GIRFT - Getting It Right First Time

Getting It Right First Time is a national programme led by expert clinicians. It’s designed to improve the quality of care within the NHS by reducing unwarranted variation and sharing best practice.

GIRFT supports trusts to identify services changes that will improve care and patient outcomes. Find out more about GIRFT.

How we work together

The Model Hospital and GIRFT programmes are always looking for ways to work more closely together and support trusts to provide the best patient care in the most efficient way.

The Model Hospital is a digital tool that provides an overview of trust’s opportunities to improve productivity, covering every aspect of a trust’s work from theatres to estates, and enabling trusts to benchmark directly against their peers.

GIRFT takes a deep dive into clinical specialties, working with clinicians across the country to come up with specific recommendations for improvement.

GIRFT recommendations in the Model Hospital

When GIRFT finishes investigating a specialty, it issues a report with recommendations. You’ll find these linked from relevant specialty pages and opportunities within the Model Hospital.

We then also work with clinicians to decide which metrics should be displayed in the Model Hospital.

GIRFT-recommended metrics can currently be found in 2 Model Hospital specialties:

  • Orthopaedic Surgery
  • General Surgery

We have temporary retired the GIRFT recommended clinical metrics from the following specialties while we update them (spring 2019):

  • Urology
  • Vascular
Five more are in development:
  • Cardiovascular Surgery
  • Ear, Nose & Throat
  • Neurosurgery
  • Oral and Maxillofacial Surgery
  • Spinal Surgery

To help make this process smoother and more efficient, during 2018/19 we are doing work behind the scenes to share data between our programmes on NHS Improvement’s secure data platform. In future this should enable us to update Model Hospital clinical metrics more frequently, ideally on a quarterly basis.

For more information on GIRFT including specialty reports, workstreams currently in progress and contact information, see  

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