GIRFT Acute & General Medicine Project

Closed 26 Sep 2019

Opened 17 Oct 2018


The GIRFT programme has seen significant success in the surgical and more recently some of the medical projects.  It is not clear whether this can translate to Acute Internal and General Internal Medicine. What is clear however is that there is unwarranted variation in the delivery of acute medical care; there is a significant amount of waste and there are areas where there is room for improvement. The success of GIRFT has been based on using data to drive improvement. It is crucial to understand the system in which we are working to be able to improve the delivery of care or performance. To achieve this it is necessary to collect the relevant data. We know that the questionnaire asks for a lot of information but we believe it will be very informative.

Once the project gathers the relevant data and has conducted its analysis, a Trust Data Pack will be produced which will be discussed with both your Trust’s senior management team and Acute and General Medicine personnel at a Deep Dive meeting later in 2019.

Why we are consulting

GIRFT A&GM Overview

A survey of services is required for this project as unfortunately site specific granular data regarding Acute Medical Units/departments is not currently available from central/national sources.

Due to the lack of national data, this survey is therefore fairly comprehensive, although a large number of questions only require Y/N responses.

The survey aims to gather site level data, therefore if you have more than one site, then please complete a survey fo reach site.

Please note that the period we are looking to capture all activity information is between April 1st 2017 until March 31st 2018.

GIRFT Project Overview

Why are we collecting the data?

The results from the questionnaire will be used to support NHS Improvement’s duty under the Health and Social Care Act 2012 to protect and promote the interests of people who use health care services by promoting provision of health care services which are, inter alia, economic, efficient and effective.

GIRFT is a national programme overseen by NHS Improvement that aims to be deliver quality improvement in patient outcomes through peer to peer discussion with Clinicians and managers in trust and wider local partners.  It combines wide-ranging data analysis with the input and professional knowledge of Clinicians to examine how things are currently being done and how they could be improved.

Results from the questionnaire will be used for only two purposes: (1) to support GIRFT deep dive or GIRFT implementation meetings in hospitals; (2) to support recommendations in the GIRFT national specialty report. In this latter publication, no values for identifiable Trusts will be displayed.

The type and level of data being collected?

The questionnaire will not collect patient identifiable information.  The questions cover both quantifiable and qualitative themes with some response being a paragraph or two explaining how a particular trust interacts with neighboring organizations (for example).  Most responses will be either yes/no or numbers, both of which  GIRFT may use for benchmarking analysis.

The questionnaire may request the name and contact details of the person who submitted responses to allow GIRFT to follow-up for clarification of answers.

Who will access the data and how will it be further shared?

The results from the questionnaire will be stored within the secure IT environment managed by NHS Improvement, and will never leave this environment. Data will be accessed only by a small number of GIRFT staff that have NHS Improvement permission to use the secure NHS Improvement IT environment Data will be regularly backed up and will be stored until no longer required for the purpose of the implementation of GIRFT programme.  NHS Improvement may also share the data internally within NHS Improvement to support our wider efficiency and productivity programmes and delivery of all statutory responsibilities of Monitor and TDA.  

Data from the audit will be shared back with participating trusts at aggregate level within the GIRFT trust-level data packs.

Data Quality and Validation

Before you submit your Trust’s questionnaire, it is worth noting that NHSI will not validate any answers. Please ensure that you check the quality of your data (in terms of both accuracy and completeness) before submission.

What happens next

Thank you for undertaking the survey.  The GIRFT Acute and General Medicine Team Project Manager will engage with Trusts to organise and commence visits during early 2019.

If you require any further information, then please contact the GIRFT A&GM Project Manager at the following email address: