BOA Professional Guidance to Implement Getting it Right First Time in England

The Getting it Right First Time (GIRFT) report, published in March 2015, identified both variation and scope for quality improvement in terms of procedure volumes, implant selection and infection rates.This was not simply a snap-shot of orthopaedic practice in the country but is intended by NHS England to be a recurrent audit which will be used to influence aspects of orthopaedic delivery. Our guidance aims to provide appropriate clarity on how to implement GIRFT and should be used in conjunction with GIRFT performance dashboards and NJR data.

All discussion of data within the implementation framework of GIRFT is consistent with the principles of the BOA’s position statement on outcome data, T&O surgeons and units. Specifically, the guidance embodies the ethos that: “all individuals or units that are highlighted as having variance issues… must act upon this information to review their data, consider the reasons for variation and whether any further action or alteration to practice is required”.

The BOA’s Professional Guidance to implement Getting it Right First Time in England is available below. The BOA’s position statement on outcome data, T&O surgeons and units is also available below.

In cases of any doubt about the application of this guidance the T&O clinical lead for your unit should contact the BOA Professional Practice Committee via policy@boa.ac.uk.