hosted by GIRFT joint clinical lead for diabetes, Professor Gerry Rayman, the webinar consisted of presentations by perioperative diabates specialist nurses from around the country, as well as Dr Claire Hambling, chair of
- [‘Minimal variation in COVID-19 mortality between trusts’, new study shows](https://gettingitrightfirsttime.co.uk/minimal-variation-in-covid-19-mortality-between-trusts-new-study-shows/) - A new study from the Getting It Right First Time (GIRFT) programme – believed to be the largest analysis of COVID-19 hospital mortality in any country published to date – shows there was no evidence of unwarranted variation in rates of death for patients cared for in NHS hospitals across England during the first wave
- [New guide helps NHS trusts improve patient safety by learning from clinical negligence claims](https://gettingitrightfirsttime.co.uk/new-guide-helps-nhs-trusts-improve-patient-safety-by-learning-from-clinical-negligence-claims/) - A new best practice guide helping trusts learn more from NHS negligence claims has been issued in the drive for better patient safety. With the cost of harm for clinical negligence claims from incidents in 2019/20 expected to cost the NHS £8.3 billion, the Getting It Right First Time (GIRFT) programme and NHS Resolution have
- [More expertise and knowledge for GIRFT radiology team](https://gettingitrightfirsttime.co.uk/more-expertise-and-knowledge-for-girft-radiology-team/) - The Getting It Right First Time (GIRFT) programme has welcomed two new advisors to support work on its radiology workstream. Elaine Quick, a former radiology service manager at Salford Royal NHS Foundation Trust, and Lucy Beeley*, the group manager for radiology at Mid Yorkshire Hospitals NHS Trust, will be working with GIRFT clinical lead Dr
- [GIRFT appoints clinicians to lead new paediatric and neonatal workstreams](https://gettingitrightfirsttime.co.uk/new-paediatric-and-neonatal-workstreams/) - The Getting It Right First Time (GIRFT) programme has recruited leading clinicians to steer new workstreams focusing on paediatric and neonatal care. Three consultants have been appointed to lead on reviews for: paediatric critical care; neonatology; paediatrics orthopaedic (trauma and elective) surgery. A fourth consultant has been appointed as clinical advisor to the paediatric critical
- [GIRFT starts work on lung cancer review](https://gettingitrightfirsttime.co.uk/girft-starts-work-on-lung-cancer-review/) - The Getting It Right First Time (GIRFT) programme has appointed a team of specialist clinicians to lead a national review into services for lung cancer patients. Run in collaboration with NHS England, and in line with the ambitions of the NHS Long Term Plan, the latest GIRFT review is bringing together expert clinicians to help
- [Nurses on board to support GIRFT lung cancer review](https://gettingitrightfirsttime.co.uk/nurses-on-board-to-support-girft-lung-cancer-review/) - Two specialist nurses are now working with the Getting It Right First Time (GIRFT) programme to support a national review into services for lung cancer patients. Earlier this year, GIRFT announced the appointment of three clinicians to look at how care can be improved for the 38,000 people diagnosed with lung cancer in England every
- [‘No one could have been more dedicated’: thanks as GIRFT lead steps down from vascular surgery role](https://gettingitrightfirsttime.co.uk/no-one-could-have-been-more-dedicated-thanks-as-girft-lead-steps-down-from-vascular-surgery-role/) - One of the first clinical leads to be appointed to the Getting It Right First Time (GIRFT) programme is stepping down from his role heading the vascular surgery workstream. Professor Mike Horrocks has been praised for his dedication and achievements as he retires to spend more time with his family. Mike joined GIRFT as a
- [Tributes paid to GIRFT clinical lead ‘driven by improving care for patients’](https://gettingitrightfirsttime.co.uk/tributes-paid-to-girft-clinical-lead-driven-by-improving-care-for-patients/) - One of the Getting It Right First Time (GIRFT) programme’s longest-standing clinical leads and a hugely-respected consultant in emergency medicine – Dr Clifford Mann OBE – has passed away after a short illness. Dr Mann, who led the programme’s Emergency Medicine workstream alongside Dr Chris Moulton, was also the National Clinical Director for urgent and
- [GIRFT to harness technology to improve medical devices safety](https://gettingitrightfirsttime.co.uk/girft-to-harness-technology-to-improve-medical-devices-safety/) - A clinically-led partnership will see the Getting It Right First Time (GIRFT) programme working with other NHS organisations to enable better use of technology to improve patient safety in the use of medical devices. Following early discovery work, the Medical Device Safety Programme (MDSP) will be established to: accelerate the adoption of digital technology to
- [New GIRFT guidance to help trusts improve the care of COVID-19 patients](https://gettingitrightfirsttime.co.uk/new-guidance-to-help-trusts-improve-the-care-of-covid-19-patients/) - Best practice guidance to help hospital staff and managers improve the care of COVID-19 patients has been issued to trusts by the Getting It Right First Time (GIRFT) team. Based on the experiences of hospital trusts that performed well during the early phase of the pandemic, the guidance shares successful innovations and practices which others
- [Video shows support for Breast Cancer Awareness Month 2020 ahead of report publication](https://gettingitrightfirsttime.co.uk/video-shows-support-for-breast-cancer-awareness-month-2020-ahead-of-report-publication/) - Getting It Right First Time (GIRFT) has shown its support for Breast Cancer Awareness Month with a video outlining some of the findings and proposed recommendations of its forthcoming national report on breast surgery. The 70-second video is being shared on Twitter and LinkedIn throughout October to highlight the work of the programme in reviewing
- [Snapshot survey of neonatal services and workforce to help shape future improvements](https://gettingitrightfirsttime.co.uk/snapshot-survey-of-neonatal-services-and-workforce-to-help-shape-future-improvements/) - A comprehensive picture of neonatal services and workforce across the UK is outlined in the findings of a survey published by the Royal College of Paediatrics and Child Health (RCPCH) in collaboration with the Getting It Right First Time (GIRFT) programme. GIRFT’s neonatology team – led by clinical lead Dr Eleri Adams – worked closely
- [GIRFT leads named in list of ‘most powerful and influential’ in the NHS](https://gettingitrightfirsttime.co.uk/girft-leads-named-in-list-of-most-powerful-and-influential-in-the-nhs/) - Chair of the Getting It Right First Time (GIRFT) programme, Professor Tim Briggs, and two of the programme’s clinical leads have been named in a list of the 100 most powerful and influential people in the NHS and health policy in England. The Health Service Journal list features Professor Briggs and Dr Clifford Mann, one
- [GIRFT lead honoured for outstanding contribution to endocrine science](https://gettingitrightfirsttime.co.uk/girft-lead-honoured-for-outstanding-contribution-to-endocrine-science/) - Professor John Wass, the clinician leading the Getting It Right First Time (GIRFT) programme’s endocrinology workstream, has won a prestigious award from the European Society for Endocrinology, honouring his contribution to the specialty. Professor Wass received the ESE’s honorary member award at the society’s recent digital congress, e-ECE 2020, held to share innovations in endocrine
- [Virtual meetings to review mental health services for children and young people get under way](https://gettingitrightfirsttime.co.uk/virtual-meetings-to-review-mental-health-services-for-children-and-young-people-get-under-way/) - Getting It Right First Time (GIRFT) clinical lead Dr Guy Northover is about to begin meeting virtually with clinicians and managers across England, looking at the issues facing child and adolescent psychiatric care, identifying good practice to share and discussing improvements that can be made. Dr Northover – a consultant child and adolescent psychiatrist from
- [Four trusts gain Veteran Aware accreditation in the lead-up to Armed Forces Day](https://gettingitrightfirsttime.co.uk/four-trusts-gain-veteran-aware-accreditation-in-the-lead-up-to-armed-forces-day/) - As the UK prepares to mark Armed Forces Day on Saturday (June 27), four more trusts have gained formal accreditation from the Veterans Covenant Healthcare Alliance (VCHA) for their commitment to improving care for veterans, reservists and members of the armed forces community. Humber Teaching NHS Foundation Trust, Lincolnshire Partnership NHS Foundation Trust, Mersey Care
- [Support for Royal College of Pathologists’ COVID-19 testing strategy](https://gettingitrightfirsttime.co.uk/support-for-royal-college-of-pathologists-covid-19-testing-strategy/) - The Getting It Right First Time (GIRFT) pathology clinical leads have welcomed the publication of the Royal College of Pathologists document COVID-19 testing: a national strategy. In a statement, the programme’s three clinicians – Dr Tom Lewis, Dr Marion Wood and Dr Martin Myers – said: “The pathology community has responded at pace to deliver
- [GIRFT team helps with COVID-19 training for care workers](https://gettingitrightfirsttime.co.uk/4363-2/) - The team at Getting It Right First Time (GIRFT) is supporting a newly-formed academy to train care workers in the fight against COVID-19. GIRFT’s partner trust, the Royal National Orthopaedic Hospital (RNOH) NHS Trust, has formed the training academy to develop and deliver training and guidance for staff working in care homes and home care
- [Call to join the NHS Estates Team Collaboration Hub](https://gettingitrightfirsttime.co.uk/join-the-nhs-estates-team-collaboration-hub/) - The Getting It Right First Time (GIRFT) team is supporting one of its NHS partners to promote and share news of a new collaboration hub for estates and facilities staff. The NHS Estates Team Collaboration Hub has been developed as a private space for the NHS estates and facilities workforce which is also open to
- [Public told to ‘act FAST’ as NHS uses AI to speed up stroke care](https://gettingitrightfirsttime.co.uk/public-told-to-act-fast-as-nhs-uses-ai-to-speed-up-stroke-care/) - The NHS is urging anyone who thinks they or a loved one have symptoms of stroke not be put off seeking help because of coronavirus, but to ‘act FAST’. In a message fronted by GIRFT's joint clinical lead for stroke, Dr Deb Lowe, in her capacity as NHS national clinical director for stroke, top doctors
- [Data from 2019 Surgical Site Infection survey to be shared with trusts](https://gettingitrightfirsttime.co.uk/data-from-2019-surgical-site-infection-survey-to-be-shared-with-trusts/) - Data gathered during the Getting It Right First Time (GIRFT) Surgical Site Infection 2019 survey has now been distributed to any trusts who expressed a wish to receive their data packs at the current time. For trusts that asked for a delay due to the COVID-19 crisis, GIRFT will be issuing the packs at a
- [Guide outlines how stroke services can adapt during and after COVID-19](https://gettingitrightfirsttime.co.uk/guide-outlines-how-stroke-services-can-adapt-during-and-after-covid-19/) - Guidance for adapting stroke services during the COVID-19 pandemic – and reshaping them afterwards – has been made available in a collaboration between the Getting It Right First Time (GIRFT) programme and the Oxford Academic Health Science Network (AHSN). GIRFT’s joint stroke leads, Dr Deb Lowe and Dr David Hargroves, with Oxford AHSN chief executive
- [Urology study is one of journal's most downloaded papers](https://gettingitrightfirsttime.co.uk/urology-study-is-one-of-journals-most-downloaded-papers/) - A GIRFT study led by urology clinical lead Simon Harrison and published in the British Journal of Urology International (BJUI) is one of the top downloaded papers in the publication’s recent history. The research paper titled Understanding volume–outcome relationships in nephrectomy and cystectomy for cancer: evidence from the UK Getting it Right First Time programme
- [GIRFT team redeployed in fight against COVID-19](https://gettingitrightfirsttime.co.uk/girft-team-redeployed-in-fight-against-covid-19/) - Staff working for the Getting It Right First Time (GIRFT) programme are joining in the national effort to fight COVID-19, with clinicians working on the NHS frontline and others redeployed to help tackle the pandemic. Most of the clinical leads heading GIRFT’s 41 workstreams, as well as the programme’s clinical ambassadors, are currently back at
- [GIRFT clinicians appointed to prestigious national NHS leadership roles](https://gettingitrightfirsttime.co.uk/girft-clinicians-appointed-to-prestigious-national-nhs-leadership-roles/) - Four clinical leads heading workstreams for the Getting It Right First Time (GIRFT) programme have been appointed to prestigious roles as national NHS leaders for their specialties. National Clinical Directors (NCDs) and National Specialty Advisers (NSAs) are practicing clinicians appointed to work part-time at NHS England and NHS Improvement, providing leadership, advice and expertise across
- [Showcase event highlights sight-saving recommendations from ophthalmology report](https://gettingitrightfirsttime.co.uk/showcase-event-highlights-sight-saving-recommendations-from-ophthalmology-report/) - An evening reception at the Royal College of Ophthalmologists showcased the recent publication of GIRFT’s national report on ophthalmology and its sight-saving recommendations. You can see a short video from the event below: The report’s three authors, consultant ophthalmologists Professor Carrie MacEwen, Ms Alison Davis and Ms Lydia Chang, led the GIRFT review into their
- [GIRFT inspires dedicated joint-replacement service at north east hospital](https://gettingitrightfirsttime.co.uk/girft-inspires-dedicated-joint-replacement-service-at-north-east-hospital/) - A dedicated joint-replacement service at the Friarage Hospital in Northallerton is getting patients home faster and reducing waiting times, and GIRFT has been credited as an influence on the change. The arthroplasty service at the hospital, part of South Tees Hospitals NHS Foundation Trust, is now carrying out up to 20 planned procedures a week,
- [Paper of the month for urology study](https://gettingitrightfirsttime.co.uk/paper-of-the-month-for-girft-team/) - The author of GIRFT’s national report on urology, Simon Harrison, has presented a video on the findings of a study into the impact of centralising complex uro-oncology surgery in centres delivering high volumes.The study, conducted by Simon Harrison, William K. Gray, Jamie Day and Professor Tim Briggs, has been published as the British Journal of
- [Two more trusts secure Veteran Aware accreditation for armed forces support](https://gettingitrightfirsttime.co.uk/two-more-trusts-secure-veteran-aware-accreditation-for-armed-forces-support/) - The Shrewsbury & Telford Hospital NHS Trust and Calderdale & Huddersfield NHS Foundation Trust have joined a wave of NHS providers named as Veteran Aware for their commitment to improving care for veterans, reservists and members of the armed forces community. The accreditation, from the Veterans Covenant Healthcare Alliance (VCHA), acknowledges the trusts’ commitment to
- [Joint leads to continue work of urology national review](https://gettingitrightfirsttime.co.uk/joint-leads-to-continue-work-of-urology-national-review/) - Two new clinical leads have been appointed to lead the Getting It Right First Time (GIRFT) urology workstream as the programme prepares to begin revisits to trusts. Kieran O’Flynn (above left), a consultant urological surgeon at Salford Royal NHS Foundation Trust, and John McGrath (above right), a consultant urologist at Royal Devon and Exeter NHS
- [GIRFT spinal report recommendation supported by study in European journal](https://gettingitrightfirsttime.co.uk/girft-spinal-report-recommendation-supported-by-study-in-european-journal/) - A new study has found there are no sustained positive outcomes for low back pain from the use of multiple spinal injections, supporting a recommendation made in the 2019 Getting It Right First Time (GIRFT) spinal services report. The study, titled Multiple injections for low back pain: What’s the future?, and published in the European
- [Celebration event showcases GIRFT's ENT national report](https://gettingitrightfirsttime.co.uk/celebration-event-showcases-girfts-ent-national-report/) - More than 50 specialists and stakeholders gathered at an event in Nottingham, held to showcase the key findings and recommendations from the Getting It Right First Time (GIRFT) national report on ENT. Andrew Marshall, author of the report and a consultant ENT surgeon at Nottingham University Hospitals NHS Trust (NUH), welcomed guests from across the
- [North East trusts share orthopaedic successes](https://gettingitrightfirsttime.co.uk/north-east-trusts-share-orthopaedic-successes/) - NHS managers and staff from eight acute trusts across the North East and Cumbria met with Getting It Right First Time’s NENCY regional team to share their experiences of orthopaedic surgery services since the launch of the GIRFT national report into orthopaedic surgery in 2015. GIRFT Chair Professor Tim Briggs gave an introduction and shared
- [New GIRFT lead to follow-up on cardiothoracic report](https://gettingitrightfirsttime.co.uk/new-girft-lead-to-follow-up-on-national-cardiothoracic-report/) - The Getting It Right First Time (GIRFT) programme has welcomed a new clinician to lead its work in helping to improve cardiothoracic surgery services across England. Doug West, who has been a consultant thoracic surgeon at University Hospitals Bristol NHS Foundation Trust since 2011, replaces David Richens as GIRFT’s clinical lead for cardiothoracic surgery. Mr
- [MBE for GIRFT diabetes joint lead](https://gettingitrightfirsttime.co.uk/mbe-for-girft-diabetes-joint-lead/) - Professor Gerry Rayman, one of the joint clinical leads of the Getting It Right First Time programme’s diabetes workstream, has been awarded membership of the Most Excellent Order of the British Empire (MBE) in the New Year Honours list 2020. Professor Rayman, a consultant physician at East Suffolk and North Essex NHS Foundation Trust, is
- [GIRFT review of mental health gets under way](https://gettingitrightfirsttime.co.uk/girft-review-of-mental-health-gets-under-way/) - The Getting It Right First Time (GIRFT) programme is about to begin pilot visits in its adult crisis and acute mental health workstream, meeting the teams in England’s mental health trusts for the first time. Dr Ian Davidson, GIRFT’s clinical lead for adult crisis and acute mental health and a consultant general adult psychiatrist at
- [Project aims to empower diabetes patients](https://gettingitrightfirsttime.co.uk/project-aims-to-empower-diabetes-patients/) - GIRFT is starting work on a new 18-month project aimed at improving the perioperative pathway of diabetes patients undergoing surgery. The IP3D project (Improving the Perioperative Pathway of Patients with Diabetes) initially aims to support 16 trusts in England to implement a care pathway which empowers the patient in both preparing for surgery and throughout
- [High commendation for veterans work at HSJ Awards 2019](https://gettingitrightfirsttime.co.uk/3734-2/) - The Veterans Covenant Healthcare Alliance (VCHA), which is delivered by GIRFT, has been highly commended at the Health Service Journal (HSJ) Awards for its work in improving NHS care for members of the armed forces community. The glittering black-tie event – hosted by actor James Nesbitt at the Battersea Evolution Centre in London – saw
- [GIRFT symposium highlights improvements in care at University Hospitals Plymouth](https://gettingitrightfirsttime.co.uk/girft-symposium-highlights-improvements-in-care-at-university-hospitals-plymouth/) - Around 200 guests gathered in Plymouth for University Hospitals Plymouth NHS Trust’s (UHP) first Getting It Right First Time (GIRFT) symposium. Organised by the team at the trust, the event saw colleagues from across the south west visiting Derriford Hospital to hear examples of service transformation across a range of clinical specialties. Lord Carter of
- [Leading orthopaedic surgeon appointed as GIRFT ambassador](https://gettingitrightfirsttime.co.uk/leading-orthopaedic-surgeon-appointed-as-girft-ambassador/) - The Getting It Right First Time (GIRFT) programme has appointed a leading orthopaedic surgeon to work as a clinical ambassador in its London regional hub. Mr Vinay Takwale, chief of the division of surgery at Gloucestershire Hospitals NHS Foundation Trust, will work with clinicians and managers from some of the 23 trusts in the London
- [Seeking patient stories to help improve eye services](https://gettingitrightfirsttime.co.uk/seeking-patient-stories-to-help-improve-eye-services/) - A campaign run in collaboration with the Getting It Right First Time (GIRFT) programme is seeking to gather the stories of patients, carers and staff about their experience of using eye services. EyesWise – an initiative led by the NHS Elective Care Transformation Programme in collaboration with GIRFT and the Royal College of Ophthalmologists –
- [HSJ Award nomination for Veteran Aware programme](https://gettingitrightfirsttime.co.uk/hsj-award-nomination-for-veteran-aware-programme/) - The Veterans Covenant Healthcare Alliance (VCHA) has been shortlisted for a Health Service Journal (HSJ) award for its work in improving NHS care for members of the armed forces community. Led by a steering group of healthcare and military representatives, and delivered by the Getting It Right First Time programme (GIRFT), the VCHA supports NHS
- [GIRFT review aims to put breast surgery patients first](https://gettingitrightfirsttime.co.uk/girft-review-aims-to-put-breast-surgery-patients-first/) - As Breast Cancer Awareness Month gets under way, the Getting It Right First Time (GIRFT) programme is working with clinical teams to enhance the NHS experience and outcomes for the tens of thousands of breast surgery patients treated every year. GIRFT’s ongoing national review of breast surgery – led by breast surgeons Fiona MacNeill, of
- [Learning from clinical negligence claims](https://gettingitrightfirsttime.co.uk/learning-from-clinical-negligence-claims/) - As part of ongoing work both to improve patient outcomes and to reduce litigation costs, the Getting It Right First Time (GIRFT) programme, the British Hip Society (BHS), British Association for Surgery of the Knee (BASK) and the British Orthopaedic Association (BOA), have produced professional standards guidance for hip and knee arthroplasty documentation in association
- [GIRFT's litigation work supports NHS Patient Safety Strategy](https://gettingitrightfirsttime.co.uk/girfts-litigation-work-supports-nhs-patient-safety-strategy/) - One of the key objectives from the new NHS Patient Safety Strategy – enhanced learning from litigation – is being supported by the GIRFT programme. NHS England and NHS Improvement published the strategy last month, aiming to "significantly improve the way we learn, treat staff and involve patients”. GIRFT is working closely with NHS Resolution
- [Join us at NHS Expo in Manchester](https://gettingitrightfirsttime.co.uk/join-us-at-nhs-expo-in-manchester/) - Getting It Right First Time (GIRFT) is teaming up with NHS RightCare to run a series of informative and interactive speaker sessions at this year’s two-day NHS Health and Care Innovation Expo event in Manchester. The two improvement programmes are hosting the Clinical Improvement Zone at the event, which takes place on Wednesday, 4 September
- [Patients benefitting from day case prostate surgery at Nottingham University Hospitals](https://gettingitrightfirsttime.co.uk/patients-benefitting-from-day-case-prostate-surgery-at-nottingham-university-hospitals/) - Nottingham University Hospitals NHS Trust is now providing day case surgery for patients with an enlarged prostate, in response to a recommendation from the Getting It Right First Time (GIRFT) programme. Around 5-10 per cent of patients are opting to have the new UroLift procedure, which is minimally invasive and can be carried out in
- [New GIRFT metrics on the Model Hospital](https://gettingitrightfirsttime.co.uk/new-girft-metrics-on-the-model-hospital/) - More than 300 people tuned in to a masterclass webinar to learn more about making the most of new metrics from the Getting It Right First Time (GIRFT) programme, now featured on Model Hospital. GIRFT's chair and the NHS National Director of Clinical Improvement, Professor Tim Briggs, and GIRFT’s senior business intelligence manager, Jamey Barron,
- [GIRFT Chair to take part in improvement webinar](https://gettingitrightfirsttime.co.uk/girft-chair-to-take-part-in-improvement-webinar/) - Getting It Right First Time Chair Professor Tim Briggs is to take part in a webinar on clinical improvement, to support healthcare leaders with the Implementation Framework for the NHS Long Term Plan. Professor Briggs, who is also the NHS national director of clinical improvement, will speak alongside Dawn Chamberlain, programme director for clinical improvement
- [GIRFT takes a closer look at neurosurgery for children](https://gettingitrightfirsttime.co.uk/girft-takes-a-closer-look-at-neurosurgery-for-children/) - The Getting It Right First Time (GIRFT) programme has welcomed a new clinician to work on its cranial neurosurgery workstream, looking specifically at neurosurgery for children. Mr Paul May, a consultant neurosurgeon with more than 30 years’ experience, will be working with the GIRFT team as a clinical lead focusing on paediatric neurosurgery. GIRFT is
- [Trust celebrates Veteran Aware accreditation with special ceremony](https://gettingitrightfirsttime.co.uk/trust-celebrates-veteran-aware-accreditation-with-special-ceremony/) - Wrightington, Wigan and Leigh NHS Foundation Trust (WWL) marked its accreditation as a Veteran Aware hospital with a special flag raising ceremony on the 75th anniversary of the D-Day landings. The Veteran Aware title, which was awarded to the trust in November 2018 by the Veterans Covenant Healthcare Alliance (VCHA), is now held by 33
- [NHS trusts accredited as Veteran Aware at annual workshop](https://gettingitrightfirsttime.co.uk/nhs-trusts-accredited-as-veteran-aware-at-annual-workshop/) - Eight more NHS trusts have been accredited as Veteran Aware, after making a series of commitments to the care of current and former servicemen and women, reservists and their families. Awarded by the Veterans Covenant Healthcare Alliance (VCHA), the accreditation recognises trusts that meet a number of key pledges, including: Ensuring that the armed forces
- [Looking at the future of ophthalmology](https://gettingitrightfirsttime.co.uk/looking-at-the-future-of-ophthalmology/) - An audience of more than 60 people met in Cheshire to discuss ophthalmology services across the north west, and the forthcoming GIRFT national report on the specialty. Delegates at the event, which was organised by the GIRFT north west hub team in Ellesmere Port, heard presentations outlining good practice from across the region, ranging from
- [GIRFT focus on geriatric medicine gets under way](https://gettingitrightfirsttime.co.uk/girft-focus-on-geriatric-medicine-gets-under-way/) - “One in three patients over 65 admitted to hospital as an emergency experiences delirium, and many of those have pre-existing dementia. It can be extremely distressing for both the patient and their family. It is vital that we improve delirium care, making our hospitals more delirium and dementia friendly… and the opportunity for GIRFT to
- [Mental health services in the spotlight](https://gettingitrightfirsttime.co.uk/mental-health-services-in-the-spotlight/) - As Mental Health Awareness Week puts mental health issues in focus, the Getting It Right First Time (GIRFT) programme is making preparations for its three-fold approach to reviewing services across England. There has been huge interest from the profession since GIRFT announced the appointment of leading clinicians for crisis and acute mental health services (Dr
- [Lung cancer leads being recruited to head national review](https://gettingitrightfirsttime.co.uk/lung-cancer-leads-being-recruited-to-head-national-review/) - The Getting It Right First Time (GIRFT) programme is recruiting a team of specialists to head up a national review into services for lung cancer patients. Run in collaboration with NHS England, the GIRFT review will bring together expert clinicians and nurses to help improve care for the 38,000 people diagnosed with lung cancer in
- [GIRFT and National Orthopaedic Alliance help to improve coding accuracy](https://gettingitrightfirsttime.co.uk/girft-and-national-orthopaedic-alliance-help-to-improve-coding-accuracy/) - Clinical coding training for non-clinical coders The National Orthopaedic Alliance is joining up with the Getting It Right First Time (GIRFT) clinical coding team for a series of workshops designed to improve data accuracy. The first event is being held at the Birmingham Conference and Events Centre (BCEC) in Hill Street, Birmingham, on 24 May,
- [Getting It Right First Time in stroke services](https://gettingitrightfirsttime.co.uk/getting-it-right-first-time-in-stroke-services/) - GIRFT team working with stakeholders to improve the patient pathway It’s Action on Stroke Month throughout May, and the team from the Getting It Right First Time (GIRFT) stroke programme are travelling the country visiting regions and working with trusts on ways to deliver better stroke services for patients in a sustainable network. Led by
- [Meet the GIRFT rheumatology team](https://gettingitrightfirsttime.co.uk/meet-the-girft-rheumatology-team/) - The GIRFT rheumatology team will be at the British Society for Rheumatology annual conference in Birmingham from 30 April to 2 May 2019. GIRFT clinical leads Dr Lesley Kay, Dr Peter Lanyon and Prof Alex MacGregor, along with their project manager Rachel Davies, will be on hand to answer any questions relating to the programme and
- [United Lincolnshire Hospitals sees hot and cold orthopaedic success](https://gettingitrightfirsttime.co.uk/united-lincolnshire-hospitals-see-hot-and-cold-orthopaedic-success/) - United Lincolnshire Hospitals NHS Trust (ULHT) has moved to split site working for trauma and orthopaedic (T&O) surgery, following a successful six-month trial. ULHT is one of eight sites across the country trialling the ‘hot and cold’ model, which was recommended by Professor Briggs in the GIRFT orthopaedic surgery national report in 2015. The object
- [Positive response to regional stroke events](https://gettingitrightfirsttime.co.uk/positive-response-to-regional-stroke-events/) - The north of England recently played host to two successful regional stroke events led by Getting It Right First Time (GIRFT) clinical lead Deb Lowe and senior clinical advisor David Hargroves. The events were part of a series of regional stroke meetings taking place around the country, bringing together the providers of stroke services to discuss
- [GIRFT’s regional neurology meetings get under way](https://gettingitrightfirsttime.co.uk/girfts-regional-neurology-meetings-get-underway/) - The Getting It Right First Time (GIRFT) programme has launched a series of regional neurology meetings as it begins work on assessing neurological services in England. The first of 24 meetings bringing together clinicians from hospitals associated with the country’s major neuroscience centres launched in Sussex on 17 January 2019. The aim is to benchmark
- [GIRFT chair opens new hospital rooms as part of ‘hot and cold’ orthopaedics pilot](https://gettingitrightfirsttime.co.uk/girft-chair-opens-new-hospital-rooms-as-part-of-hot-and-cold-orthopaedics-pilot/) - Professor Tim Briggs, GIRFT chair and NHSI’s National Director for Care Quality and Efficiency, formally opened new side rooms at St Michael’s Hospital in Hayle last week as Royal Cornwall Hospitals NHS Trust transfers its planned in-patient orthopaedic surgery from the Treliske Hospital site as part of GIRFT’s Hot and Cold Site (HCS) pilot. GIRFT
- [GIRFT welcomes publication of the NHS Long Term Plan](https://gettingitrightfirsttime.co.uk/girft-welcomes-ltp/) - The Getting It Right First Time programme has welcomed the publication of the NHS Long Term Plan, which recognises the important role the programme is playing in putting patients first and reducing unwarranted variations in the NHS. The plan, published by NHS England, aims to save 500,000 lives with action on serious conditions and investment
- [New Year’s Honours recognise GIRFT Clinician](https://gettingitrightfirsttime.co.uk/ny-honours-dr-sridevi-cbe/) - Dr Sridevi Kalidindi, GIRFT Clinical lead for mental health (rehabilitation) has had her appointment as an Commander of the Most Excellent Order of the British Empire (CBE) announced in the New Year’s Honours list for services to rehabilitation psychiatry. Dr Kalidindi said: “I feel very honoured to have been made a CBE and am grateful
- [GIRFT methodology extended to more than 30 medical specialties](https://gettingitrightfirsttime.co.uk/girft-methodology-extended-to-more-than-30-medical-specialties/) - Getting It Right First Time (GIRFT), a programme designed to improve clinical quality and efficiency within the NHS by reducing unwarranted variations, has announced that it is recruiting new clinical leads as it grows to cover more than 30 clinical specialties. It comes after the Government announced in November 2016 that GIRFT would receive an
- [GIRFT appoints third mental health clinician to lead national review](https://gettingitrightfirsttime.co.uk/girft-appoints-final-mental-health-clinician-to-lead-national-review/) - The Getting It Right First Time (GIRFT) programme has appointed a third clinician, Dr Ian Davidson, to complete its three-way approach to reviewing mental health services. Dr Davidson joins GIRFT to focus on Crisis and Acute Adult Mental Health. He is currently a consultant psychiatrist at Cheshire and Wirral Partnership NHS Foundation Trust, and a
- [West Yorkshire & Harrogate Eye Services Event](https://gettingitrightfirsttime.co.uk/west-yorkshire-harrogate-eye-services-event/) - Today (29th November 2018), we're delighted to be attending the West Yorkshire & Harrogate Eye Services event in Leeds, alongside West Yorkshire Association of Acute Trusts (WYAAT), NHS RightCare and West Yorkshire and Harrogate Health and Care Partnership. The meeting brings together all of the relevant stakeholders for eye services in the area to discuss
- [Our latest General Surgery newsletter](https://gettingitrightfirsttime.co.uk/our-latest-general-surgery-newsletter/) - Click here to view the online version of our latest newsletter >
- [GIRFT launches infection audit](https://gettingitrightfirsttime.co.uk/girft-launches-infection-audit/) - Getting It Right First Time (GIRFT) has launched a new audit of patients with surgical site infections (SSIs), particularly examining their care peri- and post-operatively. Trainee doctors from across the country have been recruited to collate infection data from their trusts. The audit has the support of Professor Dame Sally Davies, Chief Medical Officer, NHS
- [Tim Briggs presents to the NHS England Board](https://gettingitrightfirsttime.co.uk/tim-briggs-presents-to-the-nhs-england-board/) - Below is the video of Professor Tim Briggs presenting at the NHS England Board Meeting on the 9th February 2017.
- [King’s Fund gives GIRFT a positive review](https://gettingitrightfirsttime.co.uk/kings-fund-gives-girft-positive-review/) - New report into the GIRFT programme published by think tank The King’s Fund has given the Getting It Right First Time programme a positive review in a new report. Author Nick Timmins interviewed the GIRFT team and clinicians to write his report, accompanying Professor Tim Briggs on a number of his trust visits. In reviewing
- [October stakeholder newsletter now online](https://gettingitrightfirsttime.co.uk/2017-october-newsletter/) - The October GIRFT stakeholder newsletter has now been published, click here to read the newsletter online. This latest edition of the newsletter has updates on: our workstreams and clinical leads GIRFT regional hubs and implementation work our senior leadership team recruitment the surgical site infection audit If you would like to receive future stakeholder newsletters, please
- [GIRFT goes to No. 10!](https://gettingitrightfirsttime.co.uk/girft-goes-no-10/) - The GIRFT clinical leads and senior management team were invited to a special meeting at No 10 Downing Street by the Secretary of State for Health, the Rt Hon. Jeremy Hunt MP. This was the first time a NHS programme had been invited to No. 10 highlighting the importance that the government has placed on
- [December stakeholder newsletter now online](https://gettingitrightfirsttime.co.uk/december-stakeholder-newsletter-now-online/) - The December GIRFT stakeholder newsletter has now been published, click here to read the newsletter online. This latest edition of the newsletter has updates on: programme milestones GIRFT visiting Number 10 clinical lead appointments If you would like to receive future stakeholder newsletters, please click here to subscribe through our online form.
- [GIRFT works with clinicians to develop new online portal](https://gettingitrightfirsttime.co.uk/ncip-announcement/) - Single point of access to comparative data for hospital consultants will help improve outcomes for patients Improvements in patient care will be supported by the development of a new secure online portal enabling secondary care consultants to access individual and comparable clinical information and learning resources. The National Clinical Improvement Programme (NCIP) is developing the
- [New research provides evidence of the efficacy of GIRFT’s national pathway and guidance for suspected cauda equina syndrome (CES)](https://gettingitrightfirsttime.co.uk/new-research-provides-evidence-of-the-efficacy-of-girfts-national-pathway-and-guidance-for-suspected-cauda-equina-syndrome-ces/) - Evidence that using GIRFT’s national pathway and guidance in cases of suspected cauda equina syndrome (CES) can result in fewer patients admitted to hospital has been published in a peer-reviewed academic journal. The independent study, by a team from the Northern Care Alliance NHS Foundation Trust (Sai Viswan Thiagarajah, Edward Cornish, Amit Kapoor, Jeremy Telford,
- [GIRFT seeks GP and PCN input on the delivery of MSK First Contact Physiotherapy services](https://gettingitrightfirsttime.co.uk/girft-seeks-gp-and-pcn-input-on-the-delivery-of-msk-first-contact-physiotherapy-services/) - GIRFT is urging GP practice managers to complete a survey before 8 December 2025 on the delivery of musculoskeletal First Contact Physiotherapy (FCP) services. GP practice managers and Primary Care Network (PCN) leads with responsibility for musculoskeletal FCP services are invited to complete a short, 5 to 10 minute questionnaire. The aim is to gather
- [NCIP data now updated to end of June 2025](https://gettingitrightfirsttime.co.uk/ncip-data-now-updated-to-end-of-june-2025/) - The latest data refresh of the National Consultant Information Programme (NCIP) is now live. If you’re a consultant in one of NCIP’s 12 included clinical specialties you can now review the latest activity and outcomes for your personal practice and your provider – supporting your governance meetings, clinical improvement, and as evidence for your appraisal.
- [Guidance to support better clinical prioritisation of patients referred for echocardiogram](https://gettingitrightfirsttime.co.uk/guidance-to-support-better-clinical-prioritisation-of-patients-referred-for-echocardiogram-ecg/) - A concise guide to support hospital clinicians, sonographers and service managers to make clear, consistent and patient-centred decisions on the urgency and appropriateness of echocardiograms has been shared by the Getting It Right First Time (GIRFT) programme. Increasing demand for inpatient transthoracic echocardiography (TTE) led GIRFT to develop the standardised framework to guide prioritisation, which
- [Ten more surgical hubs achieve accreditation](https://gettingitrightfirsttime.co.uk/ten-more-surgical-hubs-achieve-accreditation/) - Congratulations to ten elective surgical hubs which have been awarded accreditation as part of the tenth cohort in GIRFT’s scheme to ensure the highest standards in clinical and operational practice. There are now 63 hubs successfully accredited out of the 123 surgical hubs currently in operation across the NHS in England. The GIRFT programme is
- [Practical advice and key actions in new GIRFT handbook for optimising the care of patients with IBD](https://gettingitrightfirsttime.co.uk/practical-advice-and-key-actions-in-new-girft-handbook-for-optimising-the-care-of-patients-with-ibd/) - GIRFT has developed a new handbook pulling together examples of innovative practice, proven solutions and practical actions to help optimise the care of NHS patients with inflammatory bowel disease (IBD). The handbook – aimed at clinicians and operational colleagues working in IBD services – is informed by evidence-based publications and multidisciplinary expertise from across the
- [Download our poster guidance for efficient and safe care at the front door for adult patients with diabetes](https://gettingitrightfirsttime.co.uk/download-our-poster-guidance-for-efficient-and-safe-care-at-the-front-door-for-adult-patients-with-diabetes/) - On the eve of World Diabetes Day 2025, GIRFT has issued a guidance poster helping to ensure adult patients living with diabetes who present at the hospital front door receive efficient and safe care. The poster – designed to be downloaded and displayed – pulls together all of GIRFT’s front door adult diabetes pathways* in
- [Seeking a senior emergency or acute physician in the North East to join our GIRFT UEC Further Faster team](https://gettingitrightfirsttime.co.uk/seeking-a-senior-emergency-or-acute-physician-in-the-north-east-to-join-our-girft-uec-further-faster-team/) - GIRFT is engaged in a dynamic programme of work through the GIRFT UEC Further Faster programme, actively supporting NHS trusts across England via a growing network of clinical experts and improvement professionals. As part of this work, we are now seeking an additional senior emergency or acute physician with practical experience of delivering improvement and change within
- [Call to join new series of GIRFT Further Faster sessions sharing good practice for increasing CYP elective activity](https://gettingitrightfirsttime.co.uk/call-to-join-new-series-of-girft-further-faster-sessions-sharing-good-practice-for-increasing-cyp-elective-activity/) - NHS surgeons, anaesthetists, theatre teams and operational teams working with children and young people (CYP) are being urged to join a new monthly series of GIRFT Further Faster meetings sharing best practice in reducing waiting times for CYP elective surgery. Average waiting times for CYP planned surgery in England have improved from 26 weeks to
- [Free online training for new NHS scrub practitioners now available, helping to improve theatre productivity](https://gettingitrightfirsttime.co.uk/free-online-training-for-new-nhs-scrub-practitioners-now-available-helping-to-improve-theatre-productivity/) - An online course designed to reduce the time it takes to train new scrub practitioners is now freely available to newly qualified NHS nurses and operating department practitioners (ODPs) across England. Developed by the University College London Hospitals (UCLH) Healthcare Academy, part of the UCLH NHS Foundation Trust, the course is being shared nationally via the GIRFT programme, with the aim of improving theatre productivity and in
- [GIRFT UEC team to run quarterly masterclasses to improve use of data dashboards](https://gettingitrightfirsttime.co.uk/girft-uec-team-to-run-quarterly-masterclasses-to-improve-use-of-data-dashboards/) - The GIRFT UEC team is hosting a series of quarterly data platform masterclasses, kickstarting next month (December 2025). GIRFT’s SEDIT, SAMIT and SAMIT 75+ data dashboards bring together validated provider-level data summarising demand, capacity, flow and outcomes, all in one easily accessible place. The new masterclasses will deliver interactive refreshers on how to use the dashboards to the best advantage,
- [Unifying NHSE improvement teams under GIRFT](https://gettingitrightfirsttime.co.uk/unifying-nhse-improvement-teams-under-girft/) - From today (3rd November 2025), NHS England has brought together its improvement teams under the Getting It Right First Time (GIRFT) brand to deliver a more unified, clinically led and data-driven approach to service improvement. The teams formerly known as the Elective Care Improvement Support Team, ECIST (Emergency Care) and MHIST (Mental Health) are now
- [Support to standardise clinic templates to help unlock millions of outpatient appointments](https://gettingitrightfirsttime.co.uk/support-to-standardise-clinic-templates-to-help-unlock-millions-of-outpatient-appointments/) - GIRFT’s operational guide demonstrating how standardising clinic templates could potentially unlock up to two million outpatient slots per year nationally has now been updated. The guidance outlines successful approaches, challenges and enablers (including digital enablers) and detailed examples from trusts who have reviewed their outpatient templates and used the additional capacity to prioritise new patient
- [GIRFT’s lead for emergency medicine honoured with royal college President’s Medal for his outstanding service](https://gettingitrightfirsttime.co.uk/girfts-lead-for-emergency-medicine-honoured-with-royal-college-presidents-medal-for-his-outstanding-service/) - Dr Chris Moulton, who has led GIRFT’s work in emergency medicine improvement for the past eight years, has received the prestigious President’s Medal from the Royal College of Emergency Medicine (RCEM) for services above and beyond the call of duty. The Dr Clifford Mann President’s Medal, named after the former RCEM president and GIRFT lead
- [National pathway demonstrates best practice in the care of patients with vertebral fragility fractures](https://gettingitrightfirsttime.co.uk/national-pathway-demonstrates-best-practice-in-the-care-of-patients-with-vertebral-fragility-fractures/) - GIRFT has shared a new national pathway aiming to standardise and implement best practice for NHS patients in England with vertebral fragility fractures (VFF). The GIRFT VFF thoracolumbar pathway is the result of an in-depth collaboration between multiple, cross-specialty stakeholders and is supported and co-badged by professional organisations* from across the patient pathway. It offers
- [Join our pilot to improve insulin management in the community for patients living with diabetes](https://gettingitrightfirsttime.co.uk/join-our-pilot-to-improve-insulin-management-in-the-community-for-patients-living-with-diabetes/) - GIRFT is piloting a new quality improvement initiative which has been shown to improve insulin management in the community for patients living with diabetes, at the same time as creating a more efficient service for the NHS. Trusts are being sought to join the pilot GIRFT Community and District Nurse Insulin Programme (CADNIP), which empowers
- [New GIRFT templates now available for responding to Advice and Guidance requests in endocrinology](https://gettingitrightfirsttime.co.uk/new-girft-templates-now-available-for-responding-to-advice-and-guidance-requests-in-endocrinology/) - GIRFT’s growing suite of templates designed to speed up responses to common Advice and Guidance (A&G) requests has been further expanded with the addition of 11 templates for endocrinology conditions. A toolkit containing templates for queries on conditions such as hypertension, thyroid enlargement, adrenal incidentaloma and Cushing’s syndrome diagnosis and management is now available on
- [Welcome to GIRFT’s latest cohort of clinical fellows for 2025/26](https://gettingitrightfirsttime.co.uk/welcome-to-girfts-latest-cohort-of-clinical-fellows-for-2025-26/) - Getting It Right First Time is pleased to welcome a new cohort of clinical fellows for 2025/26, supporting GIRFT’s remit to reduce unwarranted variation in the delivery of health and care at a local, regional and national level. Six resident doctors from across England are now onboarded and are beginning work on their chosen improvement
- [GIRFT marks Breast Cancer Awareness Month 2025 with handbook to help improve access to breast reconstruction surgery](https://gettingitrightfirsttime.co.uk/girft-marks-breast-cancer-awareness-month-2025-with-handbook-to-help-improve-access-to-breast-reconstruction-surgery/) - GIRFT is pleased to mark Breast Cancer Awareness Month 2025 with the launch of a new handbook supporting NHS teams to offer more breast reconstruction surgery to patients who choose it, helping to reduce long waiting lists. In a collaboration with the research and support charity Breast Cancer Now (BCN), the handbook identifies good practice
- [Further Faster workstream launched to focus on strengthening UEC pathways](https://gettingitrightfirsttime.co.uk/girft-launches-new-further-faster-workstream-to-focus-on-strengthening-uec-pathways/) - GIRFT has expanded its on-the-ground support to NHS trusts through the GIRFT Further Faster Urgent and Emergency Care (UEC) programme. Through a team of colleagues with practical experience of delivering improvement and change within the UEC pathway – including clinicians, operational colleagues and nursing colleagues from emergency medicine, acute medicine, geriatric medicine and mental health
- [NEW: Three templates added and others updated in GIRFT Advice and Guidance toolkit for gynaecology](https://gettingitrightfirsttime.co.uk/new-three-templates-added-and-others-updated-in-girft-advice-and-guidance-toolkit-for-gynaecology/) - Three additional templates for responding to Advice and Guidance (A&G) requests on common gynaecological conditions have been added to the Getting It Right First Time (GIRFT) toolkit, supporting communication between primary and secondary care clinicians to and helping to reduce unnecessary delays. Templates for testosterone supplementation as part of hormone replacement therapy (HRT), polycystic ovary
- [Twenty more CYP templates added to GIRFT’s Advice & Guidance toolkit](https://gettingitrightfirsttime.co.uk/twenty-more-cyp-templates-added-to-girfts-advice-guidance-toolkit/) - GIRFT has added another 20 templates to its online children and young people’s (CYP) toolkit to support secondary care clinicians in responding to common Advice and Guidance (A&G) requests. Conditions such as hypermobility and obesity are among the new additions* to the toolkit, which aims to enhance communication between primary and secondary care and with
- [GIRFT supports playbook to help reduce time to diagnosis for axial spondyloarthritis](https://gettingitrightfirsttime.co.uk/girft-supports-playbook-to-help-reduce-time-to-diagnosis-for-axial-spondyloarthritis/) - GIRFT has welcomed the launch of a new playbook from the National Axial Spondyloarthritis Society (NASS) designed to support healthcare professionals to implement actions which can reduce the time to diagnosis in their area and improve the patient experience. Axial spondyloarthritis (axial SpA) is an inflammatory arthritis where the main symptom is back pain. One
- [GIRFT clinical leads welcome NHFD recommendation on non-ambulatory fragility fractures](https://gettingitrightfirsttime.co.uk/girft-clinical-leads-welcome-nhfd-recommendation-on-non-ambulatory-fragility-fractures/) - GIRFT clinical lead for adult orthopaedic trauma surgery Bob Handley and GIRFT orthogeriatric advisor Judith Agwada-Akeru have welcomed the 2025 National Hip Fracture Database (NHFD) Annual Report, published on 11 September, along with a summary of findings. Each year over 70,000 people in England, Wales and Northern Ireland have a hip fracture. The NHFD collects
- [Actions to help provide effective acute care for older people living with frailty](https://gettingitrightfirsttime.co.uk/actions-to-help-provide-effective-acute-care-for-older-people-living-with-frailty/) - Guidance to support acute teams to deliver optimal care for older people living with frailty – in the face of increasing demand – has been developed by GIRFT. Office for National Statistics (ONS) figures show that the number of people aged 85 and over is expected to double in the next 20 years. This growth
- [Chronic pain in the spotlight as GIRFT launches new workstream](https://gettingitrightfirsttime.co.uk/chronic-pain-in-the-spotlight-as-girft-launches-new-workstream/) - GIRFT is getting started on a new workstream aiming to ensure that more patients living with chronic pain – including children and young people – receive personalised, holistic and evidence-based care, with seamless transitions between services. Working in collaboration with the Faculty of Pain Medicine (FPM), the British Pain Society and wider stakeholders, GIRFT is
- [Webinar presents data dashboards for surgeons undertaking OMFS/OS procedures](https://gettingitrightfirsttime.co.uk/webinar-presents-data-dashboards-for-surgeons-undertaking-omfs-os-procedures/) - The National Consultant Information Programme (NCIP), which sits within the GIRFT programme, is holding a lunchtime webinar in partnership with the British Association of Oral Surgeons to present data dashboards for consultant surgeons undertaking oral maxillofacial surgery and oral surgery procedures. The webinar on 11 September, from 1.15pm to 2pm is aimed at both new and
- [Surgical hubs win recognition for meeting clinical standards](https://gettingitrightfirsttime.co.uk/surgical-hubs-win-recognition-for-meeting-clinical-standards/) - Congratulations to four elective surgical hubs which have been awarded accreditation as part of a GIRFT scheme to ensure the highest standards in clinical and operational practice. The hubs exclusively perform planned surgery with protected facilities and theatres, helping to deliver shorter waiting times. The hub beds are designated for patients waiting for planned surgical
- [Fifth in series of preoperative support guides focuses on streamlining protocols for decolonisation and washes](https://gettingitrightfirsttime.co.uk/fifth-in-series-of-preoperative-support-guides-focuses-on-streamlining-protocols-for-decolonisation-and-washes/) - GIRFT has added to its popular series of resources supporting the streamlining of preoperative processes to maximise theatre efficiency, with guidance on preoperative decolonisation interventions and washes before elective surgery. Audits around decolonisation have shown wide variation in practice across preoperative assessment (POA) services, and GIRFT’s feedback from providers suggests that protocols for preoperative decolonisation
- [GIRFT study finds hubs can support registrar training in elective surgery](https://gettingitrightfirsttime.co.uk/girft-study-finds-hubs-can-support-registrar-training-in-elective-surgery/) - A recently published GIRFT study in The Annals of the Royal College of Surgeons of England identified that elective surgical hubs across England have made a positive contribution to training opportunities for orthopaedic trainees. The study, entitled Comparison of orthopaedic specialty registrar training opportunities in trusts with and without an elective surgical hub, linked data
- [Checklists support NHS spinal teams to maintain elective capacity before and during winter](https://gettingitrightfirsttime.co.uk/checklists-support-nhs-spinal-teams-to-maintain-elective-capacity-before-and-during-winter/) - A series of checklists to support NHS spinal teams to better maintain elective capacity leading up to and through winter is now on offer from the Getting It Right First Time (GIRFT) team. The new guidance – which brings together advice, useful checklists and resource links, including examples of good practice, in a concise format
- [New guidelines support ENT referrals for adults and children](https://gettingitrightfirsttime.co.uk/new-guidelines-support-ent-referrals-for-adults-and-children/) - GIRFT has produced two new ENT guides to support the development of local patient referral guidelines for adults and children. The guidelines provide a structured approach to managing some of the most common ENT conditions, and support clinicians in referring patients to the right service. Developed to promote best practice and reduce unwarranted variation, they
- [New guides support the interface between primary and secondary care](https://gettingitrightfirsttime.co.uk/new-guides-support-the-interface-between-primary-and-secondary-care/) - GIRFT has produced two guides to help improve the interface between primary and secondary care, such as how referrals are made and managed, patient discharge and how different parts of the health service communicate with each other. The guides outline principles and standards to improve processes and teamwork. They set out standardised best practice across
- [FF20 trusts share lessons on implementing high flow lists](https://gettingitrightfirsttime.co.uk/ff20-trusts-share-lessons-on-implementing-high-flow-lists/) - A new follow-up guide summarises how 20 trusts taking part in GIRFT’s Further Faster initiative (FF20) have implemented high flow lists (HFL) in key specialties to increase theatre capacity and reduce numbers of patients on waiting lists. The guide provides detail on specialty level implementation with information on common enablers, and emerging challenges to support
- [NCIP data now updated and new dashboards launched](https://gettingitrightfirsttime.co.uk/ncip-data-now-updated-and-new-dashboards-launched/) - The latest data refresh of the National Consultant Information Programme (NCIP) is now live. The platform now contains data up to the end of March 2025, allowing you to review your own activity and outcomes for 487 clinical procedures in 12 surgical specialties. You can use NCIP’s consultant-level and provider-level data for governance meetings, clinical
- [Two clinicians join GIRFT to build on work to improve neurology services across England](https://gettingitrightfirsttime.co.uk/two-clinicians-join-girft-to-build-on-work-to-improve-neurology-services-across-england/) - Two new clinical leads have joined Getting It Right First Time (GIRFT) to lead the programme’s focus on improving adult neurology services across England. Dr Niranjanan Nirmalananthan (consultant neurologist at St George’s University Hospitals NHS Trust) and Dr Adrian Wills (consultant neurologist at Nottingham University Hospitals NHS Trust) take over from Dr Geraint Fuller, who
- [Practical guide to support the transfer of critically ill patients from hub to hospital](https://gettingitrightfirsttime.co.uk/practical-guide-to-support-the-transfer-of-critically-ill-patients-from-hub-to-hospital/) - GIRFT has produced a checklist of key actions and considerations for NHS elective surgical hubs when developing inter-facility transfer processes and pathways for critically ill patients. The practical guide lists essential protocols for moving critically ill or deteriorating patients, both adults and children, from a surgical hub to an acute hospital with the appropriate facilities
- [Additional focus on mental health services in urgent and emergency care as two new clinical leads are appointed](https://gettingitrightfirsttime.co.uk/two-new-clinical-leads-appointed-to-focus-on-adult-mental-health-services-in-urgent-and-emergency-care/) - Two new clinical leads have been appointed to head up the Getting It Right First Time (GIRFT) workstream for adult mental health crisis and acute care. Dr Neeraj Berry (consultant psychiatrist and group medical director at Cumbria, Northumberland, Tyne and Wear NHS Foundation Trust in Newcastle upon Tyne) and Dr David Somerfield (consultant psychiatrist in
- [Tackling unwarranted variation in the detection and alerting of acute kidney injury](https://gettingitrightfirsttime.co.uk/tackling-unwarranted-variation-in-the-detection-and-alerting-of-acute-kidney-injury/) - Guidance to help standardise the detection and alerting of acute kidney injury (AKI) in England is now available to download. GIRFT has formed an AKI working group with the Association for Clinical Biochemistry and Laboratory Medicine (LabMed), the UK Kidney Association (UKKA), and the UK National External Quality Assessment Services (NEQAS) to carry out a
- [Templates for responding to common rheumatology Advice and Guidance requests added to GIRFT toolkit collection](https://gettingitrightfirsttime.co.uk/templates-for-responding-to-common-rheumatology-advice-and-guidance-requests-added-to-girft-toolkit-collection/) - Templates for 21 of the most common rheumatological queries or conditions requested via Advice and Guidance (A&G) are now available in a collaboration between the British Society for Rheumatology (BSR) and Getting It Right First Time (GIRFT) – helping to strengthen communication between primary and secondary care and reduce delays. GIRFT’s new rheumatology toolkit reproduces
- [GIRFT releases new suite of best practice pathways for ENT procedures](https://gettingitrightfirsttime.co.uk/girft-releases-new-suite-of-best-practice-pathways-for-ent-procedures/) - A suite of new and updated best practice patient pathways are now available to support NHS Ear, Nose and Throat (ENT) teams as part of GIRFT’s ongoing drive to optimise the care of ENT patients in England. Eleven pathways have been developed or refreshed in collaboration with ENT-UK and other specialist organisations, and can now
- [GIRFT gastroenterology clinical lead honoured for her ‘exceptional contribution’ to the specialty](https://gettingitrightfirsttime.co.uk/girft-gastroenterology-clinical-lead-honoured-for-her-exceptional-contribution-to-the-specialty/) - GIRFT’s long-standing clinical lead for gastroenterology, Dr Bev Oates, has been awarded the British Society of Gastroenterology’s prestigious President’s Medal 2025, for her exceptional contribution to medicine and to the NHS as a whole. The BSG President’s Medal recognises individuals who have made especially meritorious contributions to the specialty. Dr Oates was awarded the honour
- [GIRFT focus on improving care for patients with lower bowel cancer](https://gettingitrightfirsttime.co.uk/girft-focus-on-improving-care-for-patients-with-lower-bowel-cancer/) - A leading clinician has been appointed to head up a new GIRFT workstream reviewing lower gastrointestinal (LGI) cancer surgery across England, with a focus on improving care for patients with rectal (lower bowel) cancer. Alastair Simpson – a consultant colorectal and general surgeon at Nottingham University Hospitals NHS Trust and clinical director of the East
- [Joint study sets out how the STEPS framework can be used to help reduce the carbon emissions of urological care](https://gettingitrightfirsttime.co.uk/joint-study-sets-out-how-the-steps-framework-can-be-used-to-help-reduce-the-carbon-emissions-of-urological-care/) - A recently published study in the British Journal of Urology International sets out the ‘STEPS to low carbon care framework’ and details how it can be used to support clinical teams to increase the environmental sustainability of urological care in England. The STEPS (Settings and Treatments, Efficiency, Prevention and System change) framework has been developed
- [Calling clinical experts and operational colleagues to offer hands-on support in our team of GIRFT Further Faster UEC Associates](https://gettingitrightfirsttime.co.uk/calling-clinical-experts-and-operational-colleagues-to-offer-hands-on-support-in-our-team-of-girft-further-faster-uec-associates/) - GIRFT is creating a dynamic network of clinical experts and improvement professionals as we work to expand our on-the-ground support to NHS trusts through the new GIRFT Further Faster Urgent and Emergency Care programme. We are now looking for colleagues from across England with practical experience of delivering improvement and change within the UEC pathway,
- [National clinical leads sought for new GIRFT Further Faster focus on Urgent and Emergency Care](https://gettingitrightfirsttime.co.uk/national-clinical-leads-sought-for-new-girft-further-faster-focus-on-urgent-and-emergency-care/) - GIRFT is looking for national clinical leads for a new GIRFT Further Faster Urgent and Emergency Care programme, as we expand our on-the-ground support to NHS trusts across England. We are seeking experienced medical professionals with practical expertise in delivering and leading improvement and change within the UEC pathway, particularly in acute medicine, emergency medicine
- [Guide to separating and streamlining preoperative assessments for patients having a local anaesthetic](https://gettingitrightfirsttime.co.uk/guide-to-separating-and-streamlining-preoperative-assessments-for-patients-having-a-local-anaesthetic/) - Guidance to support the separation and streamlining of preoperative assessments (POAs) for patients who are having a local anaesthetic (LA) for their procedure is now available from the Getting It Right First Time (GIRFT) team. Through the GIRFT POA network, the programme has heard evidence of patients undergoing LA procedures (minor surgery and operations) often
- [Principles for antibiotic prophylaxis in joint replacement surgery](https://gettingitrightfirsttime.co.uk/principles-for-antibiotic-prophylaxis-in-joint-replacement-surgery/) - A new GIRFT guide on antibiotic prophylaxis in arthroplasty describes the key principles surgical teams should have in place to help prevent surgical site and periprosthetic joint infection during joint replacement surgery. It aims to reduce variation in antibiotic prescribing practice across NHS trusts. It will also form part of the assessment of surgical hubs

## Pages

- [Home](https://gettingitrightfirsttime.co.uk/) - Getting It Right First Time (GIRFT) The Getting It Right First Time (GIRFT) programme is a national NHS England programme designed to improve the treatment and care of patients through in-depth review of services, benchmarking, and presenting a data-driven evidence base to support change. The programme undertakes clinically-led reviews of specialties, combining wide-ranging data analysis with
- [Resources](https://gettingitrightfirsttime.co.uk/academy-resources/) - GIRFT Academy Resources This section provides quick links to useful clinical resources including best practice pathways, case studies, and guidance documents for surgical and medical specialties as well as cross-cutting workstreams such as clinical coding and litigation. Specialties Acute General Medicine > Anaesthesia and Perioperative Medicine> Cardiology > Cardiothoracic Surgery > Dermatology > Diabetes
- [Methodology and Implementation](https://gettingitrightfirsttime.co.uk/girft-methodology/) - Methodology and implementation The programme comprises a series of more than 50 surgical and medical workstreams and a number of cross-cutting, system-wide projects for NHS England. Each workstream or project is led by a prominent clinician who works with the GIRFT team to compile and review data analysis from across a range of agreed metrics.
- [What we do](https://gettingitrightfirsttime.co.uk/what-we-do/) - About the GIRFT programme The Getting It Right First Time (GIRFT) programme is a national NHS England programme designed to improve treatment and care by reviewing health services in England. It undertakes clinically-led reviews of specialties, combining wide-ranging data analysis with the input and professional knowledge of senior clinicians to examine how things are currently
- [Workstreams](https://gettingitrightfirsttime.co.uk/workstreams/) - Workstreams For more information on the individual GIRFT workstreams click the links below… Medical specialties ACUTE AND GENERAL MEDICINE > ADULT CRITICAL CARE > ANAESTHESIA AND PERIOPERATIVE MEDICINE > CARDIOLOGY > CHRONIC PAIN > COMMUNITY MSK > DERMATOLOGY > DIABETES > DIABETES: CHILDREN & YOUNG ADULTS > DIAGNOSTICS AND RADIOLOGY> EMERGENCY MEDICINE > ENDOCRINOLOGY >
- [Outpatients](https://gettingitrightfirsttime.co.uk/outpatients/) - Outpatient improvement Our support offer GIRFT is supporting trusts in England to diagnose, reset and restart delivery of outpatient care and help reduce waiting times. Harnessing the success of GIRFT’s Further Faster methodology, our team offers targeted support to colleagues to identify and implement measures which can help achieve NHSE’s national priorities of improving the
- [Leadership Team](https://gettingitrightfirsttime.co.uk/leadership-team/) - Meet the leadership team Information about our leadership team is available below. Professor Tim Briggs CBE GIRFT programme lead and NHS England National Director for Clinical Improvement, Elective Recovery and UEC Tim is a consultant orthopaedic surgeon and was appointed National Director for Clinical Improvement and Elective Recovery for NHS England in November 2022. He
- [Webinars](https://gettingitrightfirsttime.co.uk/webinars/) - Webinars Upcoming GIRFT webinars that present an overview of specialty reviews and key topics.The schedule below provides more information and how to register your attendance… Upcoming webinars Tuesday 9th December 2025 Co-ordinated frailty care for better outcomes Hosted by Adrian Hopper, GIRFT clinical lead for geriatric medicine, this webinar will discuss GIRFT’s new guidance to
- [Newsletters](https://gettingitrightfirsttime.co.uk/newsletters/) - Newsletters Sign up to our newsletter below or look through our newsletter archive… Sign up to our newsletter Simply fill out this form to sign up to our newsletter and other update emails (please complete all fields)Name *Email *Organisation type *Select…NHS TrustIndustryCommissionerRoyal College / Professional SocietyArms Length BodyRegulatorThink TankMediaGovernmentPoliticalPatient organisationThird sector providerPatient or publicOtherOrganisation name
- [Reports](https://gettingitrightfirsttime.co.uk/girft-reports/) - Reports Please click on the titles or thumbnails below to view and download the GIRFT national reports. Acute and General Medicine GIRFT report Adult Critical Care GIRFT report Anaesthesia and Perioperative Medicine GIRFT report Breast Surgery GIRFT report Cardiology GIRFT report Cardiothoracic Surgery GIRFT report Children and young people’s mental health services GIRFT report COVID-19
- [GIRFT Urgent and Emergency Care (UEC) portfolio](https://gettingitrightfirsttime.co.uk/academy-resources/girft-urgent-and-emergency-care-uec-portfolio/) - GIRFT Urgent and Emergency Care (UEC) Portfolio This page provides links to GIRFT specialties and projects which together form the programme’s UEC portfolio. The GIRFT programme has more than 40 workstreams reviewing clinical specialties. Of these, four come under the UEC (Urgent and Emergency Care) umbrella: emergency medicine, acute and general medicine, geriatric medicine and
- [Children and Young People (CYP) portfolio](https://gettingitrightfirsttime.co.uk/academy-resources/children-and-young-people-cyp-portfolio/) - Children and Young People (CYP) Portfolio This page provides links to GIRFT specialties and projects within which strands of their work focus on services for Children and Young People (CYP). Children and young people represent a third of our country and their wellbeing will determine our future. NHS England has established a Children and Young
- [Population Health](https://gettingitrightfirsttime.co.uk/academy-resources/population-health/) - Population Health Following the establishment of the new NHS England, the RightCare programme has been incorporated into the wider population health focus of the organisation. Population health data and comparisons remain a key part of NHS England’s remit. Previously produced data and ongoing updates can be obtained via Model Health System and the RightCare Tableau
- [Clinical Leads](https://gettingitrightfirsttime.co.uk/clinical-leads/) - Clinical Leads For further information about our clinical leads, click on the links below. Medical Specialties ACUTE AND GENERAL MEDICINE >Clinical Lead: Dr Mike JonesClinical Advisor: Dr Tim Cooksley ADULT CRITICAL CARE >Clinical Lead: Dr Anna Batchelor ANAESTHESIA AND PERIOPERATIVE MEDICINE >Joint Clinical Lead: Dr Chris SnowdenJoint Clinical Lead: Dr Mike Swart CARDIOLOGY >Joint Clinical Lead: Dr
- [Pathways](https://gettingitrightfirsttime.co.uk/academy-resources/pathways/) - Pathways Here are all the current GIRFT pathways by specialty… Acute and General Medicine Chest pain pathway > Pulmonary embolism pathway > Cardiology Aortic Stenosis Pathway > Acute Coronary Syndrome Pathway > Atrial Fibrillation Pathway > Palpitation Referral Pathway > Percutaneous Coronary Intervention Pathway > N-terminal pro-B-type natriuretic peptide (NT-proBNP) pathway > Cardiothoracic Acute Airway Pathway
- [Musculoskeletal (MSK) portfolio](https://gettingitrightfirsttime.co.uk/academy-resources/musculoskeletal-msk-portfolio/) - Musculoskeletal (MSK) Portfolio This page provides links to GIRFT specialties and projects within which strands of their work focus on musculoskeletal (MSK) conditions and pathways. The NHS Long Term plan, published in 2019, identified MSK conditions as one of the key long term conditions responsible for a substantial amount of poor health in the population.
- [Studies and Research](https://gettingitrightfirsttime.co.uk/academy-resources/studies-and-research/) - Studies and Research On this page, listed below in alphabetical order, you will find summaries of GIRFT research papers and studies which have been published in various academic journals and publications. Academic Content Click here to download the 2025/26 Plan for Academic Content Acute and General Medicine and Emergency Medicine Future Healthcare Journal Possible futures
- [Getting the most out of GIRFT](https://gettingitrightfirsttime.co.uk/academy-resources/getting-the-most-out-of-girft/) - GIRFT Toolkit This practical guide to GIRFT governance sets out approaches to embedding GIRFT as part of business as usual. This practical toolkit should be used to support setting up a governance structure within trusts and systems which aims to minimise unwarranted variation and improve services. Benefits of using this tool: • Helps identify whether
- [SPaedIT](https://gettingitrightfirsttime.co.uk/spaedit/) - Summary Paediatric Indicator Table (SPaedIT) About SPaedIT GIRFT and NHS England’s Children and Young People (CYP) Transformation team have recently updated the data tool (SPaedIT) to support healthcare providers with elective recovery of CYP services. SPaedIT brings together site-level data summarising the context each site is operating in (for example patient profile, staff and beds
- [AtED/AtA](https://gettingitrightfirsttime.co.uk/ated-ata/) - Alternatives to ED (A-tED)/ Alternatives to Admission (A-tA)/ Frailty Alternatives to ED attendance (Frail-tED) GIRFT and the Urgent Emergency Care (UEC) programme have developed tools to support healthcare providers with managing their emergency department (ED) and admissions services within a local area, as well as frailty-specific alternatives to ED and admissions. Alternatives to ED (A-tED)
- [Top diabetes award for team supporting national implementation of hybrid closed loop technology](https://gettingitrightfirsttime.co.uk/top-diabetes-award-for-team-supporting-national-implementation-of-hybrid-closed-loop-technology/) - The NHS England GIRFT team supporting trusts to move to hybrid closed loop (HCL) technology has won an award for its outstanding contribution in improving the quality of life for people living with diabetes. Professor Partha Kar (NHS England GIRFT Type 1 diabetes and technology lead) and the whole NHSE HCL team picked up the
- [SAMIT and SAMIT 75+](https://gettingitrightfirsttime.co.uk/samit/) - Summary Acute Medicine Indicator Table (SAMIT) and SAMIT 75+ for frailty About SAMIT and SAMIT 75+ The SAMIT data dashboard provides a suite of 50 key metrics relevant to the acute medical patient pathway, for use by teams in Acute Medical Units (AMUs) and Same Day Emergency Care (SDECs) in England. It offers a deep
- [SEDIT](https://gettingitrightfirsttime.co.uk/sedit/) - GIRFT Summary Emergency Department Indicator Table (SEDIT) The Summary Emergency Department Indicator Table (SEDIT) is an easy-to-use, online depository of emergency medicine data, including novel metrics, that is updated monthly and is available to all NHS colleagues. The SEDIT was created and developed by the Getting It Right First Time (GIRFT) clinicians and analysts to
- [NHS 75](https://gettingitrightfirsttime.co.uk/nhs-75/) - July 5 2023 marks 75 years of the National Health Service (NHS), which treats 1.3 million people a day in England. Following the COVID pandemic, GIRFT is helping the NHS with the most ambitious catch-up programme in health service history, taking what we’ve learned and working differently, to transform through innovation and best practice. As
- [Spotlight on… the GIRFT & SWLEOC elective hub toolkit](https://gettingitrightfirsttime.co.uk/nhs-75/spotlight-on-the-girft-swleoc-elective-hub-toolkit/) - Spotlight on… the GIRFT & SWLEOC elective hub toolkit In May 2023, GIRFT launched an extensive online toolkit to support the development of elective surgical hubs and help hospital trusts establish sites specifically for planned operations and procedures. The toolkit guides NHS colleagues through the detailed processes of setting up and running an effective surgical
- [Sitemap](https://gettingitrightfirsttime.co.uk/sitemap/) - GIRFT website sitemap News Updates News stories x 231
- [Spotlight on… the elective surgical hub programme](https://gettingitrightfirsttime.co.uk/nhs-75/spotlight-on-surg-hub-prog/) - Spotlight on… the elective surgical hub programme GIRFT has successfully rolled out the elective surgical hub programme, supporting hospital trusts to ring-fence planned surgery and reduce waiting times for routine operations and procedures. The focus has been to help all hubs meet standard clinical and operational principles and to work with Integrated Care Systems (ICS)
- [Spotlight on… GIRFT and Outpatient Recovery and Transformation Outpatient guidance](https://gettingitrightfirsttime.co.uk/nhs-75/spotlight-on-outpatient-recovery/) - Spotlight on… GIRFT and Outpatient Recovery and Transformation Outpatient guidance Our range of joint resources developed with the NHS England Outpatient Recovery and Transformation programme are designed to highlight actions services can take to tackle escalating demand for outpatient appointments. The guidance, aimed at clinicians and operational teams looking to drive quality improvement in outpatient
- [Videos](https://gettingitrightfirsttime.co.uk/videos/) - Previous image Next image Videos Below are a collection of videos we have produced, covering both what GIRFT is, how it works, and specialty-specific information. Surgical hub toolkit https://youtu.be/OlIUBTGYFNUGIRFT & SWLEOC elective hub toolkit tour About GIRFT https://www.youtube.com/watch?v=V9CBs0tF9_8&t=1sAll about GIRFThttps://www.youtube.com/watch?v=lJGI-lOcfCM&t=4sWhat to expect from a deep divehttps://www.youtube.com/watch?v=PBWEhjAC-28&t=1sGIRFT going forwardshttps://www.youtube.com/watch?v=U40600bgT1oGIRFT going forwards – a message from Professor
- [Spotlight on… GIRFT collection of best practice case studies](https://gettingitrightfirsttime.co.uk/nhs-75/spotlight-on-girft-collection-of-best-practice-case-studies/) - Spotlight on… GIRFT collection of best practice case studies Our repository of easy-access best practice case studies support trust teams to emulate exemplar practice being achieved by colleagues across England. Alongside tackling unwarranted variation, a key element of the GIRFT ethos is to identify and share of best practice between trusts, highlighting processes which can
- [Spotlight on… GIRFT tools to support urgent and emergency care](https://gettingitrightfirsttime.co.uk/nhs-75/spotlight-on-girft-tools-to-support-urgent-and-emergency-care/) - Spotlight on… GIRFT tools to support urgent and emergency care Did you know GIRFT has a growing range of data-driven tools to support urgent and emergency care? These include: SEDIT: The Summary Emergency Department Indicator Table was created and developed by GIRFT clinicians and analysts as an easy-to-use, online depository of emergency medicine data to
- [GIRFT data sharing on FutureNHS platform](https://gettingitrightfirsttime.co.uk/girft-data-sharing-on-futurenhs-platform/) - Previous Next GIRFT data sharing on FutureNHS platform The NHS England and NHS Improvement FutureNHS Collaborative Platform provides a mechanism through which GIRFT data can be accessed securely by NHS trusts. Other authorised organisations, with whom NHS trusts have agreed to share their GIRFT data, may also be able to access the GIRFT FutureNHS workspaces.
- [Spotlight on… High Volume Low Complexity (HVLC) programme](https://gettingitrightfirsttime.co.uk/nhs-75/spotlight-on-hvlc/) - Spotlight on… High Volume Low Complexity (HVLC) programme GIRFT’s successful High Volume Low Complexity (HVLC) programme is a data-led transformation programme established to support the recovery of elective care services and a key element of the wider NHS elective recovery programme. Our HVLC programme team works with trusts and integrated care systems (ICS) to reduce
- [Spotlight on… GIRFT metrics on the Model Health System](https://gettingitrightfirsttime.co.uk/nhs-75/spotlight-on-girft-metrics-on-the-model-health-system/) - Spotlight on… GIRFT metrics on the Model Health System Did you know that GIRFT now has a wealth of data available on the Model Health System (MHS), enabling NHS colleagues to view up-to-date, benchmarked data on their performance to support elective recovery, improve clinical care and reduce unwarranted variation? GIRFT metrics are now available on
- [Diabetes leaflets](https://gettingitrightfirsttime.co.uk/academy-resources/diabetes-leaflets/) - Diabetes leaflets Click leaflet above to view pdf Click leaflet above to view pdf
- [Privacy Policy](https://gettingitrightfirsttime.co.uk/privacy-policy/) - Privacy Policy Welcome to NHS England Getting It Right First Time Programme (GIRFT)’s privacy notice. GIRFT respects your privacy and is committed to protecting your personal data. This privacy notice will inform you as to how we look after your personal data and tell you about your privacy rights and how the law protects you.
- [Toolkit map](https://gettingitrightfirsttime.co.uk/academy-resources/toolkit-map/) - Toolkit map Notification At the notification of a specialty deep-dive visit The trust-level team:Receive notification of the intended deep-dive through the central GIRFT email inbox. The team then makes contact with the specialty team, arranges the introductory GIRFT session and ensures that the deep-dive visit is arranged at a mutually convenient time for the specialty
- [GIRFT operational associate and clinical leads model](https://gettingitrightfirsttime.co.uk/associate-model/) - GIRFT Associate model Driving clinical and operational excellence in the NHS The Getting It Right First Time (GIRFT) Associate model is a cornerstone of clinical improvement across the NHS, involving the collaborative sharing of expertise across NHS organisations to help deliver sustainable, clinically-led and data-driven change. Overseen by Professor Tim Briggs, GIRFT programme lead and
- [GIRFT Cancer Portfolio](https://gettingitrightfirsttime.co.uk/academy-resources/cancer-portfolio/) - Cancer Portfolio This page provides links to GIRFT specialties and projects which together form the programme’s cancer portfolio. The GIRFT programme has 50+ workstreams reviewing clinical specialties. Of these, five come under the cancer umbrella: breast surgery, head and neck cancer, lower gastrointestinal (LGI) cancer, lung cancer and pancreatic cancer. We are working across the five
- [Newsletters-test](https://gettingitrightfirsttime.co.uk/newsletters-test/) - Newsletters Sign up to our newsletter below or look through our newsletter archive… Sign up to our newsletter Test newsletter with org suggested Name Email * First name Last name Organisation type Select… Academic Government or Arms Length Body Central NHS or Region NHS Trust Organisation name Title/Role Subscribe Newsletter Archive July 2025 GIRFT newsletter>

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- [Heading with image](https://gettingitrightfirsttime.co.uk/?elementor_library=heading-with-image) - Getting It Right First Time (GIRFT) Getting It Right First Time (GIRFT) is a national programme designed to improve the treatment and care of patients through in-depth review of services, benchmarking, and presenting a data-driven evidence base to support change. The programme undertakes clinically-led reviews of specialties, combining wide-ranging data analysis with the input and professional knowledge of
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- [Ophthalmology 4 clinical leads](https://gettingitrightfirsttime.co.uk/?elementor_library=ophthalmology-4-clinical-leads) - Ophthalmology1 Ophthalmology deals with the prevention, diagnosis and treatment of diseases of the eye and visual system. It is one of the busiest specialties in the NHS, carrying out more than 500,000 operations every year (6% of the NHS total) and more than 7.5 million outpatient appointments. Core ophthalmology services – dealing with cataracts, glaucoma,
- [Clinical Leads Body](https://gettingitrightfirsttime.co.uk/?elementor_library=clinical-leads-body) - Miss Fiona MacNeill Co-author and former GIRFT clinical lead for breast surgery Consultant breast surgeon at the Royal Marsden NHS Foundation Trust Fiona is the joint author of the GIRFT national report for breast surgery. Since completing the national review she has now left the GIRFT programme.
- [Thrombosis Survey](https://gettingitrightfirsttime.co.uk/?elementor_library=thrombosis-survey) - Previous Next GIRFT Thrombosis Survey The GIRFT Thrombosis Survey was launched on 1st October 2019 and data entry was extended to August 31st 2020 to help capture data around the link between increased venous thromboembolism associated with COVID-19. The survey was set up to audit hospital-associated venous thromboembolism and determine how current thromboprophylaxis practice could be improved. The survey
- [Workstream page: Cardiothoracic x2 landscape](https://gettingitrightfirsttime.co.uk/?elementor_library=workstream-page-cardiothoracic-x2-landscape) - Cardiothoracic surgery Seven million people in England have cardiovascular disease. Patients undergoing cardiothoracic surgery often have major health conditions such as heart valve disease, lung cancer and blocked arteries. Whilst survival rates for patients having cardiothoracic surgery in the UK are now amongst the best in the world, it still accounts for 27% of all
- [Resources panel](https://gettingitrightfirsttime.co.uk/?elementor_library=resources-panel) - Resources Find out more about GIRFT’s data-led approach and best practice resources: Case studies Guidance Metrics Pathways Webinars GIRFT resources on FutureNHS here
- [Workstream page: APOM x2 Portrait](https://gettingitrightfirsttime.co.uk/?elementor_library=workstream-page-apom-x2-clinical-leads-portrait) - Anaesthesia and Perioperative Medicine All surgical specialties work closely with anaesthesia and perioperative medicine (APOM), a crucial and frequent component of a hospital patient’s journey. Anaesthesia is the largest hospital specialty in England – used in a third of all hospital admissions – whilst perioperative care aims to bring together primary, secondary and social care
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- [What We do - Single Column Page](https://gettingitrightfirsttime.co.uk/?elementor_library=what-we-do-single-column-page) - Previous Next What we do Getting It Right First Time (GIRFT) is a national programme designed to improve medical care within the NHS by reducing unwarranted variations. By tackling variations in the way services are delivered across the NHS, and by sharing best practice between trusts, GIRFT identifies changes that will help improve care and
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## Associated Projects

- [Join the NCIP Champions Network](https://gettingitrightfirsttime.co.uk/associated_projects/join-the-ncip-champions-network/) - Join the NCIP Champions Network We want consultants in all included specialties to benefit from NCIP’s tailored activity and outcomes data – and we need your help. We want to you become one of our NCIP Champions, to help shape its future development, and to encourage and support your colleagues to use the platform. Now
- [NCIP](https://gettingitrightfirsttime.co.uk/associated_projects/ncip/) - National Consultant Information Programme (NCIP) Introduction from Professor Sir Norman Williams NCIP gives consultants a unique opportunity to review your whole NHS practice, helping improve patient safety and clinical quality, as well as supporting your learning and development. It’s a free online portal giving users a single point of access to locally and nationally benchmarked
- [Information for NHS Trusts](https://gettingitrightfirsttime.co.uk/associated_projects/information-for-nhs-trusts/) - Information for NHS trusts Who is it for? GIRFT’s clinical fellowship programme is a development opportunity for NHS resident doctors at registrar level, and non-consultant doctors, nurses and Allied Health Professionals (all groups). What is the offer? A clinical fellowship lasts for one year. Selectively appointed clinical fellows spend approximately 60% of their time on leading research
- [Commissioning for Quality and Innovation (CQUIN)](https://gettingitrightfirsttime.co.uk/associated_projects/commissioning-for-quality-and-innovation-cquin/) - Commissioning for Quality and Innovation (CQUIN) Below are details of CQUINs developed with the support and input from GIRFT and its clinical leads. Drinking, eating and mobilising (DrEaMing) CQUIN GIRFT has supported a Commissioning for Quality and Innovation indicator measuring whether patients are supported to drink, eat and start being mobile after surgery. This original
- [Clinical Fellowship programme](https://gettingitrightfirsttime.co.uk/associated_projects/clinical-fellowship-programme/) - GIRFT’s Clinical Fellowship Programme What is GIRFT’s clinical fellowship programme? In 2022 GIRFT launched a clinical fellowship programme aimed at NHS resident doctors, non- consultant doctors, nurses and allied health professionals. The fellowship programme supports GIRFT’s remit to reduce unwarranted variation in the delivery of health and care at a local, regional and national level. The
- [Join the GIRFT Fellowship Programme](https://gettingitrightfirsttime.co.uk/associated_projects/join-the-fellowship-programme/) - Join the GIRFT Fellowship Programme Why become a GIRFT clinical fellow? GIRFT’s clinical fellowship programme is a development opportunity for NHS resident doctors, non-consultant doctors and other NHS health professionals. This includes resident doctors at registrar level, nurses and Allied Health Professionals (all groups). It offers the ideal opportunity to gain significant experience in leading
- [Model Health System](https://gettingitrightfirsttime.co.uk/associated_projects/model-health-system/) - Model Health System GIRFT and Model Health System Model Health System (formerly Model Hospital) is a digital information service designed to help NHS providers improve their productivity and efficiency. GIRFT is working in partnership with the Model Health System team to include GIRFT metrics on the portal, providing valuable insight to helps trusts improve their
- [GIRFT Thrombosis Survey](https://gettingitrightfirsttime.co.uk/associated_projects/thrombosis-survey/) - GIRFT Thrombosis Survey The GIRFT Thrombosis Survey was launched on 1st October 2019 and data entry was extended to August 31st 2020 to help capture data around the link between increased venous thromboembolism associated with COVID-19. The survey was set up to audit hospital-associated venous thromboembolism and determine how current thromboprophylaxis practice could be improved. The survey was undertaken
- [Independent sector healthcare providers](https://gettingitrightfirsttime.co.uk/associated_projects/independent-sector/) - Independent Sector Healthcare Providers GIRFT pilot review of the independent sector The independent sector is a major part of the English healthcare system and its providers deliver care to millions of NHS and private patients every year. Given the role that the independent sector plays in NHS care, it is important that these services are
- [NCIP for clinical leaders](https://gettingitrightfirsttime.co.uk/associated_projects/ncip-for-clinical-leaders/) - NCIP for clinical leaders NCIP supports clinical leaders to oversee the consultants they are responsible for. This supports clinical leadership, clinical governance and promoting a culture of reflective practice amongst consultants in their trust. NCIP can be used by medical directors and their delegates, responsible officers and specialty clinical leads. Supporting specialty clinical leads Leadership
- [NCIP partners and stakeholders](https://gettingitrightfirsttime.co.uk/associated_projects/ncip-partners-and-stakeholders/) - NCIP partners and stakeholders As well as working closely with our NCIP clinical leads and other clinicians, we work closely with relevant specialty and sub-specialty organisations, and don’t launch any new specialty sections without their endorsement. NCIP is supported by the Academy of Medical Royal Colleges, the Royal College of Surgeons and the Federation of
- [Improving the Perioperative Pathway for Patients with Diabetes](https://gettingitrightfirsttime.co.uk/associated_projects/improving-the-perioperative-pathway-for-patients-with-diabetes/) - Improving the Perioperative Pathway for Patients with Diabetes Background GIRFT data shows considerable variation in the length of stay (LoS) for patients with diabetes undergoing surgery. Nationally it is estimated that at least 330,000 surgical procedures are performed on patients with diabetes in the UK annually (100,000 of these as emergency procedures). Length of stay
- [Making NCIP work for you](https://gettingitrightfirsttime.co.uk/associated_projects/making-ncip-work-for-you/) - Making NCIP work for you The National Consultant Information Programme (NCIP) is an online portal providing access to consultant surgical activity data for key procedures across a range of surgical specialties. This guide is designed for consultant surgeons, clinical leads, medical directors and responsible officers, to understand the key features of the portal and to
- [NCIP - How to Video](https://gettingitrightfirsttime.co.uk/associated_projects/ncip-how-to/) - NCIP – How to Videos Video 1: The NCIP homepage Video 2: Procedure card overview Video 3 – Ways to view your data Video 4: Viewing your patient records Video 5: Supporting information Frequently asked questions Click above to view the pdf
- [National Perioperative Care Programme](https://gettingitrightfirsttime.co.uk/associated_projects/npcp/) - Previous image Next image National Perioperative Care Programme GIRFT is collaborating with NHS England’s Digital Outpatient, Elective Recovery, and Elective Workforce Recovery teams to form the National Perioperative Care Programme. This national programme is working to improve and standardise the quality of perioperative care services in England so that all patients on an elective or

## HVLC

- [Surgical hubs](https://gettingitrightfirsttime.co.uk/hvlc/surgical-hubs/) - Surgical Hubs Helping to increase elective capacity Surgical hubs are an important part of plans to increase surgical capacity and to offer hundreds of thousands more patients quicker access to some of the most common procedures. Hubs focus mainly on providing ‘high volume low complexity’ surgery with particular emphasis on ophthalmology, general surgery, trauma and
- [HVLC programme](https://gettingitrightfirsttime.co.uk/hvlc/hvlc-programme/) - Elective Care Improvement How is GIRFT supporting elective recovery? GIRFT is running a number of priority programmes to support NHS trusts to deliver routine care, planned operations and outpatient appointments as quickly as possible and reduce patient waiting lists. Up to 60% of people on waiting lists need high-volume, routine surgery, such as cataract removal,
- [Theatre productivity](https://gettingitrightfirsttime.co.uk/hvlc/theatre-productivity/) - Theatre Productivity To support elective recovery, GIRFT is helping to lead a national theatre programme which aims to draw together all key national workstreams engaged in improving theatre productivity, efficiency and workforce. The key aims of the programme are to support providers and systems to maximise the effectiveness and throughput of their surgical theatres through

## Medical Specialties

- [Mental Health - Rehabilitation](https://gettingitrightfirsttime.co.uk/medical_specialties/mh-rehab/) - Mental Health – Rehabilitation There are around 3,500 people in inpatient mental health rehabilitation beds in England, and 100,000 more who live in mental health supported accommodation. Mental health rehabilitation services provide community and inpatient treatment and rehabilitation of adults with severe mental illness, predominantly psychosis; around 80% of people have a primary diagnosis of schizophrenia,
- [Diabetes Workstream](https://gettingitrightfirsttime.co.uk/medical_specialties/diabetes-workstream/) - Diabetes The GIRFT diabetes workstream is focused on helping people with diabetes and their clinicians to better manage the condition and reduce avoidable harms. The 2020 national report focuses on improving services for people with type 1 diabetes, and improving inpatient care and foot care for everyone living with diabetes. Data-driven insight provided by the
- [Mental Health - Adult Crisis and Acute Care](https://gettingitrightfirsttime.co.uk/medical_specialties/mental-health-adult-crisis-and-acute-care/) - Mental Health – Adult Crisis and Acute Care Mental health problems are the largest single cause of disability in the UK, with one in four adults experiencing at least one diagnosable mental health problem in any given year. Adult crisis and acute mental health services encompass the care, treatment and rehabilitation of adults with severe
- [Mental health - children and young people’s services](https://gettingitrightfirsttime.co.uk/medical_specialties/mh-cyp/) - Mental Health – Children and Young People’s Services Children and young people’s mental health services (CYPMHS) support under-18s with psychosis, eating disorders and personality disorders and neuro-disabilities such as autism and/or learning disabilities. In 2019/20, almost 560,000 under-18s received at least one contact from NHS-funded mental health care services in England, and demand for CYPMHS
- [Head and neck cancer](https://gettingitrightfirsttime.co.uk/medical_specialties/head-and-neck-cancer/) - Head and Neck Cancer Commissioned by the NHS England cancer programme team, this workstream has focused on supporting England’s Cancer Alliances to better provide timely, equitable and effective care which delivers the best possible outcomes for both patients and NHS colleagues. There are around 12,500 new cases of head and neck cancer diagnosed in the
- [Pancreatic cancer](https://gettingitrightfirsttime.co.uk/medical_specialties/pancreatic-cancer/) - Pancreatic Cancer Pancreatic cancer is the tenth most common cancer in the UK, with around 10,500 people diagnosed every year. It is the deadliest common cancer; over half of people die within three months of diagnosis. The GIRFT workstream supports the delivery of the Optimal Care Pathway, a Pancreatic Cancer UK-led initiative which has brought
- [Radiology](https://gettingitrightfirsttime.co.uk/medical_specialties/radiology/) - Radiology and Diagnostics Radiology and diagnostic services are vital to almost every specialty in the NHS, to ensure patients receive high-quality, effective and timely treatment and care. The NHS carries out more than 43 million radiological procedures annually (2018/19) providing X-rays, ultrasound, magnetic resonance imaging (MRI), fluoroscopy and computed axial tomography (CT), and also intervention
- [Gastroenterology](https://gettingitrightfirsttime.co.uk/medical_specialties/gastroenterology/) - Gastroenterology Around 69% of the population experience persistent gut and digestive medical conditions, which requires NHS gastroenterology teams to treat millions of patients every year. Gastrointestinal (GI) issues account for one in ten GP consultations, while digestive diseases such as liver disease are a factor in one in eight deaths in the UK. Liver disease
- [Neonatology](https://gettingitrightfirsttime.co.uk/medical_specialties/neonatology/) - Neonatology Neonatology is a subspecialty of paediatrics providing dedicated and specialist care for sick babies, and their families, around the time of birth and for the first weeks of life. More than 55,000 babies were admitted to neonatal units in 2018/19, making up more than 9% of live births. Nearly half (47%) of all babies
- [Pathology](https://gettingitrightfirsttime.co.uk/medical_specialties/pathology/) - Pathology Most patient interactions with the NHS involve the use of pathology services – tests are requested by providers in primary care, the community, and secondary care. Labs in England carry out 1.12 billion tests per year – roughly 20 tests per person in England. Pathology labs have also played a significant role to support
- [Emergency Medicine](https://gettingitrightfirsttime.co.uk/medical_specialties/emergency-medicine/) - Emergency Medicine The GIRFT national review of emergency medicine reported that there are around 15.5 million emergency department (ED) attendances each year – a 74% increase in admissions via EDs since 2012. The resulting emergency medicine report, published in 2021, offers a unique and comprehensive picture of ED attendance, demand and capacity in English trusts –
- [Diabetes: Children and Young Adults (CYA)](https://gettingitrightfirsttime.co.uk/medical_specialties/diabetes-children-and-young-adults/) - Diabetes: Children and Young Adults (CYA) GIRFT is working with the NHS Diabetes Programme on a national review of services for children and young adults living with diabetes. The workstream aims to tackle variation in care and outcomes between and within Integrated Care Systems (ICSs) in England, working to identify challenges and opportunities, and developing
- [Dermatology](https://gettingitrightfirsttime.co.uk/medical_specialties/dermatology/) - Dermatology One in four people in England and Wales (13.2m) see their GP about a dermatological condition every year, with 3.5m outpatient or day surgery attendances every year. In addition, around half of all cancers in England and Wales are skin cancer – and this is increasing by 8% annually. The GIRFT national report for
- [Geriatric medicine](https://gettingitrightfirsttime.co.uk/medical_specialties/geriatric-medicine/) - Geriatric Medicine Around 5-10% of people attending A&E departments are older and living with frailty, with more than 4,000 admissions daily for falls, minor infections, and adverse reactions to medications. Patients aged over 75 with frailty occupy about 20% of all bed days across England. Demand for services is growing as people live longer. More
- [Acute and General Medicine](https://gettingitrightfirsttime.co.uk/medical_specialties/agm/) - Acute and General Medicine AGM represents the single largest group of inpatients in hospitals, with approximately 2.5m emergency internal medicine admissions every year in England. AGM services include the assessment, investigation, diagnosis, and management of patients who have an acute medical illness – either the first presentation of an illness (eg; chest pain requiring investigation)
- [Cardiology](https://gettingitrightfirsttime.co.uk/medical_specialties/cardiology/) - Cardiology Cardiology is one of the largest medical specialties and focuses on the diagnosis and treatment of disorders of the heart and circulatory system. Around 6.1 million people in England live with cardiovascular disease (CVD) – leading to around 136,000 deaths each year. The GIRFT report for cardiology focuses on reducing clinical variation and supporting
- [APOM](https://gettingitrightfirsttime.co.uk/medical_specialties/apom/) - Anaesthesia and Perioperative Medicine All surgical specialties work closely with anaesthesia and perioperative medicine (APOM), a crucial and frequent component of a hospital patient’s journey. Anaesthesia is the largest hospital specialty in England – used in a third of all hospital admissions – whilst perioperative care aims to bring together primary, secondary and social care
- [Endocrinology](https://gettingitrightfirsttime.co.uk/medical_specialties/endocrinology/) - Endocrinology Endocrine diseases or conditions can affect many parts of the body and support vital aspects of the human body including sexual development, regulating metabolism and weight gain. As a result, treatment of related conditions can be severe and life-threatening, which is why endocrinologists work closely with surgeons and clinicians across other specialties. There were
- [Stroke](https://gettingitrightfirsttime.co.uk/medical_specialties/stroke/) - Stroke GIRFT’s review of stroke services in England found that acute stroke care is delivered in 107 units across England, each managing an average caseload of around 650 acute stroke spells per year. The national report for stroke makes a series of 29 recommendations for improvements in service delivery and patient care, based on the
- [Sickle Cell and Thalassaemia](https://gettingitrightfirsttime.co.uk/medical_specialties/sickle-cell-thalassemia/) - Sickle Cell and Thalassaemia The GIRFT sickle cell and thalassaemia workstream is working with specialist providers and wider services delivering sickle cell disease (SCD) and thalassaemia care across England, with the aim of identifying and understanding variations in care and barriers to improvement and seeking out examples of best practice. The purpose is to ensure all
- [Rheumatology](https://gettingitrightfirsttime.co.uk/medical_specialties/rheumatology/) - Rheumatology Rheumatology covers the investigation, diagnosis and medical management of more than 200 rheumatic and musculoskeletal disorders (RMDs) that primarily affect joints, bones, muscles and tissues. More than 10 million people in the UK are affected by RMDs, with rheumatology teams supporting the long-term management of complex chronic conditions. As a predominately outpatient-based specialty, rheumatology
- [Respiratory](https://gettingitrightfirsttime.co.uk/medical_specialties/respiratory/) - Respiratory Medicine Respiratory medicine encompasses a number of conditions, including diseases of the upper airway (e.g. sleep apnoea) through to those in the large and small airways (e.g. asthma). Respiratory illnesses are among the most common reasons to consult a GP, and accounted for a third of acute hospital admissions, even before the COVID-19 pandemic.
- [Renal Medicine](https://gettingitrightfirsttime.co.uk/medical_specialties/renal-medicine/) - Renal Medicine Renal medicine concerns the prevention, diagnosis and treatment of kidney diseases and includes the management of: Chronic Kidney Disease (CKD) – moderate to severe CKD (stages 3-5) affects around 6% of the UK’s adult population, or roughly 2.6 million people. Acute Kidney Disease (AKI) – it’s estimated that up to one in five
- [Paediatric rheumatology](https://gettingitrightfirsttime.co.uk/medical_specialties/paediatric-rheumatology/) - Paediatric rheumatology GIRFT’s paediatric rheumatology workstream involves data-driven peer review visits with all specialist paediatric rheumatology centres across England, exploring variation and improving care and outcomes for inflammatory and non-inflammatory paediatric rheumatology patients. The two joint clinical leads, supported by clinical advisors, aim to develop national pathways, share best practice, and extend support to centres
- [Paediatric Critical Care](https://gettingitrightfirsttime.co.uk/medical_specialties/paediatric-critical-care/) - Paediatric Critical Care Paediatric critical care (PCC) is a specialised service that looks after sick children aged 0-16 in hospital. This ranges from recognition and stabilisation of a sick or injured child on a general ward, to enhanced observation and monitoring in a high dependency unit (HDU), through to providing highly specialist care within a
- [Lung Cancer](https://gettingitrightfirsttime.co.uk/medical_specialties/lung-cancer/) - Lung Cancer Around 48,000 patients are diagnosed with lung cancer each year in the UK. As the symptoms appear similar to a number of other common respiratory infections, many of cases are diagnosed at an advanced stage of disease and there are around 35,000 deaths each year from lung cancer, making it the most common
- [Hospital Dentistry](https://gettingitrightfirsttime.co.uk/medical_specialties/hospital-dentistry/) - Hospital Dentistry Data shows there are more than 2m hospital dentistry outpatient appointments annually in England, and more than 180,000 people are admitted to hospital for dental procedures, either for an overnight stay or as a day case. More than 33,000 children aged nine and under have teeth extracted in hospital (2018-2019), with 87% of
- [Neurology](https://gettingitrightfirsttime.co.uk/medical_specialties/neurology/) - Neurology There are an estimated 14.7 million cases of neurological disorder in the UK, with one in six people living with a neurological condition. Conditions impact on all levels of the nervous system – from the brain to nerve and muscle – and there are more 600 conditions. These can be broadly categorised into sudden-onset
- [Adult Critical Care](https://gettingitrightfirsttime.co.uk/medical_specialties/adult-critical-care/) - Adult Critical Care About 200,000 people per year in the UK require critical care for many different reasons, ranging from acute medical emergencies, to major trauma incidents such as serious road accidents. Adult critical care (ACC) is essential to other services in acute hospitals, including emergency and elective surgery, acute admissions and emergency departments. The
- [Chronic pain](https://gettingitrightfirsttime.co.uk/medical_specialties/chronic-pain/) - Chronic Pain One in three people over the age of 16 have chronic pain and one in five children and young people are affected, leading to significant absenteeism from work and school and many hospital visits. 20% of adults reporting high impact chronic pain say that it renders them permanently unable to work, resulting in

## Surgical Specialties

- [Breast Surgery](https://gettingitrightfirsttime.co.uk/surgical_specialties/breast-surgery/) - Breast Surgery There are around 102,000 breast operations every year in the NHS in England, and 60% of admissions in the specialty are for primary breast cancer treatment. The GIRFT breast surgery report presented the most complete picture of breast surgery activity there has ever been: the first time that data about all breast operations
- [Spinal Services](https://gettingitrightfirsttime.co.uk/surgical_specialties/spinal-surgery/) - Spinal Services Spinal surgeons carry out a wide variety of spinal surgery, from simple procedures to the complex removal of tumours. Many of the conditions dealt with are not life-threatening but can have a major impact on quality of life. It is estimated that one-third of the population is suffering with lower back pain at
- [Maternity and gynaecology](https://gettingitrightfirsttime.co.uk/surgical_specialties/maternity-and-gynaecology/) - Maternity and Gynaecology Are you interested in becoming our next clinical lead for gynaecology? GIRFT is seeking expressions of interest for the role of national gynaecology clinical lead, to take over from David Richmond as he retires. This position provides the opportunity for national clinical leadership, helping to improve quality of care, reduce unwarranted variation and
- [PaediatricTrauma and Orthopaedic Surgery](https://gettingitrightfirsttime.co.uk/surgical_specialties/paediatrictrauma-and-orthopaedic-surgery/) - Paediatric Trauma and Orthopaedic Surgery Do you want the opportunity to shape the future of paediatric orthopaedic care across England? We’re looking for an experienced consultant in paediatric trauma and orthopaedics to join us as a national clinical lead, taking over from James Hunter. As our clinical lead, you will: Provide national clinical leadership to
- [ENT Workstream](https://gettingitrightfirsttime.co.uk/surgical_specialties/ent-workstream/) - Ear, Nose and Throat (ENT) Surgery There are 330,000 admissions to ENT departments every year, 76% of which are elective. Around 17% of the elective work relates to tonsillectomy (43,000 admissions). There are also 2.8m outpatient attendances, including 960,000 outpatient procedures. The GIRFT review of ENT services in England examined ways to deliver improvements for
- [General Surgery](https://gettingitrightfirsttime.co.uk/surgical_specialties/general-surgery/) - General Surgery General surgery is a large specialty that is provided in the majority of NHS hospitals. With around 1.8 million episodes of inpatient care each year, general surgery provides treatment for patients with complex surgical conditions of the gastrointestinal tract, breast, kidney, pancreas and liver. Many instances of inpatient care require surgical procedures –
- [Paediatric General Surgery and Urology](https://gettingitrightfirsttime.co.uk/surgical_specialties/paediatric-general-surgery-and-urology/) - Paediatric General Surgery and Urology The GIRFT specialty review comprised deep dive visits to all of the 22 specialist trusts and the 67 highest-volume non-specialist trusts – 89 in total – and involved frontline clinicians, nurses, finance staff and managers. The clinicians included surgeons, anaesthetists, neonatologists, intensivists, paediatricians and radiologists. Recommendations and actions in the
- [Orthopaedic Trauma Surgery](https://gettingitrightfirsttime.co.uk/surgical_specialties/orthopaedic-trauma-surgery/) - Orthopaedic Trauma Surgery Adult orthopaedic trauma services care for adult patients with injuries to the musculoskeletal system. The areas of focus include fractures, dislocations, and ligamentous injuries. Adult orthopaedic trauma care is provided within acute services providing care in both inpatient and outpatient settings. Within the acute hospital it may involve some or all of
- [Vascular Surgery](https://gettingitrightfirsttime.co.uk/surgical_specialties/vascular-surgery/) - Vascular Surgery Vascular surgeons reconstruct, unblock or bypass arteries with precision procedures to restore blood flow to organs of the body, helping to reduce sudden death, preventing strokes, and reducing the risk of amputation. A further central role for vascular surgery is to address aortic aneurysms which, when they rupture, can rapidly lead to death.
- [Orthopaedic Surgery](https://gettingitrightfirsttime.co.uk/surgical_specialties/orthopaedic-surgery/) - Orthopaedic Surgery GIRFT has published two reports on orthopaedic surgery. The first publication in 2015 was a landmark report for the orthopaedic specialty, highlighting areas of excellence and areas for focus and improvement. The initial orthopaedic surgery review established the GIRFT methodology and became the pilot for the current programme. Professor Tim Briggs and his
- [Urology Surgery](https://gettingitrightfirsttime.co.uk/surgical_specialties/urology-surgery/) - Urology Surgery Urology is the management of patients presenting with conditions affecting the urinary tract, and of the male reproductive organs. Typically, there are more male urology patients than female patients, and the service has a high proportion of older patients. Procedures range from simple procedures such as ureteric stenting to complex surgical procedures such
- [Oral and Maxillofacial Surgery](https://gettingitrightfirsttime.co.uk/surgical_specialties/oral-and-maxillofacial-surgery/) - Oral and Maxillofacial Surgery Oral and maxillofacial surgeons treat the bony and soft tissue conditions of the head and neck, including the jaws, oral tissues and teeth. The work ranges from relatively simple dentoalveolar surgery, such as the removal of impacted wisdom teeth, to major complex surgery for head and neck cancer or facial deformity.
- [Ophthalmology](https://gettingitrightfirsttime.co.uk/surgical_specialties/ophthalmology/) - Ophthalmology Ophthalmology is one of the busiest specialties in the NHS, carrying out more than 500,000 operations every year (6% of the NHS total) and more than 7.5 million outpatient appointments. Core ophthalmology services – dealing with cataracts, glaucoma, age-related macular degeneration (AMD) and diabetic eye conditions – are provided in almost every NHS trust
- [Plastic Surgery, Hand Surgery and Burn Care](https://gettingitrightfirsttime.co.uk/surgical_specialties/plastic-surgery-burns/) - Plastic Surgery, Hand Surgery and Burn Care Plastic surgery covers a wide clinical range including congenital abnormalities, trauma, skin tumours, hand surgery, head and neck cancer surgery, breast reconstruction, facial reconstruction, microsurgery, and aesthetic surgery (as distinct from cosmetic surgery). Plastic surgery services have for many years worked in a hub and spoke arrangement often
- [Cranial Neurosurgery](https://gettingitrightfirsttime.co.uk/surgical_specialties/cranial-neurosurgery/) - Cranial Neurosurgery Around 75,000 patients annually receive cranial neurosurgery on the NHS. Medical and technological advances in the last few decades have significantly improved the capacity to treat these serious and life-changing conditions. Brain cancer survival rates, for example, have doubled in the UK over the past 40 years. Cranial neurosurgery caseloads are often a
- [Cardiothoracic surgery](https://gettingitrightfirsttime.co.uk/surgical_specialties/cardiothoracic-surgery/) - Cardiothoracic Surgery Around seven million people in England have cardiovascular disease; patients undergoing cardiothoracic surgery often have major health conditions such as heart valve disease, lung cancer and blocked arteries. The GIRFT review of cardiothoracic surgery found 28,000 cardiac surgery operations are carried out every year, and a further 69,000 thoracic operations for diseases of
- [Lower GI cancer](https://gettingitrightfirsttime.co.uk/surgical_specialties/lower-gi-cancer/) - Lower Gastrointestinal (GI) Cancer Colorectal cancer, commonly known as bowel cancer, is one of the most prevalent cancers in the UK, with around 44,100 new cases diagnosed each year—approximately 120 cases per day. It is the fourth most common cancer overall, accounting for 11% of all new cancer diagnoses. In both men and women, bowel

## Cross Cutting Themes

- [Clinical Coding](https://gettingitrightfirsttime.co.uk/cross_cutting_theme/clinical-coding/) - Clinical Coding The coding workstream focuses on the accuracy of coding and supports trusts to create specialty-specific methodology to improve the accuracy of coding. A key aim is to increase collaboration between clinical teams and coders by including coders in multidisciplinary team meetings where appropriate. The workstream works closely with clinical associations, helping to identify
- [Robotic-assisted surgery](https://gettingitrightfirsttime.co.uk/cross_cutting_theme/robotic-assisted-surgery/) - Robotic-assisted Surgery GIRFT and NHS England are developing a structured framework and guidance to support the adoption and implementation of robotic-assisted surgery (RAS) in the NHS. Robotic-assisted surgery is a type of surgery in which robotic technologies are used to support the work of the surgeon. Although RAS has been available for over 20 years,
- [Further Faster Programme](https://gettingitrightfirsttime.co.uk/cross_cutting_theme/further-faster-programme/) - Further Faster Programme Further Faster overview The GIRFT ‘Further Faster’ programme has been set up to deliver rapid clinical transformation with the aim of reducing 52-week waits. The work brings together hospital trust clinicians and operational teams with the challenge of collectively going ‘further and faster’ to transform patient pathways and working to reduce unnecessary
- [Community MSK](https://gettingitrightfirsttime.co.uk/cross_cutting_theme/community-msk/) - Community MSK GIRFT’s community MSK workstream is working to better enable integrated care systems to commission the delivery of high quality MSK services in the community, which will benefit patients now and into the future. The central aims of the workstream are to: Ensure high-quality triage services and optimise referrals for diagnostics and for orthopaedic,
- [Virtual Wards](https://gettingitrightfirsttime.co.uk/cross_cutting_theme/virtual-wards/) - Virtual Wards Guidance and resources to support implementation of virtual wards Virtual wards, often known as Hospital at Home, are a safe and efficient alternative to bedded care. Using technology and face-to-face care, they offer patients who would otherwise be in hospital the choice of receiving the treatment they need in their own home, either
- [Litigation](https://gettingitrightfirsttime.co.uk/cross_cutting_theme/litigation/) - Litigation The GIRFT litigation workstream, co-led by John Machin, shares data on litigation costs with NHS trusts with the aim of working with clinicians and managers to determine how clinical practice could improve, reducing the potential for future litigation by enhancing patient experience. GIRFT litigation data packs for medical and surgical specialties are shared with
- [Net Zero and Sustainability](https://gettingitrightfirsttime.co.uk/cross_cutting_theme/net-zero-sustainability/) - Net Zero and Sustainability The NHS has a significant carbon footprint, producing 4-5% of the UK’s greenhouse gas emissions and NHS England is committed to reaching net zero carbon emissions by 2045. Developing environmentally sustainable models of clinical care is one of the key priorities to help achieve this ambition, ensuring the health of patients
- [Day case surgery](https://gettingitrightfirsttime.co.uk/cross_cutting_theme/day-case-surgery/) - Day Case Surgery The GIRFT programme is working with British Association of Day Surgery (BADS), and the Centre for Perioperative Care (CPOC) to support NHS trusts to expand and increase day case surgery. Day surgery brings recognised benefits for both patients and system-wide efficiencies related to patient quality and experience, reduced waiting times, release of
- [Primary and Secondary Care Interface](https://gettingitrightfirsttime.co.uk/cross_cutting_theme/primary-and-secondary-care-interface/) - Primary and Secondary Care Interface Bridging the interface NHS England and the DHSC has expressed its commitment to reducing bureaucracy and improving ways of working across all providers and commissioners of NHS care. The aim is to achieve the most seamless care for patients while ensuring the most effective use of NHS resources. This can

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- [department](https://gettingitrightfirsttime.co.uk/tag/department/)
- [admission](https://gettingitrightfirsttime.co.uk/tag/admission/)
- [A-tED](https://gettingitrightfirsttime.co.uk/tag/a-ted/)
- [A-tA](https://gettingitrightfirsttime.co.uk/tag/a-ta/)
- [frailty](https://gettingitrightfirsttime.co.uk/tag/frailty/)
- [geriatric medicine](https://gettingitrightfirsttime.co.uk/tag/geriatric-medicine/)
- [data](https://gettingitrightfirsttime.co.uk/tag/data/)
- [variation](https://gettingitrightfirsttime.co.uk/tag/variation/)
- [older](https://gettingitrightfirsttime.co.uk/tag/older/)
- [paediatric](https://gettingitrightfirsttime.co.uk/tag/paediatric/)
- [forearm](https://gettingitrightfirsttime.co.uk/tag/forearm/)
- [fracture](https://gettingitrightfirsttime.co.uk/tag/fracture/)
- [manipulation](https://gettingitrightfirsttime.co.uk/tag/manipulation/)
- [ED](https://gettingitrightfirsttime.co.uk/tag/ed/)
- [Hunter](https://gettingitrightfirsttime.co.uk/tag/hunter/)
- [rheumatology](https://gettingitrightfirsttime.co.uk/tag/rheumatology/)
- [endocrinology](https://gettingitrightfirsttime.co.uk/tag/endocrinology/)
- [updated](https://gettingitrightfirsttime.co.uk/tag/updated/)
- [quadrant](https://gettingitrightfirsttime.co.uk/tag/quadrant/)
- [Moulton](https://gettingitrightfirsttime.co.uk/tag/moulton/)
- [SWLEOC](https://gettingitrightfirsttime.co.uk/tag/swleoc/)
- [toolkit](https://gettingitrightfirsttime.co.uk/tag/toolkit/)
- [Briggs](https://gettingitrightfirsttime.co.uk/tag/briggs/)
- [virtual](https://gettingitrightfirsttime.co.uk/tag/virtual/)
- [wards](https://gettingitrightfirsttime.co.uk/tag/wards/)
- [hospital](https://gettingitrightfirsttime.co.uk/tag/hospital/)
- [home](https://gettingitrightfirsttime.co.uk/tag/home/)
- [Greener NHS](https://gettingitrightfirsttime.co.uk/tag/greener-nhs/)
- [TURBT](https://gettingitrightfirsttime.co.uk/tag/turbt/)
- [urology](https://gettingitrightfirsttime.co.uk/tag/urology/)
- [carbon footprint](https://gettingitrightfirsttime.co.uk/tag/carbon-footprint/)
- [children](https://gettingitrightfirsttime.co.uk/tag/children/)
- [young people](https://gettingitrightfirsttime.co.uk/tag/young-people/)
- [round table](https://gettingitrightfirsttime.co.uk/tag/round-table/)
- [ConfedExpo](https://gettingitrightfirsttime.co.uk/tag/confedexpo/)
- [surgical hubs](https://gettingitrightfirsttime.co.uk/tag/surgical-hubs/)
- [Bechberger](https://gettingitrightfirsttime.co.uk/tag/bechberger/)
- [conference](https://gettingitrightfirsttime.co.uk/tag/conference/)
- [networking](https://gettingitrightfirsttime.co.uk/tag/networking/)
- [community](https://gettingitrightfirsttime.co.uk/tag/community/)
- [Giles](https://gettingitrightfirsttime.co.uk/tag/giles/)
- [Maskell](https://gettingitrightfirsttime.co.uk/tag/maskell/)
- [OBE](https://gettingitrightfirsttime.co.uk/tag/obe/)
- [radiology](https://gettingitrightfirsttime.co.uk/tag/radiology/)
- [honour](https://gettingitrightfirsttime.co.uk/tag/honour/)
- [coding](https://gettingitrightfirsttime.co.uk/tag/coding/)
- [restorative](https://gettingitrightfirsttime.co.uk/tag/restorative/)
- [oral](https://gettingitrightfirsttime.co.uk/tag/oral/)
- [orthodontics](https://gettingitrightfirsttime.co.uk/tag/orthodontics/)
- [kidney](https://gettingitrightfirsttime.co.uk/tag/kidney/)
- [BAUS](https://gettingitrightfirsttime.co.uk/tag/baus/)
- [BAUN](https://gettingitrightfirsttime.co.uk/tag/baun/)
- [six steps](https://gettingitrightfirsttime.co.uk/tag/six-steps/)
- [geriatrics](https://gettingitrightfirsttime.co.uk/tag/geriatrics/)
- [BGS](https://gettingitrightfirsttime.co.uk/tag/bgs/)
- [SpaedIT](https://gettingitrightfirsttime.co.uk/tag/spaedit/)
- [dashboard](https://gettingitrightfirsttime.co.uk/tag/dashboard/)
- [transformation](https://gettingitrightfirsttime.co.uk/tag/transformation/)
- [elective recovery](https://gettingitrightfirsttime.co.uk/tag/elective-recovery/)
- [IP3D](https://gettingitrightfirsttime.co.uk/tag/ip3d/)
- [UNIVANTS](https://gettingitrightfirsttime.co.uk/tag/univants/)
- [perioperative](https://gettingitrightfirsttime.co.uk/tag/perioperative/)
- [award](https://gettingitrightfirsttime.co.uk/tag/award/)
- [Rayman](https://gettingitrightfirsttime.co.uk/tag/rayman/)
- [ENT](https://gettingitrightfirsttime.co.uk/tag/ent/)
- [ear](https://gettingitrightfirsttime.co.uk/tag/ear/)
- [nose](https://gettingitrightfirsttime.co.uk/tag/nose/)
- [throat](https://gettingitrightfirsttime.co.uk/tag/throat/)
- [outpatients](https://gettingitrightfirsttime.co.uk/tag/outpatients/)
- [myringoplasty](https://gettingitrightfirsttime.co.uk/tag/myringoplasty/)
- [nasal airway surgery](https://gettingitrightfirsttime.co.uk/tag/nasal-airway-surgery/)
- [tonsillectomy](https://gettingitrightfirsttime.co.uk/tag/tonsillectomy/)
- [day](https://gettingitrightfirsttime.co.uk/tag/day/)
- [case](https://gettingitrightfirsttime.co.uk/tag/case/)
- [endoscopic sinus surgery](https://gettingitrightfirsttime.co.uk/tag/endoscopic-sinus-surgery/)
- [neurology](https://gettingitrightfirsttime.co.uk/tag/neurology/)
- [elective hub](https://gettingitrightfirsttime.co.uk/tag/elective-hub/)
- [surgical hub](https://gettingitrightfirsttime.co.uk/tag/surgical-hub/)
- [patient](https://gettingitrightfirsttime.co.uk/tag/patient/)
- [video](https://gettingitrightfirsttime.co.uk/tag/video/)
- [patients association](https://gettingitrightfirsttime.co.uk/tag/patients-association/)
- [SAMIT](https://gettingitrightfirsttime.co.uk/tag/samit/)
- [acute medicine](https://gettingitrightfirsttime.co.uk/tag/acute-medicine/)
- [faster](https://gettingitrightfirsttime.co.uk/tag/faster/)
- [diagnosis](https://gettingitrightfirsttime.co.uk/tag/diagnosis/)
- [FDS](https://gettingitrightfirsttime.co.uk/tag/fds/)
- [diagnostic](https://gettingitrightfirsttime.co.uk/tag/diagnostic/)
- [preoperative assessment](https://gettingitrightfirsttime.co.uk/tag/preoperative-assessment/)
- [best practice](https://gettingitrightfirsttime.co.uk/tag/best-practice/)
- [POA](https://gettingitrightfirsttime.co.uk/tag/poa/)
- [six](https://gettingitrightfirsttime.co.uk/tag/six/)
- [fix](https://gettingitrightfirsttime.co.uk/tag/fix/)
- [winter](https://gettingitrightfirsttime.co.uk/tag/winter/)
- [pancreatic](https://gettingitrightfirsttime.co.uk/tag/pancreatic/)
- [PCUK](https://gettingitrightfirsttime.co.uk/tag/pcuk/)
- [review](https://gettingitrightfirsttime.co.uk/tag/review/)
- [optimal care pathway](https://gettingitrightfirsttime.co.uk/tag/optimal-care-pathway/)
- [theatre](https://gettingitrightfirsttime.co.uk/tag/theatre/)
- [National Theatres Programme](https://gettingitrightfirsttime.co.uk/tag/national-theatres-programme/)
- [SWAOC](https://gettingitrightfirsttime.co.uk/tag/swaoc/)
- [Nightingale](https://gettingitrightfirsttime.co.uk/tag/nightingale/)
- [arthroplasty](https://gettingitrightfirsttime.co.uk/tag/arthroplasty/)
- [CYP](https://gettingitrightfirsttime.co.uk/tag/cyp/)
- [waiting lists](https://gettingitrightfirsttime.co.uk/tag/waiting-lists/)
- [gap](https://gettingitrightfirsttime.co.uk/tag/gap/)
- [clinical fellows](https://gettingitrightfirsttime.co.uk/tag/clinical-fellows/)
- [fellows](https://gettingitrightfirsttime.co.uk/tag/fellows/)
- [AHPs](https://gettingitrightfirsttime.co.uk/tag/ahps/)
- [nurses](https://gettingitrightfirsttime.co.uk/tag/nurses/)
- [research](https://gettingitrightfirsttime.co.uk/tag/research/)
- [hysterectomy](https://gettingitrightfirsttime.co.uk/tag/hysterectomy/)
- [day surgery](https://gettingitrightfirsttime.co.uk/tag/day-surgery/)
- [CES](https://gettingitrightfirsttime.co.uk/tag/ces/)
- [interactive](https://gettingitrightfirsttime.co.uk/tag/interactive/)
- [NOA](https://gettingitrightfirsttime.co.uk/tag/noa/)
- [excellence](https://gettingitrightfirsttime.co.uk/tag/excellence/)
- [NCIP](https://gettingitrightfirsttime.co.uk/tag/ncip/)
- [national consultant information programme](https://gettingitrightfirsttime.co.uk/tag/national-consultant-information-programme/)
- [portal](https://gettingitrightfirsttime.co.uk/tag/portal/)
- [improved](https://gettingitrightfirsttime.co.uk/tag/improved/)
- [facet joint injection](https://gettingitrightfirsttime.co.uk/tag/facet-joint-injection/)
- [study](https://gettingitrightfirsttime.co.uk/tag/study/)
- [spinal services](https://gettingitrightfirsttime.co.uk/tag/spinal-services/)
- [lumbar injections](https://gettingitrightfirsttime.co.uk/tag/lumbar-injections/)
- [medial branch block](https://gettingitrightfirsttime.co.uk/tag/medial-branch-block/)
- [pathways](https://gettingitrightfirsttime.co.uk/tag/pathways/)
- [emergency department](https://gettingitrightfirsttime.co.uk/tag/emergency-department/)
- [front door](https://gettingitrightfirsttime.co.uk/tag/front-door/)
- [ranibizumab](https://gettingitrightfirsttime.co.uk/tag/ranibizumab/)
- [biosimilar](https://gettingitrightfirsttime.co.uk/tag/biosimilar/)
- [elective surgical hub](https://gettingitrightfirsttime.co.uk/tag/elective-surgical-hub/)
- [children and young people](https://gettingitrightfirsttime.co.uk/tag/children-and-young-people/)
- [mental health](https://gettingitrightfirsttime.co.uk/tag/mental-health/)
- [heart](https://gettingitrightfirsttime.co.uk/tag/heart/)
- [heart failure](https://gettingitrightfirsttime.co.uk/tag/heart-failure/)
- [GIRFT virtual wards](https://gettingitrightfirsttime.co.uk/tag/girft-virtual-wards/)
- [inguinal](https://gettingitrightfirsttime.co.uk/tag/inguinal/)
- [hernia](https://gettingitrightfirsttime.co.uk/tag/hernia/)
- [general surgery](https://gettingitrightfirsttime.co.uk/tag/general-surgery/)
- [vascular](https://gettingitrightfirsttime.co.uk/tag/vascular/)
- [Boyle](https://gettingitrightfirsttime.co.uk/tag/boyle/)
- [Bell](https://gettingitrightfirsttime.co.uk/tag/bell/)
- [clinical leads](https://gettingitrightfirsttime.co.uk/tag/clinical-leads/)
- [Further Faster](https://gettingitrightfirsttime.co.uk/tag/further-faster/)
- [backlog](https://gettingitrightfirsttime.co.uk/tag/backlog/)
- [success](https://gettingitrightfirsttime.co.uk/tag/success/)
- [aortic stenosis](https://gettingitrightfirsttime.co.uk/tag/aortic-stenosis/)
- [single point of access](https://gettingitrightfirsttime.co.uk/tag/single-point-of-access/)
- [SPA](https://gettingitrightfirsttime.co.uk/tag/spa/)
- [early screening](https://gettingitrightfirsttime.co.uk/tag/early-screening/)
- [risk assessment](https://gettingitrightfirsttime.co.uk/tag/risk-assessment/)
- [health optimisation](https://gettingitrightfirsttime.co.uk/tag/health-optimisation/)
- [delivery guide](https://gettingitrightfirsttime.co.uk/tag/delivery-guide/)
- [cardiothoracic](https://gettingitrightfirsttime.co.uk/tag/cardiothoracic/)
- [cardiac](https://gettingitrightfirsttime.co.uk/tag/cardiac/)
- [thoracic](https://gettingitrightfirsttime.co.uk/tag/thoracic/)
- [chronic obstructive pulmonary disease](https://gettingitrightfirsttime.co.uk/tag/chronic-obstructive-pulmonary-disease/)
- [Simon](https://gettingitrightfirsttime.co.uk/tag/simon/)
- [Kenny](https://gettingitrightfirsttime.co.uk/tag/kenny/)
- [New Year Honours](https://gettingitrightfirsttime.co.uk/tag/new-year-honours/)
- [paediatric surgery](https://gettingitrightfirsttime.co.uk/tag/paediatric-surgery/)
- [rollout](https://gettingitrightfirsttime.co.uk/tag/rollout/)
- [cranial neurosurgery](https://gettingitrightfirsttime.co.uk/tag/cranial-neurosurgery/)
- [pancreatic cancer](https://gettingitrightfirsttime.co.uk/tag/pancreatic-cancer/)
- [deep dive](https://gettingitrightfirsttime.co.uk/tag/deep-dive/)
- [mutual aid](https://gettingitrightfirsttime.co.uk/tag/mutual-aid/)
- [MATP](https://gettingitrightfirsttime.co.uk/tag/matp/)
- [young adults](https://gettingitrightfirsttime.co.uk/tag/young-adults/)
- [CYA](https://gettingitrightfirsttime.co.uk/tag/cya/)
- [NHS Diabetes Programme](https://gettingitrightfirsttime.co.uk/tag/nhs-diabetes-programme/)
- [breast](https://gettingitrightfirsttime.co.uk/tag/breast/)
- [breast surgery](https://gettingitrightfirsttime.co.uk/tag/breast-surgery/)
- [metrics data](https://gettingitrightfirsttime.co.uk/tag/metrics-data/)
- [dermatology](https://gettingitrightfirsttime.co.uk/tag/dermatology/)
- [medicine](https://gettingitrightfirsttime.co.uk/tag/medicine/)
- [national clinical directors](https://gettingitrightfirsttime.co.uk/tag/national-clinical-directors/)
- [Simon Ray](https://gettingitrightfirsttime.co.uk/tag/simon-ray/)
- [David Hargroves](https://gettingitrightfirsttime.co.uk/tag/david-hargroves/)
- [Simon Kenny](https://gettingitrightfirsttime.co.uk/tag/simon-kenny/)
- [appointment](https://gettingitrightfirsttime.co.uk/tag/appointment/)
- [NHS England](https://gettingitrightfirsttime.co.uk/tag/nhs-england/)
- [testicular torsion](https://gettingitrightfirsttime.co.uk/tag/testicular-torsion/)
- [pain](https://gettingitrightfirsttime.co.uk/tag/pain/)
- [twist](https://gettingitrightfirsttime.co.uk/tag/twist/)
- [NCEPOD](https://gettingitrightfirsttime.co.uk/tag/ncepod/)
- [consultant](https://gettingitrightfirsttime.co.uk/tag/consultant/)
- [anaesthesia](https://gettingitrightfirsttime.co.uk/tag/anaesthesia/)
- [sustainability](https://gettingitrightfirsttime.co.uk/tag/sustainability/)
- [net zero](https://gettingitrightfirsttime.co.uk/tag/net-zero/)
- [inguinal hernia](https://gettingitrightfirsttime.co.uk/tag/inguinal-hernia/)
- [inpatient](https://gettingitrightfirsttime.co.uk/tag/inpatient/)
- [journal](https://gettingitrightfirsttime.co.uk/tag/journal/)
- [further](https://gettingitrightfirsttime.co.uk/tag/further/)
- [waiting](https://gettingitrightfirsttime.co.uk/tag/waiting/)
- [52-week](https://gettingitrightfirsttime.co.uk/tag/52-week/)
- [NHS Cancer programme](https://gettingitrightfirsttime.co.uk/tag/nhs-cancer-programme/)
- [summary](https://gettingitrightfirsttime.co.uk/tag/summary/)
- [BSR](https://gettingitrightfirsttime.co.uk/tag/bsr/)
- [flora mcerlane](https://gettingitrightfirsttime.co.uk/tag/flora-mcerlane/)
- [gavin cleary](https://gettingitrightfirsttime.co.uk/tag/gavin-cleary/)
- [spinal](https://gettingitrightfirsttime.co.uk/tag/spinal/)
- [surgeons](https://gettingitrightfirsttime.co.uk/tag/surgeons/)
- [Johnny](https://gettingitrightfirsttime.co.uk/tag/johnny/)
- [Downs](https://gettingitrightfirsttime.co.uk/tag/downs/)
- [clinical lead](https://gettingitrightfirsttime.co.uk/tag/clinical-lead/)
- [dita](https://gettingitrightfirsttime.co.uk/tag/dita/)
- [aswani](https://gettingitrightfirsttime.co.uk/tag/aswani/)
- [posters](https://gettingitrightfirsttime.co.uk/tag/posters/)
- [school](https://gettingitrightfirsttime.co.uk/tag/school/)
- [awareness](https://gettingitrightfirsttime.co.uk/tag/awareness/)
- [NHS](https://gettingitrightfirsttime.co.uk/tag/nhs/)
- [Department for Education](https://gettingitrightfirsttime.co.uk/tag/department-for-education/)
- [musculoskeletal](https://gettingitrightfirsttime.co.uk/tag/musculoskeletal/)
- [portfolio](https://gettingitrightfirsttime.co.uk/tag/portfolio/)
- [Lesley Kay](https://gettingitrightfirsttime.co.uk/tag/lesley-kay/)
- [Andrew Bennett](https://gettingitrightfirsttime.co.uk/tag/andrew-bennett/)
- [prostate cancer](https://gettingitrightfirsttime.co.uk/tag/prostate-cancer/)
- [management](https://gettingitrightfirsttime.co.uk/tag/management/)
- [suspected](https://gettingitrightfirsttime.co.uk/tag/suspected/)
- [interventional radiology](https://gettingitrightfirsttime.co.uk/tag/interventional-radiology/)
- [IR](https://gettingitrightfirsttime.co.uk/tag/ir/)
- [imaging networks](https://gettingitrightfirsttime.co.uk/tag/imaging-networks/)
- [BAD](https://gettingitrightfirsttime.co.uk/tag/bad/)
- [clinician](https://gettingitrightfirsttime.co.uk/tag/clinician/)
- [A&G](https://gettingitrightfirsttime.co.uk/tag/ag/)
- [advice and guidance](https://gettingitrightfirsttime.co.uk/tag/advice-and-guidance/)
- [templates](https://gettingitrightfirsttime.co.uk/tag/templates/)
- [fragility](https://gettingitrightfirsttime.co.uk/tag/fragility/)
- [non-ambulatory](https://gettingitrightfirsttime.co.uk/tag/non-ambulatory/)
- [survey](https://gettingitrightfirsttime.co.uk/tag/survey/)
- [Health Foundation](https://gettingitrightfirsttime.co.uk/tag/health-foundation/)
- [poster](https://gettingitrightfirsttime.co.uk/tag/poster/)
- [interactive pathway](https://gettingitrightfirsttime.co.uk/tag/interactive-pathway/)
- [levell](https://gettingitrightfirsttime.co.uk/tag/levell/)
- [honours](https://gettingitrightfirsttime.co.uk/tag/honours/)
- [MBE](https://gettingitrightfirsttime.co.uk/tag/mbe/)
- [questionnaire](https://gettingitrightfirsttime.co.uk/tag/questionnaire/)
- [insulin](https://gettingitrightfirsttime.co.uk/tag/insulin/)
- [GI](https://gettingitrightfirsttime.co.uk/tag/gi/)
- [gastrointestinal](https://gettingitrightfirsttime.co.uk/tag/gastrointestinal/)
- [launch](https://gettingitrightfirsttime.co.uk/tag/launch/)
- [McCone](https://gettingitrightfirsttime.co.uk/tag/mccone/)
- [nursing times](https://gettingitrightfirsttime.co.uk/tag/nursing-times/)
- [network](https://gettingitrightfirsttime.co.uk/tag/network/)
- [bleeding](https://gettingitrightfirsttime.co.uk/tag/bleeding/)
- [HRT](https://gettingitrightfirsttime.co.uk/tag/hrt/)
- [menopause](https://gettingitrightfirsttime.co.uk/tag/menopause/)
- [British Menopause Society](https://gettingitrightfirsttime.co.uk/tag/british-menopause-society/)
- [data tool](https://gettingitrightfirsttime.co.uk/tag/data-tool/)
- [SAMIT 75](https://gettingitrightfirsttime.co.uk/tag/samit-75/)
- [75+](https://gettingitrightfirsttime.co.uk/tag/75/)
- [principles](https://gettingitrightfirsttime.co.uk/tag/principles/)
- [effective care](https://gettingitrightfirsttime.co.uk/tag/effective-care/)
- [acute patient care](https://gettingitrightfirsttime.co.uk/tag/acute-patient-care/)
- [imaging](https://gettingitrightfirsttime.co.uk/tag/imaging/)
- [theatres](https://gettingitrightfirsttime.co.uk/tag/theatres/)
- [radiographer](https://gettingitrightfirsttime.co.uk/tag/radiographer/)
- [RCS](https://gettingitrightfirsttime.co.uk/tag/rcs/)
- [modules](https://gettingitrightfirsttime.co.uk/tag/modules/)
- [productivity](https://gettingitrightfirsttime.co.uk/tag/productivity/)
- [HLH](https://gettingitrightfirsttime.co.uk/tag/hlh/)
- [haemophagocytic lymphohistiocytosis](https://gettingitrightfirsttime.co.uk/tag/haemophagocytic-lymphohistiocytosis/)
- [Hoole](https://gettingitrightfirsttime.co.uk/tag/hoole/)
- [Sopher](https://gettingitrightfirsttime.co.uk/tag/sopher/)
- [Liz](https://gettingitrightfirsttime.co.uk/tag/liz/)
- [Wilkinson](https://gettingitrightfirsttime.co.uk/tag/wilkinson/)
- [virtual wards](https://gettingitrightfirsttime.co.uk/tag/virtual-wards/)
- [hospital at home](https://gettingitrightfirsttime.co.uk/tag/hospital-at-home/)
- [HaH](https://gettingitrightfirsttime.co.uk/tag/hah/)
- [diigital](https://gettingitrightfirsttime.co.uk/tag/diigital/)
- [pre-operative care](https://gettingitrightfirsttime.co.uk/tag/pre-operative-care/)
- [digital health technologies](https://gettingitrightfirsttime.co.uk/tag/digital-health-technologies/)
- [post-menopausal bleeding](https://gettingitrightfirsttime.co.uk/tag/post-menopausal-bleeding/)
- [PMS clinic](https://gettingitrightfirsttime.co.uk/tag/pms-clinic/)
- [knee replacement](https://gettingitrightfirsttime.co.uk/tag/knee-replacement/)
- [TKA](https://gettingitrightfirsttime.co.uk/tag/tka/)
- [carbon](https://gettingitrightfirsttime.co.uk/tag/carbon/)
- [BADS](https://gettingitrightfirsttime.co.uk/tag/bads/)
- [CPOC](https://gettingitrightfirsttime.co.uk/tag/cpoc/)
- [delivery pack](https://gettingitrightfirsttime.co.uk/tag/delivery-pack/)
- [changes](https://gettingitrightfirsttime.co.uk/tag/changes/)
- [compartment](https://gettingitrightfirsttime.co.uk/tag/compartment/)
- [decarbonisation](https://gettingitrightfirsttime.co.uk/tag/decarbonisation/)
- [gynaecology](https://gettingitrightfirsttime.co.uk/tag/gynaecology/)
- [gynae](https://gettingitrightfirsttime.co.uk/tag/gynae/)
- [spine](https://gettingitrightfirsttime.co.uk/tag/spine/)
- [Devon](https://gettingitrightfirsttime.co.uk/tag/devon/)
- [spinal surgery](https://gettingitrightfirsttime.co.uk/tag/spinal-surgery/)
- [hybrid closed loops](https://gettingitrightfirsttime.co.uk/tag/hybrid-closed-loops/)
- [HCL](https://gettingitrightfirsttime.co.uk/tag/hcl/)
- [partha](https://gettingitrightfirsttime.co.uk/tag/partha/)
- [kar](https://gettingitrightfirsttime.co.uk/tag/kar/)
- [sickle cell](https://gettingitrightfirsttime.co.uk/tag/sickle-cell/)
- [SCD](https://gettingitrightfirsttime.co.uk/tag/scd/)
- [thalassaemia](https://gettingitrightfirsttime.co.uk/tag/thalassaemia/)
- [NHII](https://gettingitrightfirsttime.co.uk/tag/nhii/)
- [health inequalities](https://gettingitrightfirsttime.co.uk/tag/health-inequalities/)
- [NUH](https://gettingitrightfirsttime.co.uk/tag/nuh/)
- [Nottingham](https://gettingitrightfirsttime.co.uk/tag/nottingham/)
- [WAVE](https://gettingitrightfirsttime.co.uk/tag/wave/)
- [improvement methodology](https://gettingitrightfirsttime.co.uk/tag/improvement-methodology/)
- [postponed](https://gettingitrightfirsttime.co.uk/tag/postponed/)
- [postponement](https://gettingitrightfirsttime.co.uk/tag/postponement/)
- [appointments](https://gettingitrightfirsttime.co.uk/tag/appointments/)
- [hospital dentistry](https://gettingitrightfirsttime.co.uk/tag/hospital-dentistry/)
- [explainer](https://gettingitrightfirsttime.co.uk/tag/explainer/)
- [greener](https://gettingitrightfirsttime.co.uk/tag/greener/)
- [bladder](https://gettingitrightfirsttime.co.uk/tag/bladder/)
- [bladder cancer](https://gettingitrightfirsttime.co.uk/tag/bladder-cancer/)
- [governance](https://gettingitrightfirsttime.co.uk/tag/governance/)
- [BAU](https://gettingitrightfirsttime.co.uk/tag/bau/)
- [getting the most](https://gettingitrightfirsttime.co.uk/tag/getting-the-most/)
- [HSJ](https://gettingitrightfirsttime.co.uk/tag/hsj/)
- [GLASS](https://gettingitrightfirsttime.co.uk/tag/glass/)
- [government](https://gettingitrightfirsttime.co.uk/tag/government/)
- [funding](https://gettingitrightfirsttime.co.uk/tag/funding/)
- [manchester](https://gettingitrightfirsttime.co.uk/tag/manchester/)
- [Rachel Yates](https://gettingitrightfirsttime.co.uk/tag/rachel-yates/)
- [community dental services](https://gettingitrightfirsttime.co.uk/tag/community-dental-services/)
- [CDS](https://gettingitrightfirsttime.co.uk/tag/cds/)
- [report](https://gettingitrightfirsttime.co.uk/tag/report/)
- [supplement](https://gettingitrightfirsttime.co.uk/tag/supplement/)
- [gastroenterology](https://gettingitrightfirsttime.co.uk/tag/gastroenterology/)
- [specialty advisor](https://gettingitrightfirsttime.co.uk/tag/specialty-advisor/)
- [clinical](https://gettingitrightfirsttime.co.uk/tag/clinical/)
- [recruitment](https://gettingitrightfirsttime.co.uk/tag/recruitment/)
- [Clinicians](https://gettingitrightfirsttime.co.uk/tag/clinicians/)
- [Jobs](https://gettingitrightfirsttime.co.uk/tag/jobs/)
- [robotic surgery](https://gettingitrightfirsttime.co.uk/tag/robotic-surgery/)
- [robotic assisted surgery](https://gettingitrightfirsttime.co.uk/tag/robotic-assisted-surgery/)
- [CYPMH](https://gettingitrightfirsttime.co.uk/tag/cypmh/)
- [Holan](https://gettingitrightfirsttime.co.uk/tag/holan/)
- [Liang](https://gettingitrightfirsttime.co.uk/tag/liang/)
- [TULA](https://gettingitrightfirsttime.co.uk/tag/tula/)
- [agrawal](https://gettingitrightfirsttime.co.uk/tag/agrawal/)
- [MRSA](https://gettingitrightfirsttime.co.uk/tag/mrsa/)
- [screening](https://gettingitrightfirsttime.co.uk/tag/screening/)
- [urgent and emergency care](https://gettingitrightfirsttime.co.uk/tag/urgent-and-emergency-care/)
- [rectal cancer](https://gettingitrightfirsttime.co.uk/tag/rectal-cancer/)
- [lower gastrointestinal cancer](https://gettingitrightfirsttime.co.uk/tag/lower-gastrointestinal-cancer/)
- [LGI](https://gettingitrightfirsttime.co.uk/tag/lgi/)
- [Alastair](https://gettingitrightfirsttime.co.uk/tag/alastair/)
- [Simpson](https://gettingitrightfirsttime.co.uk/tag/simpson/)
- [British Society for Rheumatology](https://gettingitrightfirsttime.co.uk/tag/british-society-for-rheumatology/)
- [chronic pain](https://gettingitrightfirsttime.co.uk/tag/chronic-pain/)
- [Makins](https://gettingitrightfirsttime.co.uk/tag/makins/)
- [Clinch](https://gettingitrightfirsttime.co.uk/tag/clinch/)
- [Syers](https://gettingitrightfirsttime.co.uk/tag/syers/)
- [capacity](https://gettingitrightfirsttime.co.uk/tag/capacity/)
- [vertebral fragility fracture](https://gettingitrightfirsttime.co.uk/tag/vertebral-fragility-fracture/)
- [VFF](https://gettingitrightfirsttime.co.uk/tag/vff/)
- [better outcomes](https://gettingitrightfirsttime.co.uk/tag/better-outcomes/)
- [Axial Spondyloarthritis](https://gettingitrightfirsttime.co.uk/tag/axial-spondyloarthritis/)
- [playbook](https://gettingitrightfirsttime.co.uk/tag/playbook/)
- [Axial SpA](https://gettingitrightfirsttime.co.uk/tag/axial-spa/)
- [testosterone](https://gettingitrightfirsttime.co.uk/tag/testosterone/)
- [primary care](https://gettingitrightfirsttime.co.uk/tag/primary-care/)
- [GP](https://gettingitrightfirsttime.co.uk/tag/gp/)
- [physiotherapy](https://gettingitrightfirsttime.co.uk/tag/physiotherapy/)
- [FCP](https://gettingitrightfirsttime.co.uk/tag/fcp/)
- [QR codes](https://gettingitrightfirsttime.co.uk/tag/qr-codes/)
- [irritable bowel syndrome](https://gettingitrightfirsttime.co.uk/tag/irritable-bowel-syndrome/)
- [IBD](https://gettingitrightfirsttime.co.uk/tag/ibd/)
- [update](https://gettingitrightfirsttime.co.uk/tag/update/)
- [refresh](https://gettingitrightfirsttime.co.uk/tag/refresh/)