GIRFT - Getting It Right First Time

Getting It Right First Time (GIRFT) is a national programme led by expert clinicians. It is 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 Health System (MHS) 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 MHS 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 Health System

When GIRFT finishes investigating a specialty / workstream, it issues a report with recommendations. You will find these linked from relevant specialty pages and opportunities within the MHS.

GIRFT work closely with clinicians to decide which metrics should be displayed in the MHS. We offer two views of the same metrics:

  • Clinical View: Shows metrics grouped by relevant clinical areas such as hips and knees for Orthopaedics. These views are for clinicians to use and will contain all metrics for a workstream.
  • General View: Shows metrics grouped by metric type such as length of stay. The general view may contain a reduced set of metrics that apply to all workstreams. This view is useful for Business Intelligence Managers for example.

GIRFT workstream metrics can currently be found in 10 MHS Clinical Service Lines:

  • Cardiothoracic Surgery
  • ENT
  • Orthopaedic Surgery
  • Spinal Surgery
  • General Surgery
  • Neurosurgery
  • Oral & Maxillofacial
  • Ophthalmology
  • Urology
  • Vascular

Since July 2019, all metrics are now fed directly from a NHS England data warehouse, managed by GIRFT, which is updated on a quarterly basis. All metrics will be refreshed in MHS as soon as the Hospital Episode statistics data is available (2 months in arrears due to Secondary Users Service reconciliation dates).

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

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