Hargroves David, Lowe Deborah, Wood Marion, Ray Simon
East Kent Hospitals University NHS Foundation Trust, Ashford, UK.
Wirral University Teaching Hospital Foundation Trust, Upton, UK.
Future Healthc J. 2022 Jul;9(2):118-124. doi: 10.7861/fhj.2022-0048.
The Getting It Right First Time (GIRFT) process is designed to improve the care of patients in the NHS in England through in-depth review of services, benchmarking and presenting a data-driven evidence base to support change. It started as a pilot project targeting unwarranted variation in elective orthopaedic surgery. It rapidly became apparent that the approach of clinically-led deep dives to review the activity in individual orthopaedic units was effective in improving standards of care but also resulted in substantial cost savings that could be reinvested in the clinical service. GIRFT has now expanded to encompass 40 clinical specialties and is funded by NHS England. We describe the ethos of networks and give examples of GIRFT specialty programmes that have made networks a key component of their recommendations.
“首次做对”（GIRFT）流程旨在通过深入审查服务、进行基准比对并提供数据驱动的证据基础以支持变革，从而改善英格兰国民医疗服务体系（NHS）中患者的护理情况。它最初是一个试点项目，旨在解决择期骨科手术中不必要的差异问题。很快就发现，由临床主导深入审查各个骨科单位的业务活动这种方法，不仅能有效提高护理标准，还能大幅节省成本，这些节省下来的成本可重新投入到临床服务中。GIRFT现已扩展至涵盖40个临床专科领域，由英格兰国民医疗服务体系提供资金支持。我们阐述了网络的理念，并列举了一些GIRFT专科项目的例子，这些项目已将网络作为其建议的关键组成部分。
