Anaesthesia 2018 podcast | The GIRFT (Getting It Right First Time) project


How do you become well known in the NHS for being innovative, particularly in the perioperative area regarding evaluation and communication of risk? How can cardiopulmonary exercise testing lead to shared decision making? Hear how aortic aneurysms are dealt with by a world class professional perioperative physician. Learn how that process and its success then spread out into other areas of healthcare within his institution. Do you need to develop a broad knowledge Of all surgery and medicine so that you understand what is going on within the different surgical specialities?

Following this discussion is had about the GIRFT (Getting It Right First Time) project. The stated aim is ‘to help improve the quality of care within the NHS by reducing unwarranted variations, bringing efficiencies and improving patient outcomes’. This piece gives you the detail from one of the joint clinical leads.

Presented by Monty Mythen, Joff Lacey and Desiree Chappell with their guest Dr Michael Swart, Consultant in Anaesthesia and Critical Care Medicine at Torbay Hospital and advisor to the UK Department of Health for the Enhanced Recovery Programme.


Recorded by TopMed Talks 

Professor Monty Mythen
Smiths Medical Professor of Anaesthesia and Critical Care, University College London London, UK

Professor Monty Mythen is the Smiths Medical Professor of Anaesthesia and Critical Care at University College London and Adjunct Professor, Department of Anaesthesiology, Duke University, US. Monty is also the founding Director of Evidence-Based Perioperative Medicine International.

Dr Joff Lacey
St George's Hospital, London

Joff (Jonathan) Lacey is a registrar in anaesthesia at St George's Hospital in London, and is currently undertaking a fellowship in Perioperative medicine at UCLH. 

Dr Mike Swart
Consultant in Anaesthesia and Critical Care, Torbay Hospital and RCoA National Clinical Lead for Perioperative Medicine

Mike Swart trained at University College London and undertook anaesthesia and critical care training in Oxford, Cardiff and Cambridge. For the last 18 years, he has worked as a consultant in anaesthesia and critical care medicine at Torbay Hospital in Devon. Michael was previously the medical lead for the Peninsula Critical Care Network and department of health advisor for anaesthesia to the Enhanced Recovery Programme. Mike is the RCoA’s national clinical lead (joint) for perioperative medicine.

Desiree Chappell

Board of Directors, American Society of Enhanced Recovery (ASER). A passionate ambassador of Enhanced Recovery and Perioperative Care. Desiree is the creator of the popular Roundtable perioperative care blog.