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Getting It Right First Time (GIRFT): transforming cardiology care
  1. Simon Ray1,
  2. Sarah C Clarke2
  1. 1 Cardiology, Manchester University Hospitals NHS Foundation Trust, Manchester, UK
  2. 2 Department of Cardiology, Royal Papworth Hospital NHS Foundation Trust, Cambridge, UK
  1. Correspondence to Professor Simon Ray, Cardiology, Manchester University Hospitals NHS Foundation Trust, Manchester, UK; simon.ray{at}


The Getting It Right First Time (GIRFT) process is designed to improve the care of patients in the National Health Service (NHS) in England through in-depth review of services, benchmarking and presenting a data-driven evidence base to support change. Although 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 and 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 nationally by the NHS in England. The purpose of this article is to describe its application and benefit to cardiology.

  • quality of healthcare
  • healthcare outcome assistant

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  • Contributors SR wrote the draft, and both authors reviewed and edited subsequent versions.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.