Getting It Right First Time (GIRFT)
@NHSGIRFT
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GIRFT is a clinically-led NHS improvement programme using benchmarking data to support best practice, reduce variation and enhance patient outcomes.
England, United Kingdom
Joined January 2017
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It is with great sadness that we pay tribute to our joint EM lead Dr Cliff Mann OBE, who has passed away. He'll be remembered by all at
@NHSGIRFT
as an inspirational clinician, hugely passionate about NHS improvement & a great man to work with
Heartfelt condolences to his family
8
25
221
Huge congratulations to
@parthaskar
-
@NHSGIRFT
joint lead for
#diabetes
- on his OBE in the
#NewYearsHonours
today... so richly deserved!🎉
3
14
158
👏 Huge congratulations to
@Deborah71247971
on her appointment as national clinical director for stroke! As joint
#GIRFT
clinical lead with
@HargrovesDavid
the two make a formidable pair in their mission to improve
#stroke
services for units, staff & patients. Onwards & upwards!
6
15
111
Congratulations to
#GIRFT
chairman Professor Tim Briggs on his appointment to the new role of National Director of Clinical Improvement for the NHS. Read more here:
@ProfTimBriggs
1
34
101
👏Huge congratulations to our clinical lead
@Simonkenny14
, who today receives an OBE for services to paediatric surgery
Simon has worked tirelessly to improve children’s surgery and his recognition in the
#NewYearsHonours
is so richly deserved
Read more▶️
10
14
104
🎉🎉🎉 Huge congratulations to
@NHSGIRFT
chair
@ProfTimBriggs
, our joint EM lead
@DrCJM
& joint
#diabetes
lead
@parthaskar
on being named in the
@HSJnews
HSJ100 today... among the most powerful & influential people in the
#NHS
& health policy in England
We couldn't agree more!
6
11
81
Congratulations to Professor Tim Briggs CBE, honoured for his services to surgery and Dr Clifford Mann OBE, honoured for his services to emergency medicine
2
31
69
📢 Our pathway for suspected Cauda Equina Syndrome just got interactive!
Clinicians, nurses, AHPs working across the patient pathway can view and bookmark the new, easy-to-navigate format TODAY:
@PandaSurgeon
5
52
72
We're delighted to welcome Andrew Bennett
@andypbennett79
as GIRFT's clinical advisor for our new community MSK workstream
Andy is a consultant MSK physiotherapist in
@SuttonHandC
& former NCD for MSK
Read more about the workstream & Andy's new GIRFT role🔗
8
14
67
We're delighted to release new guidance to support
#geriatric
medicine and
#frailty
teams deliver better system-wide care outcomes for older people👇
'Six Steps to Better Care for Older People in Acute Hospitals' in collaboration with
@GeriSoc
➡️
1/4
2
40
62
NEW
#WEBINAR
!
Join GIRFT's
#spinal
lead
@PandaSurgeon
and
#BestMSK
's
@andypbennett79
for this lunchtime session designed to support clinicians responding to the care needs of
#CES
patients.
Register below:
🔗
6
29
56
🙌 Thank you to 460+ attendees that came to today’s adult critical care webinar.
👏 Special thanks to our panel including
@AnnaBatchelor
,
@AlisonPittard
,
@D1975P
,
@rmoonesinghe
,
@waldmannthree
,
@drandyslack
and
@drjoelmeyer
.
Webinar will be made available 🔜
5
6
54
👏 Congratulations to Dr Martin Allen, our
@NHSGIRFT
lead for
#respiratory
medicine, on your recent appointment as
@NHSEngland
National Specialty Adviser for physiological measurement, focusing on cardio-respiratory diagnostics
0
13
55
We are delighted to publish our
#GIRFT
national report on spinal services today. Read our news announcement and download the full report from
@UKSpineSB
@BASSspine
@The_SBNS
@BritOrthopaedic
@RCSnews
3
34
49
#GIRFT
is delighted to announce the appointment of FOUR leading clinicians to head reviews in new workstreams for paediatric critical care, neonatal intensive care and paediatrics orthopaedic surgery. See
@PICSociety
@BAPM_Official
@BSCOS_UK
@DrPeterMarc
0
20
50
Congratulations to
@skalidindi1
- lead for Mental Health, appointed with the endorsement of
@rcpsych
12
21
49
Over 5⃣0⃣0⃣ registrations for our upcoming webinar:
'
#GIRFT
and
@RCPhysicianswebinar
series:
#Frailty
care in the community'
🗓️ 20/06
⌚️ 12:30 - 13:45
Register 👇
3
29
49
Today we’re announcing two new
@NHSGIRFT
leads to continue the work of our
#urology
national review. A big welcome to Kieran O’Flynn & John McGrath, who will be leading revisits to trusts
Read more at
@pelvicERAS
@BAUSurology
@RDEhospitals
@SalfordRoyalNHS
0
15
48
Today we’re marking International Day of Radiology, dedicated to imaging staff & their vital role in fighting
#COVID19
⭐
DYK our
#GIRFT
report for radiology is coming VERY soon? Watch this space...
#IDoR2020
@RCRadiologists
@SCoRMembers
@halliday_kath
@ElaineQuick6
@LucyBeeley
0
13
46
📢We’re thrilled to announce two new clinical leads to the GIRFT fold today, working closely w/
@VSGBI
to recharge our work on vascular surgery
A warm welcome to
@rebellvascular
(
@newcastlehosps
) &
@Jonnyboyle1
(
@CUH_NHS
)
We can't wait to get started
🔗
1/2
4
13
46
🆕 Our new guidance with the
#VirtualWards
team is available now, in an easy-to-read, concise format:
Download today for key advice and steps to help
#NHS
teams get the most from virtual wards, improving patient choice and care.
1
37
45
📢 JOB ALERT! 📢
We're looking for a
#physiotherapist
and an occupational therapist to work on an
@NHSGIRFT
review of veteran rehabilitation services.
Must have:
✅ experience of rehab for MSK
✅ a passion for veteran care
✅ plenty of enthusiasm
Apply:
3
46
45
Stop seeing data as a load of numbers... start seeing it as tool for making things better!
#GIRFT
metrics on
@model_hospital
are available for 7 specialties and more are coming very soon. Head to to register and see how they can help you and your patients
0
24
45
On International Women’s Day 2021
#IWD2021
we applaud the women who are leading the way in shaping the
#NHS
of the future as our
@NHSGIRFT
clinical leads and advisors.
Thank you to every one of them for their determination to drive change 💙
#ChooseToChallenge
@womensday
3
12
44
🆕 Today we’ve published our
#GIRFT
national report for
#radiology
, calling for patient experience to be at the heart of work to increase capacity during & after
#COVID19
▶️
@RCRadiologists
@SCoRMembers
@BSIR_News
@halliday_kath
@ElaineQuick6
@LucyBeeley
0
37
45
Massive thanks to 1⃣0⃣9⃣0⃣+ attendees for tuning in to the GIRFT cauda equina (
#CES
) webinar yesterday. 👏
Special thanks to our panel of experts, esp
@PandaSurgeon
and
@andypbennett79
for hosting.
Recording coming soon...
Meanwhile, view CES pathway:
1
11
43
Looking for a way to instantly access our new interactive pathway for suspected Cauda Equina Syndrome?
👇Scan (and save) the QR below to your phone or device, so it’s there whenever you need
(you can also click this link: )
3
31
42
Diabetes Week begins today, raising the profile of a condition affecting 4.7m UK people.
#GIRFT
's Prof Gerry Rayman & Dr Partha Kar are visiting trusts with the aim of improving care for
#diabetes
patients.
@DiabetesUK
#DiabetesWeek
@parthaskar
@DrGMagic
0
14
42
🏆 We’re delighted to announce today that 8 elective surgical hubs have been accredited by
#GIRFT
as part of a national scheme ensuring the highest standards in clinical and operational practice.
Read more:
🔗
1/3
2
17
40
🤩It’s here! Our NEW video showcasing best practice in ambulatory hip and knee replacement at SWAOC (
@NightingaleExt
) is now available to view!
Here’s a short Twitter taster, but you can see the whole 12-min video by clicking here:
1/3
2
23
40
🆕 On the eve of
#WorldDiabetesDay
our national report for
#diabetes
is published TODAY
Written by
@parthaskar
&
@DrGMagic
it sets out 15 recommendations on patient safety, care for T1 & diabetic footcare
▶️Download a copy
@DiabetesUK
@ABCDiab
@JDRFUK
@WDD
2
15
40
Congratulations to our GIRFT clinical lead for
#stroke
@Deborah71247971
on being made an Honorary Clinical Professor
@UCLan
👏👏👏
Former
@NHSEngland
National Clinical Director for
#Stroke
Medicine
@Deborah71247971
is made an Honorary Clinical Professor
@UCLan
where she will work with the world’s largest nurse-led stroke research team 👏
Learn more:
@NHSGIRFT
@WUTHnhs
12
9
53
1
7
41
Grateful to hear Major Shipley RA's earnest talk about his time in the Army, the charities that helped him, & the importance of veterans & serving personnel speaking up if they're facing mental health problems, eg anxiety, depression or PTSD
#VeteranAware
1
15
36
Today we're welcoming three clinicians to lead our new lung cancer work... aiming to improve care for the 38,000 people diagnosed with lung cancer in England each year.
@PaulBeckett8
@lizzietoy
@drsarahdoffman
@BTSrespiratory
@RCRadiologists
@respfutures
1
14
40
We're delighted to be working with
@RCPhysicians
to offer 2 new lunchtime webinars to support clinical improvements in
#frailty
care:
acute general hospitals
🗓️ 15/12
🔗
hospital/community interface
🗓️ 19/01
🔗
Register today!
5
21
39
DYK? Our
@NHSGIRFT
national report for
#diabetes
was published on Friday, setting out 15 recommendations for patient safety, care for T1 & diabetic footcare
Read more and download a copy @
@parthaskar
@DrGMagic
@DiabetesUK
@ABCDiab
@JDRFUK
2
15
39
Have you registered for
#GIRFT
and
@RCPhysicians
upcoming webinar: 'Improving
#frailty
care in acute general hospitals'?
🗓️ 15/12
⌚️ 12:30 -13:45
Join our subject matter experts to explore measures which can help alleviate current and future pressures.
🔗
3
36
38
A wonderful and fitting tribute in recognition of the late, great Cliff Mann, GIRFT’s former joint clinical lead for emergency medicine, on his much-deserved Honorary SAM Fellowship by
@acutemedicine
– so well deserved.
@DrChrisMoulton
It is with immense honour that we presented a Honorary SAM Fellowship to the late great Cliff Mann. It was so lovely to have his wife, Rhona and daughter, Rebecca, accept this accolade.
@SueManby
@acutemed2
2
6
68
2
7
36
Why access the latest
#geriatric
medicine metrics on
@ModelNHS
?
🔵 Care of older patients living with
#frailty
is a key challenge for the
#NHS
.
🔵 More than half of people aged 65-74 live with at least one long-term health condition.
Read more:
🔗
3
20
36
More than 4,000+ people are admitted to hospital every day in England as a result of
#frailty
.
In 2 days' time, the
#GIRFT
and
@RCPhysicians
webinar will focus on the challenges posed by an ever increasing demand from an ageing population.
Register
🔗
2
20
35
Great news about GIRFT Chair, Professor Tim Briggs, being appointed to the role of National Director for Clinical Improvement and Elective Recovery.
Read more:
🔗
1
11
35
Thanks to everyone who joined us for our
@NHSGIRFT
#radiology
report webinar today... all 500 of you! Apologies to anyone who couldn't join. A recording will be available on our website soon & mailed to all who registered
@halliday_kath
@ElaineQuick6
@RCRadiologists
@SCoRMembers
1
8
34
Over the next two months we're hosting a series of regional webinars aimed at junior doctors, nurses and Allied Health Professionals (AHPs) to hear from our clinical leads on how the
@NHSGIRFT
programme can benefit patients.
Read more about it here 👇
1
26
35
Registrations for GIRFT’s co-hosted
#neonatology
webinar series are now open!
07/07
‘The findings & recommendations from the GIRFT neonatology national report' w/
@BAPM_Official
14/07
‘Workforce & the way forward’ w/
@NNAUK1
Both 1-2:15pm⌚️
Book now
👉
3
24
34
Professor Kevin Morris and Dr Peter-Marc Fortune are today announced as clinical lead and clinical advisor to our new
#GIRFT
paediatric critical care workstream. Read more here
@PICSociety
@DrPeterMarc
@Bham_Childrens
@RMCHosp
4
12
35
Join us next week to hear how the
@NHSGIRFT
report for
#pathology
can help move towards
✅Right test
✅Right time
✅Right result for patient
With
@Martin1Myers
@invadingpirate
&
@marionew0911
plus guests
@AndyTBrogan
@JoMartin_path
& Dr Ian Fry
🖱️
2
21
31
Remembering an outstanding
@NHSGIRFT
lead, whose natural leadership and drive to improve for patients will never be forgotten
"He was clever, insightful and innovative, with a sparkling wit and repartee. His commitment to emergency medicine was unwavering"
-
@DrChrisMoulton
Today a memorial has been held for the late Dr Clifford Mann OBE, NHS National Clinical Director for Urgent and Emergency Care. Cliff is sorely missed — as an outstanding medic and as a compassionate leader.
3
56
319
0
8
33
👏Huge congratulations to
@NHSGIRFT
#radiology
lead Kath Halliday (
@halliday_kath
) today on being elected to serve as
@RCRadiologists
president from September... thoroughly deserved by such a fantastic
#leadership
role model
0
2
34
Look out for our mental health rehab lead
@skalidindi1
on
@BBCTheOneShow
tonight! Talking to
@leahcharlesking
and representing
@rcpsych
on the eve of World Mental Health Day
@WMHDay
Tune in 🕖 7pm
@MissAlexjones
0
10
32
'We must keep doing things differently and use this crisis as a huge opportunity for change'...
@NHSGIRFT
chair
@ProfTimBriggs
on our important role in shaping the 'new normal' for the NHS. Thanks to
@InquisitLtd
for the interview.
Click here to read more:
0
18
33
Our clinical lead for mental health rehabilitation, Dr Sridevi Kalidindi
@skalidindi1
, will be one of the speakers at the HSJ Transforming Mental Health Summit in the Midlands next week, focusing on the work
#GIRFT
is doing in trusts. Find out more at
0
13
30
With an increasingly ageing and frail population, there are complex and persistent challenges faced by geriatric services.
GIRFT &
@RCPhysicians
are sharing good practice and national data-led insights at an upcoming webinar:
🗓️ 19/01
⌚️ 12:30
Register
2
13
31
Our lead for geriatric medicine, Dr Adrian Hopper, is the keynote speaker tomorrow at an
@NHSBenchmarking
conference looking at good practice in managing frailty in the acute setting & DToC. He'll be outlining the work
#GIRFT
is doing to improve patient care.
@GeriSoc
#NHSBNDToC
1
15
33
Meet the faces behind the voices on today's
@model_hospital
&
#GIRFT
webinar masterclass! Thanks to the 300+ of you who joined at lunchtime to learn more about how the metrics can be used to support improvement... hope you found it useful.
@JameyCBarron
1
5
31
Did you know…? The
#GIRFT
team has carried out a remarkable 1,439 pilots, deep dives and trust visits across England so far, helping trusts to improve outcomes for
#NHS
patients
#MondayMotivation
#Winning
3
16
30
Our best practice pathway and guide for diagnosing and treating children with acute
#abdominal
pain, including
#appendicitis
, is available now.
Find out how you can adapt & adopt it for your team: 🔗
1
28
30
That's a wrap! Thanks to the
#stroke
teams from
@MidYorkshireNHS
,
@LeedsHospitals
,
@HarrogateNHSFT
,
@CHFTNHS
,
@BTHFT
&
@AiredaleNHSFT
for coming along to our 22nd and final
#GIRFT
event today.
@Deborah71247971
&
@HargrovesDavid
have enjoyed meeting all 2,000+ of you in 2019!
3
11
30
🆕 We're delighted to announce the third session in our
#frailty
webinar series with
@RCPhysicians
.
🗓️ 20/06
⌚️ 12:30 - 13:45
GIRFT CL
@hopperah
and RCP VP
@j59dd
are joined by
@adamgordon1978
, president of
@GeriSoc
.
Register 👇
3
23
31
Huge congratulations today to our
@NHSGIRFT
joint lead for
#ophthalmology
... now Dame
@carriemacewen
no less! Announced in the
#QueensBirthdayHonours
for services to ophthalmology
and leadership during the
#Covid19
response. Well done Carrie - very richly deserved! 👏👏👏
0
5
29
Calling medical directors... our three leads for mental health will be outlining what the
#GIRFT
programme hopes to achieve in the monthly teleconference with the National Mental Health Executives Network tomorrow. Be sure to join!
@skalidindi1
@guynorthover
@Psychautismcham
1
26
29
Less than 7 days to go 👇
#GIRFT
and
@RCPhysicians
webinar series:
#Frailty
care in the community
🗓️ 20/06
⌚️ 1230-145pm
Register below:
🔗
1
21
30
GIRFT's stroke leads
@HargrovesDavid
&
@Deborah71247971
have helped to develop the new
#RightCare
toolkit.
Working w/ the National Stroke Programme,
@TheStrokeAssoc
and
@diffstrokes
, the resource will support ICS' with network and pathway improvements.
🔗
0
12
29
Thanks to all of the attendees at today's mental health webinar - a fantastically engaged audience. And thanks to our speakers who provided such fascinating content!
@skalidindi1
@rcpsych
@AssocMHP
@markybt
@duncan_tree
@Davidiris1
4
6
29
🙌Huge congratulations to our GIRFT joint lead for rheumatology Lesley Kay
@GenQ5Lesley
on her appointment as
@NHSEngland
National Clinical Director for MSK
Lesley is a passionate champion for both clinical teams and patients… a fantastic appointment!
🔗
4
4
30
Working in
#rheumatology
?
You don't want to miss this...
Join Friday's
@NHSGIRFT
webinar to hear about the findings & recommendations of our national review of
#rheumatology
services
📆 1st Oct
🕧 12.30pm
🖱️
@RheumatologyUK
@WeAreARMA
3
16
29
Coming up this week...
our
@NHSGIRFT
lunchtime webinar looking at a whole system approach to
#MentalHealth
#RehabPsych
With speakers including
@skalidindi1
@DrAdrianJames
@KhannaPriya40
@raj_psyc
& more
📅10th Dec
🕧12.30pm
🖱️ Register:
@rcpsych
@CNTWNHS
2
16
30
Leading orthopaedic surgeon Vinay Takwale is our new
#GIRFT
clinical ambassador for the
@NHSGIRFT_LONDON
region, supporting trusts to make improvements. Read more about his appointment at
@VinayTakwale
@gloshospitals
@BritOrthopaedic
1
7
30
Lord Carter of Coles and
@ProfTimBriggs
were among the guests at the fantastic
#UHPGIRFT
symposium in Plymouth today, spreading the word about how the trust is improving care. Thank you to our colleagues
@UHP_NHS
for such a great session, & to all those to went along to learn
0
14
29
We're absolutely delighted that GIRFT clinical lead for respiratory Martin Allen has been honoured with an MBE for his services to the NHS, particularly his work during the COVID-19 pandemic🏅
Congratulations Martin! 👏👏
3
3
29
Just 2 weeks to go until our second
#neonatology
webinar: 'Workforce & the way forward'
🗓️ 14/07
⌚️1-2:15pm
Co-hosted with
@NNAUK1
, discussing and exploring:
🟡the medical,
#AHP
and
#nursing
perspective
🟡future workforce transformation
Register:
🔗
1
17
29
“A huge opportunity for more of the national ENT caseload to be treated on a day case basis”…
#GIRFT
ENT lead Andrew Marshall urges more day case surgery in his national report, published today. Read more
@ENT_UK
@britdaysurgery
@RCSnews
@nottmhospitals
0
15
29
A big day today for
#stroke
services in the Midlands as our
#GIRFT
crew - led by
@Deborah71247971
&
@HargrovesDavid
- look at data and good practice. Sharing with teams from
@bhamcommunity
@nhsswft
@uhbtrust
@nhsuhcw
@WalsallHcareNHS
@WorcsAcuteNHS
👊
@WyeValleyNHS
&
@GEHNHSnews
0
7
28
Our clinical lead for radiology, Dr Kath Halliday, is speaking at the
@RCRadiologists
2019 clinical radiology audit & quality improvement forum today, discussing what
#GIRFT
is doing to address unwarranted variation. Find out more here
#Radiology
0
13
29
Meet Dr Eleri Adams, our new
#GIRFT
clinical lead for neonatal intensive care. Find out more about her appointment at
@BAPM_Official
@OUHospitals
5
9
29
🙏 On the eve of the
#NHS
72nd birthday we reflect & remember the friends, colleagues & relatives we have all lost during the
#COVID_19
pandemic. Thank you to NHS staff, key workers & everyone else who has played a part
#ThankYouTogether
#LightItBlue
#NHSBirthday
#clapforcarers
0
14
29
Not long now...
