Information for NHS trusts

Who is it for?

GIRFT’s clinical fellowship programme is a development opportunity for NHS resident doctors at registrar level, non-consultant doctors, nurses and Allied Health Professionals (all groups) who wish to develop expertise in quality improvement, research, implementation and clinical leadership alongside their clinical practice.

What is the offer?

A clinical fellowship lasts for one year.  Selectively appointed clinical fellows spend approximately 60% of their time leading research and/or quality improvement projects and attending developmental meetings and events (including supervisory and mentoring meetings, workshops and action learning sets).  Fellows use their remaining time working clinically within their trust. Through this combination of clinical practice and improvement activity, fellows develop practical experience of leading change, influencing stakeholders and implementing evidence-based improvements in real-world healthcare settings.  

What are the benefits of hosting a GIRFT clinical fellow?

Participating trusts directly benefit from their fellow’s work through projects focussed on improving patient outcomes, service quality and efficiency within their NHS trust or system.  GIRFT clinical fellows act as a bridge between national improvement expertise and local implementation, helping trusts translate evidence, guidance and best practice into meaningful change.  

By hosting a fellow, organisations gain access to GIRFT’s expertise, networks, knowledge and partners, enabling locally relevant improvement activity while strengthening links with national clinical improvement programmes. Fellows bring dedicated time, analytical capability and improvement expertise to projects that support service transformation and reduce unwarranted variation. 

In addition to delivering project outputs, the fellowship helps organisations develop future clinical improvement leaders. Fellows return to their organisations with enhanced capability in quality improvement, implementation, stakeholder engagement, leadership and system working, creating benefits that extend beyond the duration of the fellowship itself. 

This is an ideal opportunity for participating NHS trusts to become more closely involved in GIRFT’s work to improve treatment and care by reducing unwarranted variation, while building lasting improvement capability within their organisation. 

How to become a participating NHS trust

The typical time split for a GIRFT fellow is 60% GIRFT fellowship work and 40% clinical work.  Funding for the GIRFT element is usually split equally between GIRFT and the trust or another partner organisation (e.g. specialist society, charity, Royal College). Therefore, the funding split for a fellow’s salary is 40% from the trust (for clinical work), 30% from GIRFT and 30% from the trust or partner organisation.  

If you think that your NHS trust would be interested in hosting a fellow and could meet the funding requirements above, then please contact girft.academy@nhs.net for more information or complete the expression of interest form.  Expressions of interest close in November/December for a fellowship starting during summer/autumn of the following year.  

The timeline for recruitment is as follows:

November/December – Expressions of interest close 

December – Trusts informed of funding decision made by GIRFT team 

January/February – GIRFT supports trusts in developing job descriptions and advertising the posts 

February/March – Posts advertised 

March/April – Interviews and appointments 

July/August – Onboarding 

August/September – Fellowship starts (depending on rotation)  

For more information please email: girft.academy@nhs.net  

Expressions of interest close in November/December for a fellowship starting during summer/autumn of the following year. 

Applications for the 2026/27 cohort are now closed.