Further Faster Programme


Getting It Right First Time (GIRFT) is working with NHS trusts as part of a programme called ‘Further Faster’ to deliver rapid clinical transformation with the aim of reducing 52-week waits.

The work brings together clinicians and operational teams with the challenge of collectively going ‘further and faster’ to transform patient pathways and working to reduce unnecessary appointments and improve access and waiting times for patients.

Clinical transformation groups have been established across 19 specialties, involving clinical leads from across the trusts as well as national speciality leads, and other key stakeholders. These groups seek to foster cross-organisational learning and provide a network and collaborative for trust clinical, operational and programme leads to gain peer support, share experiences and lessons learned, as well as the more practical aspects such as sharing of standard operating procedures (SOPs) and project documentation.

The programme aims to support adoption of outpatient transformation guidance, as well as GIRFT’s ‘high volume, low complexity’ (HVLC) surgical standardised pathways, including day case pathways and the use of elective surgical hubs.  


The biggest opportunities for eliminating 52-week waits are likely to be found in the outpatient part of the pathway (where the highest number of patients are waiting). Ensuring only the right patients are referred, effective management of referrals, DNAs, clinic capacity, follow up (including PIFU) and discharge can have a huge impact on reducing the burden in this area.

Chair of the GIRFT programme, Professor Tim Briggs, has met with the 42 ICBs to discuss their elective recovery programmes. What is clear is that in every trust there are elements of exemplar practice, which trusts and clinical teams can learn from and embed quickly to accelerate the reduction of waiting lists, especially in outpatients.

Working with the ‘Further Faster’ trusts, we are producing best practice guidance and handbooks across the 19 specialties. These provide the best practice and ‘checklists’ for action across a number of important metrics and pathways for different specialties to help clinical teams on the journey to go further and faster towards eliminating 52wk waits.

The trusts are grouped into cohorts, to provide further opportunities for peer support, learning and collaboration.   Each group of trusts has access to a nominated National Clinical Director within Elective Recovery, and a member of the GIRFT Implementation team to support their programmes of work.

The initial ask of trusts is to:

  • Map current pathways against the GIRFT Specialty Outpatient Guidance to identify the gaps & opportunities and implement plans.
  • Engage with the Specialty Clinical Groups to a) overcome barriers to adopting the best practice pathways; b) work together with our national clinical leadership to build on that guidance further.
  • Undertake a series of ‘super clinics’ or similar initiatives, adopting the approaches taken in a number of organisations to help increase the pace of recovery.

The aim is that by learning from each other, harnessing the solutions that already exist in departments across the country, trusts can make a positive impact, for both the NHS workforce and for patients, on a national scale.

Find out more about GIRFT’s data-led approach and best practice resources:

  1. Anaesthesia & perioperative medicine
  2. Cardiology
  3. Children and young people
  4. Dermatology
  5. Diabetes
  6. Endocrinology
  7. ENT
  8. Gastroenterology
  9. General surgery
  10. Geriatric medicine
  11. Gynaecology
  12. Neurology
  13. Ophthalmology
  14. Orthopaedics
  15. Paediatrics
  16. Respiratory
  17. Rheumatology
  18. Spinal surgery
  19. Urology
Watch our video to learn more about Further Faster and how to get involved