Strategic Clinical Changes

The Strategic Clinical Changes workstream, led by James Malpeli, will provide oversight of recommendations emerging from GIRFT visits and national reports related to strategic reorganisation of clinical services and other strategic interventions, with a view to supporting trusts in overcoming local and national barriers to implementation. The workstream could include areas such as consultant-delivered emergency care, co-ordinating clinical care across multiple sites or networks, for example hot and cold sites, and providing dedicated resource on a single site, for example ring-fenced beds.

For further information on the GIRFT cross cutting workstreams, please contact James Malpeli (

Lead: James Malpeli