Model Hospital Trust level Getting it Right First Time metrics Q1 2011 - Q2 2019

Getting It Right First Time (GIRFT, is a national programme designed to improve healthcare 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 support hospital Trusts to improve care and patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings.

GIRFT began as a pilot within orthopaedic surgery led by orthopaedic surgeon Professor Tim Briggs and hosted by the Royal National Orthopaedic Hospital NHS Trust (RNOH). Following the success of the pilot, the GIRFT methodology is being rolled out across more than 40 surgical and medical specialties and is now a partnership between the RNOH and NHS England and NHS Improvement.

Each surgical and medical workstream is led by a prominent clinician chosen from the specialty they are reviewing. The clinicians lead a project to compile a data and insight driven information pack into their specialty, combining publicly available information, including Hospital Episode Statistics (HES), other relevant registry or professional body data, and the results of a questionnaire issued to all the trusts being reviewed. The provider level report (PLR) will look at a wide range of factors, from length of stay to patient mortality, and individual service costs through to overall budgets.

The PLR is used to support discussion during a meeting at the trust – known as a ‘deep dive’ – with senior clinical staff and trust managers. At each deep dive the clinical leads review the findings with their peers, which provides more context to unwarranted variations and opens up a discussion around individual practice and any challenges the trusts face. It is also an opportunity to share best practice and any solutions that have already helped reduce variations.

Following deep dive meetings, the GIRFT clinical lead oversees the creation of a national GIRFT report into their specialty. The report presents the original data, GIRFT’s findings, examples of best practice and an action plan of proposed changes and improvements. Crucially this action plan provides detailed evidence of the benefits changes can bring and is supported by an implementation programme managed by GIRFT.

Regional GIRFT Hubs function as centres from which clinical and project delivery leads can visit trusts, commissioners, STPs/ICSs and Delivery Networks in each region on a regular basis advising on how to reflect the national recommendations into local practice and supporting efforts to deliver any trust-specific recommendations emerging from the clinical lead visits. These teams help to disseminate best practice across the country, matching up trusts who might benefit from collaborating in selected areas of clinical practice.

To complement the local approach, GIRFT works nationally with a wide range of clinical, governmental and public bodies to design a series of complementary levers that will help trusts to deliver the recommendations on the ground. This will range from working with the Royal Colleges and national professional associations and societies on best practice guidance, to working with NHS England and NHS Improvement, NHS RightCare and the Care Quality Commission to ensure that GIRFT recommendations are reflected in any future evolution to regulation or national guidelines.

Through all our efforts, local or national, GIRFT will strive to embody the ‘shoulder to shoulder’ ethos which has become GIRFT’s hallmark as we support clinicians nationwide to deliver continuous quality improvement for the benefit of their patients.

The majority of the data used for both individual provider level reports and national reports for most GIRFT workstream are calculated using HES data. GIRFT have set up an IT process to deliver quarterly values for many metrics, for many procedure and patient (diagnosis) groups, for all Acute Providers to Model Hospital. The data released here is a selection of the metrics available on Model Hospital.


Get all metadata from the API

Additional Information

Coverage Start Date 2011-04-01
Coverage End Date 2019-09-30
Origin Model NHS Team
License UK Open Government Licence (OGL)
Publisher NHS England and NHS Improvement
Visibility PUBLIC
Author Model NHS Team
Author Email Model NHS Team