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The Getting It right First Time (GIRFT) programme in urology; rationale and methodology.

Joseph B John1,2,3, William K Gray3, Kieran O'Flynn3,4

  • 1University of Exeter Medical School, University of Exeter, Exeter, UK.

BJU International
|April 19, 2024
PubMed
Summary
This summary is machine-generated.

The Getting It Right First Time (GIRFT) programme standardises clinical practices in the NHS using data-driven insights. Urology services have specific recommendations for improving patient care and operational efficiency.

Keywords:
benchmarkingcare pathwaysimprovementstandardisationurology

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Area of Science:

  • Healthcare Quality Improvement
  • Clinical Practice Standardization
  • Health Systems Management

Background:

  • The Getting It Right First Time (GIRFT) programme is a national initiative within England's National Health Service.
  • GIRFT aims to enhance patient and system outcomes through standardized clinical practices and data-driven recommendations.
  • The program operates across all medical and surgical specialties, including urology.

Purpose of the Study:

  • To outline the methodology and impact of the GIRFT programme, particularly within urology.
  • To detail the priority areas for development identified in urology services.
  • To highlight the benefits of GIRFT, including clinical transformation, cost reduction, and improved equity in care.

Main Methods:

  • Clinically-led, data-driven, and specialty-specific deep-dive visits to all hospitals.
  • Analysis of performance data and engagement with clinicians and management.
  • Publication of specialty reports with actionable recommendations and development of implementation guides via the GIRFT academy.

Main Results:

  • GIRFT has completed deep-dive visits and published reports for urology, identifying key areas for improvement.
  • Recommendations focus on streamlining care pathways, optimizing care settings, enhancing emergency services, and improving workforce utilization.
  • GIRFT promotes innovations like urology investigation units and urology area networks.

Conclusions:

  • The GIRFT programme drives clinical transformation, cost reduction, and more equitable, sustainable healthcare models.
  • Evaluation focuses on recommendation adoption, barriers to change, and the environmental impact of advocated practices.
  • GIRFT provides a framework for continuous quality improvement in specialized healthcare services.