The RNOH aims to be a world-leading orthopaedic hospital with the best patient care and staff experience in the NHS

Getting It Right First Time Programme

GIRFT Getting It Right First Time
Clinical Lead for Anaesthesia

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 patient outcomes, as well as delivering efficiencies such as the reduction of unnecessary procedures and cost savings.

For further information, please visit the GIRFT programme website.

Importantly, GIRFT is led by frontline clinicians who are expert in the areas they are reviewing. This means the data that underpins the GIRFT methodology is being reviewed by people who understand those disciplines and manage those services on a daily basis. The GIRFT team visit every trust carrying out the specialties they are reviewing, investigating the data with their peers and discussing the individual challenges they face.

GIRFT began as a pilot within orthopaedic surgery led by orthopaedic surgeon Professor Tim Briggs and hosted by NHS Royal National Orthopaedic Hospital Trust (RNOH). Following the success of the pilot, the GIRFT methodology was rolled out to more than 30 medical specialties and is now a partnership between the RNOH and the Operational Productivity Directorate of NHS Improvement (NHSI).

After the pilot, an NHSI a survey of more than 70 trusts found total savings of up to £30m for 2014/15 and a further £20m forecast for 2015/16 as a result of adopting GIRFT’s recommendations. If extrapolated across the more than 140 providers visited these savings would be almost £100m.

The expansion of GIRFT was made possible by £60m of funding from the Department of Health, announced by the then Health Secretary Jeremy Hunt, in November 2016, as part of a package of measures intended in part to reduce infection rates in the NHS. He stated that GIRFT would help save the NHS £1.5bn per year.

GIRFT Programme privacy policy

The information below is intended as a short summary. To read our full privacy policy, please visit the GIRFT Programme privacy policy

The data we collect about you

Personal data, or personal information, means any information about an individual from which that person can be identified. It does not include data where the identity has been removed (anonymous data).

We may collect, use, store and transfer different kinds of personal data about you which we have grouped together as follows:

Health Data includes information received by GIRFT in the form of parliamentary questions; internal investigations due to complaints or internal whistle-blowing; information received relating to patient safety incidents recorded via the National Reporting and Learning System; information shared by NHS Resolution about litigation claims; and diagnostic and procedure information about the healthcare services that patient have received.

Purposes for which we will use your personal data

We have set out below a description of all the ways we plan to use your personal data, and the legal bases we rely on to do so.

  • Purpose/activity: To understand the delivery of healthcare services
  • Type of data: (c) Health
  • The lawful basis for processing including the basis of legitimate interest: Necessary for the performance of a task carried out in the public interest

Data retention: How long will you use my personal data for?

All records held by GIRFT will be kept for the duration specified by national guidance from the Department of Health & Social Care found in the Records management: NHS code of practice for health and social care 2016, supplemented by GIRFT’s retention schedule.

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*We use this information to make improvements to our website and appreciate any feedback you can offer. Comments are emailed to the Communications Team at RNOH. The personal information collected is only used for email replies (Name and Email) and is stored encrypted in our database for 30 days and then permanently deleted.

Health Professionals