Our
@NHSGIRFT
national report for
#diabetes
is out TOMORROW, outlining measures diabetes teams can take to
#improve4patients
. You’ll find it on our website from 10am at
@parthaskar
@DrGMagic
@DiabetesUK
@ABCDiab
@JDRFUK
0
11
28
🆕GIRFT pathway for emergency surgery for patients with diabetes🆕
We've worked w/
@CPOC_News
@DiabetesUK
@ABCDiab
&
@UKCPA
to develop this pathway, to help improve inpatient safety for those with diabetes
Take a look:
@GerryRaDrGMagic
@parthaskar
1
17
28
A big thank you to the 2⃣6⃣0⃣+ attendees and our guest speakers at today's 'workforce and the way forward'
#neonatology
webinar in association with
@NNAUK1
.
The recording will be made available shortly - watch this space.🔜
2
5
26
It is incredibly important helpful to have
#AHP
colleagues at
#GIRFT
deep dive visits and contributing to these discussions!
@stu_yeomans
Trusts- do you make sure
#AHP
colleagues attend the specialty
#GIRFT
visits? They have a contribution to reducing unwarranted variation and improving patient outcomes and experience
#AHPs
@WeAHPs
1
5
9
2
11
27
Here's
#NHS
NCD for
#stroke
@Deborah71247971
- also our
#GIRFT
joint lead - on why you should act
#FAST
if you are showing symptoms of stroke, to reduce the risk of death and disability
🚑 Don’t wait, CALL 999
#HelpUsHelpYou
0
13
25
🆕 'Clinically-led Specialty
#Outpatient
Guidance' now available.
💡
#GIRFT
and the Outpatient Recovery and Transformation Programme (
#OPRT
) team have developed new guidance to support services in tackling demand for outpatient appts.
➡️ (FutureNHS)
1/3
2
13
25
DYK?
@skalidindi1
is getting started on starting her virtual
@NHSGIRFT
visits to trusts, reviewing mental health
#RehabPsych
services
Read more about the review at
3
12
27
👏Record numbers on our
#pathology
webinar this lunchtime, discussing how the
@NHSGIRFT
report can encourage a more patient-focused service
Thanks to all who joined us, especially to our panel of
@Martin1Myers
@invadingpirate
@marionew0911
@AndyTBrogan
@JoMartin_path
& Dr Ian Fry
2
6
25
Want to know more on restoring
#stroke
care past the peak of
#COVID19
? This
@OxfordAHSN
webinar with input from
@NHSGIRFT
leads
@HargrovesDavid
&
@Deborah71247971
will look at innovation across the whole stroke pathway
▶️
@british_stroke
@TheStrokeAssoc
0
15
26
Two minutes, 120 seconds, 1/30th of an hour... whatever you call it, that's all it takes to watch this short video and find out all about the Getting It Right First Time (GIRFT) programme. Looking for more detail? Head to our website at
1
9
25
“GIRFT could help immensely in improving diabetes services"... Dr Partha Kar, one of our two leads for
#diabetes
, on his hopes for the
#GIRFT
review during
#DiabetesWeek
.
@parthaskar
@DrGMagic
@DiabetesUK
0
7
25
It's all about
#imaging
tomorrow when our
#GIRFT
team & the
#NHS
Imaging Transformation Programme come together for an imaging network leadership workshop in London, with support from
@RCRadiologists
&
@SCoRMembers
. Looking forward to sharing learning & hearing progress
1
6
26
👏🌟🎖️Huge congratulations this morning to our radiology lead, Dr Giles Maskell, on being made an OBE.
We can’t think of anyone more deserving of the honour, awarded for services to diagnostic radiology.
Enjoy your celebrations, Giles!
#KingsBirthdayHonours
@RCRadiologists
0
5
25
WEBINAR: 'getting
#stroke
care right first time.'
8th June, 1-2pm
Join GIRFT leads
@Deborah71247971
&
@HargrovesDavid
, alongside
@JulietBou
, David Werring (president Elect
@BIASPstroke
) and an introduction by Prof. Stephen Powis (
@NHSEnglandNMD
).
🔗
0
12
25