Guidance, pathways and case studies to support improvements in ENT surgery

A range of new resources for teams working to provide ear, nose and throat surgery is now available from the Getting It Right First Time (GIRFT) team.

The guidance, pathways and case studies are designed to support improvements in the specialty, offering clinical insight and examples of best practice for teams to emulate.

Available now are:


Transforming Ear, Nose and Throat Outpatient Services: A practical guide to delivery

Developed by GIRFT and the Outpatient Recovery and Transformation Programme (OPRT), and supported by ENT UK, this delivery guide supports all those with a role in delivering outpatient transformation in Ear Nose and Throat (ENT).

It describes how outpatient care is developing in the face of escalating demand, changes in clinical practice and the introduction of new technologies, and enables users to evaluate their own service alongside outpatient transformation initiatives. It also provides practical advice, with observations and examples that may help units develop their quality improvement through outpatient transformation.

Expanding Day Case Surgery in Ear Nose and Throat Services

Co-badged with ENT UK and the British Association of Day Surgery, this guide supports clinicians, organisations and systems aiming to increase their day case surgery rates to ensure efficiency. In line with recommendations in the GIRFT national report for ENT (2019), it presents examples of how ENT departments can transform their services to provide more day case surgery, including guidance on patient eligibility and safety, the challenges faced, and examples of ENT procedures carried out as day case.

Updated pathways

GIRFT has worked with ENT UK, including the British Society of Facial Plastic Surgery, to update High Volume Low Complexity (HVLC) pathways for the following procedures:

  • Endoscopic sinus surgery
  • Myringoplasty
  • Nasal airway surgery
  • Adult tonsillectomy

There is also a new pathway for day case paediatric tonsillectomy pathway.

Find them all on the ENT page of our website (under pathways).

Best practice case studies

Our range of one-page best practice case studies includes
six new examples for ENT, including:  

  • Reducing outpatient follow-up ratio for adult attendances
  • Open-minimally invasive parathyroidectomy
  • Drainless day case hemithryoidectomy with ARTISS
  • Drainless day case superficial parotidectomy with ARTISS 
  • Day case superficial parotidectomy
  • Cochlear implantation under local anaesthesia

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