March 2018 - GIRFT Staff Newsletter - Read online

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March 2019

New clinical leads for paediatric and neonatal workstreams

GIRFT is welcoming four new clinicians to the programme to lead on new paediatric and neonatal workstreams.

Professor Kevin Morris, pictured top left, is the new clinical lead for paediatric critical care. He has been a consultant in paediatric intensive care at Birmingham Children’s Hospital since 1997. He will be supported in the role by clinical advisor Dr Peter-Marc Fortune, pictured top right.

Mr James Hunter, bottom right, has been appointed as the lead for paediatrics orthopaedic (trauma and elective) surgery. Mr Hunter is currently a consultant trauma and paediatric orthopaedic surgeon at Nottingham University Hospital.

And Dr Eleri Adams, pictured bottom left, is the new clinical lead for neonatal intensive care. Dr Adams has been a consultant neonatologist at the Oxford University Hospitals NHS Foundation Trust for 17 years.

Read more about them here

GIRFT chair in top NHS role 

GIRFT chair Professor Tim Briggs has been appointed to the new role of National Director of Clinical Improvement for the NHS. Tim was formerly National Director of Clinical Quality and Efficiency at NHS Improvement.

He will be working with Hugh McCaughey, who will take on the new role as National Director of Improvement in the new NHS Executive group in April. Together they will oversee the delivery of support to the NHS to help reduce unwarranted clinical variation, improve quality and access, and ensure the most efficient use of resources. 

Read more here

GIRFT national report on spinal services launched

The Getting It Right First Time programme has published its eighth national report, focusing on spinal surgery.

The report, authored by Mike Hutton, makes 22 recommendations designed to improve the patient experience through earlier discharge from hospital, reducing cancelled operations and ensuring trusts are equipped to deliver the best care in the most timely manner. It is estimated the recommendations could deliver cost efficiencies of up to £27m. 

The recommendations include replacing short-term pain relief injections with long-term physical and psychological rehabilitation programmes to help patients cope with debilitating back pain and referral without delay to 24-hour MRI scanning in all hospitals for patients with suspected cauda equina syndrome. You can read the report in full here 
The NHS Long Term Plan 

Getting It Right First Time (GIRFT) welcomed the publication of the NHS Long Term Plan, which recognises the important role the programme is playing in putting patients first and reducing unwarranted variations in the NHS.

The plan, published by NHS England, aims to save 500,000 lives with action on serious conditions and investment in cutting edge treatments across the next ten years. GIRFT is highlighted several times in the document, in particular for its work on productivity growth and reducing unwarranted variation.

Managing director Rachel Yates said: “I am very pleased that the GIRFT programme has been recognised for the value it can bring to improving patient care. We look forward to working with trusts and clinicians to bring about change as part of the NHS Long Term Plan.”

Read more here 

Regional neurology events under way

GIRFT has launched a series of regional neurology meetings as it begins work on assessing neurological services.

The regional meetings, led by Dr Geraint Fuller, pictured, are bringing together clinicians from hospitals associated with the country’s major neuroscience centres to enable them to compare data with other similarly defined regions.

In line with GIRFT’s methodology, these will be followed with individual ‘deep dive’ meetings at each trust, where data can be examined and compared in more detail. 

Read more here  

Regional hub Twitter accounts go live

New Twitter accounts linked to GIRFT's regional hubs have gone live, targeting more local audience. In addition to sharing content from the national @NHSGIRFT feed, the hub accounts are providing tailored content localised for each region.

The focus of the accounts is to engage more closely with partner trusts, to share information with their audiences and create a greater understanding of GIRFT with NHS professionals across the country.

Follow the accounts in your area for up to date, localised programme news. The Twitter handles are: @NHSGIRFT_London; @NHSGIRFT_SE; @NHSGIRFT_SW: @NHSGIRFT_WM; @NHSGIRFT_EMEE; @NHSGIRFT_NW; @NHSGIRFT_NENCY.

Sign up for ECTP webinars

NHS England’s Elective Care Transformation Programme is holding three webinars to guide you through their fifth wave of handbooks and case studies featuring general medicine, neurology and radiology. They will feature learning from the ‘100 Day Challenge’ undertaken by four local health systems in all three specialties.

The handbooks provide a list of initiatives and actions that will support commissioners, providers, GPs and local health systems to transform elective care.

The webinars take place on 12 March (general medicine), 19 March (neurology) and 26 March (radiology). For more information, visit the Elective Care Transformation Programme website to register for the webinars..
Five minutes with... Dr Adrian Hopper

GIRFT's clinical lead for geriatric medicine talks about his love of his specialty... and the patients who inspire him

Q: How did you first become interested in geriatric medicine?
I knew early on that I wanted to do a medical specialty and could never be a surgeon. I happened to do some early training jobs in geriatric medicine and found it very exciting; the scale of the challenge (which continues to grow), the need to understand and work within a complex system that needs to be patient and carer-focused, and the opportunities for change and improvement.

Q: What excites you most about your specialty?
Frailty is one of the major healthcare challenges and in my career I have seen management of frailty moving from something that was ignored to centre stage of both hospital and hospital community interface practice. Frailty is one of the biggest sources of variation within a hospital and we have models, guidelines and approaches that can make a big difference

Q: What has been the highlight of your career to date?
Creating a care bundle (the AMBER Care Bundle) to support effective patient-centred decision-making in patients who may be approaching end of life where there is uncertainty about their recovery. It started as a local project at my hospital and has grown to be used widely in the NHS and internationally.

Q: Who or what inspires you?
The fortitude of the many, many patients and carers that I have worked with.

Q: How do you relax?
Cycling to work – a meditation on the day ahead and, in Scotland, surrounded by nature. 

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