The GIRFT litigation workstream, co-led by John Machin, shares data on litigation costs with NHS trusts with the aim of working with clinicians and managers to determine how clinical practice could improve, reducing the potential for future litigation by enhancing patient experience.

GIRFT litigation data packs for medical and surgical specialties are shared with trusts to encourage the triangulation of learning from claims, incidents, complaints and inquests.  In particular, since implementing the review of claims through the GIRFT orthopaedic visits and the litigation data packs, there has been a fall in orthopaedic claims volume.

The litigation workstream is being expanded to cover medical and clinical service workstreams, which will help drive both improvements in patient safety and reduction in litigation across the NHS.

John Machin

Clinical Co-Lead for Litigation

John is the Clinical Co-Lead for Litigation at GIRFT, working with Professor Tim Briggs and NHS Resolution to ensure patient care is improved from reviewing clinical negligence claims. Responsible for publishing a range of scientific papers spanning clinical research, quality improvement and clinical negligence, John has also co-authored and contributed to many of the national reports, including The Chavasse Report on improving armed forces and veteran care, Getting It Right First Time – National Review of Elective Orthopaedics and Getting It Right in Orthopaedics – follow-up report. John has also provided input on behalf of GIRFT to the NHS Patient Safety Strategy.

John holds an honours degree in Medical Sciences from Magdalen College, Oxford, and completed his clinical training at UCL. He is a fellow of the Royal College of Surgeons of England having completed his higher surgical training in Nottingham before being awarded post-CCT fellowships at University of British Columbia in Vancouver, Nuffield Orthopaedic Centre in Oxford and King’s College Hospital in London. John is a consultant Trauma and Orthopaedic surgeon specialising in hip and knee surgery at Lewisham and Greenwich NHS Trust.

John is involved in many of the current GIRFT work streams.

Oliver Adebayo

Litigation Clinical Fellow

Oliver Adebayo is a Trauma and Orthopaedic surgery Specialist Registrar in the North East London deanery. Oliver graduated from Kings College London in 2013.  Clinically he has an interest in both limb reconstruction and sports injuries.  Oliver has been passionate about quality improvement and digital transformation throughout his medical career working with companies like Apple and Interneuron on digital platforms. 

In 2021, Oliver became the President of the British Orthopaedic Trainees Association (BOTA), the largest single specialty trainee organisation with over 1500 members.  As President, he worked closely with RCS England, RCSEd, Health Education England as well as other national bodies to ensure that T&O trainees throughout the UK were fully represented, contributing to a number of national initiatives and papers as well as organising the largest single specialty trainee conference ever in 2022.

Oliver is passionate about clinical leadership within the  NHS and believes that this is essential to creating a culture within healthcare that embraces innovation and resourcefulness whilst maintaining a focus on the delivery of safe, efficient and compassionate patient care.  Oliver has a keen interest in digital transformation and during his MSc in Surgical Innovation learned
about the innovation methodology and how digital solutions impact on education
, quality improvement and surgical technology. Having also been a part of the Clinical User Experience (UX) Design Academy programme, he is keen to help translate his knowledge learned into practice, hoping to develop more patient focussed designed initiatives.

Jacob Koris

Litigation Clinical Fellow

Jacob Koris is a Trauma and Orthopaedic Registrar in the Oxford Deanery. Having graduated from University College London in 2017, he completed his Foundation Training in the East Midlands South before moving to Oxford for his Core and Higher Surgical Training.

Having experienced the challenges that the COVID-19 pandemic had on surgical training, Jacob spent a year as an HEE Improvement Fellow, developing a framework for improving surgical exposure for training surgeons. More recently, Jacob has been working on the HEE Health Innovation Pilot, developing innovative solutions to challenges in operating theatre efficiencies. As part of the NHS Emerging Leaders Programme, Jacob worked with the Big Data Institute to improve patient flow through hospitals, with the goal of developing an algorithm for estimating length of stay for acute admissions.

Jacob has a particular interest in further developing and integrating the use of technology to drive efficiencies in healthcare, including the better utilisation of big data and machine learning.

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

  • Case studies
  • Guidance
  • Metrics
  • Pathways
  • Webinars

For further information please email: