Kieran O’Flynn and John McGrath were appointed as the new joint clinical leads for urology surgery in February 2020, to carry out revisits for the specialty. They replaced Simon Harrison, who authored the GIRFT national report, published in July 2018. They were appointed with the endorsement of the British Association of Urological Surgeons.
Re-establishing and developing urology services in the COVID-19 era
The COVID-19 pandemic has had a devastating impact on the NHS’s ability to deliver its full range of services, with a greater than 50% year on year reduction in activity. It has become clear that, for the foreseeable future, the way that care is provided will be markedly different from traditional ways of working. However, there is now a major opportunity to re-set the way in which care is developed in some areas of the NHS, using the current pandemic as a catalyst for change and improvement, and to provide an opportunity to re-interpret and implement recommendations from the GIRFT national report on urology.
GIRFT has provided a framework for re-establishing and developing high quality and robust urology services in the COVID-19 era. This framework builds on work being undertaken in London to recover elective capacity, and includes:
- Signposting to existing examples of innovation, guidance and other resources
- Several elective surgery pathways, characterised as high-volume and (relatively) low complexity
- A self-assessment tool for providers to assess their progress against ten ‘sentinel’ metrics
Joint Clinical lead: Kieran O’Flynn
Kieran O’Flynn has been a consultant urologist at Salford Royal NHS Foundation Trust since 1994, with an interest in functional, neuro-urology and reconstruction. He has served as the trust’s clinical director for surgery from 2002 to 2006, and as chairman of the Specialist Advisory Committee in Urology from 2010-2012, overseeing training in the UK and Ireland.
After serving as treasurer of BAUS, he was elected president from 2016-2018. His awards include an ad eundem fellowship of the Royal College of Surgeons, UK Urology Trainer of the Year in 2013 and the BAUS Gold Medal in 2019.
Joint Clinical lead: John McGrath
John McGrath is a consultant urologist at the Royal Devon and Exeter Hospital. Having pursued a specialist interest in major pelvic surgery for the past 15 years, John now combines a focus on core urology with the role of clinical director for the Genomic Medicine Centre in the south-west. John has served on the Council of the British Association of Urological Surgeons, is past-chairman of the BAUS Section of Academic Urology and currently an executive committee member of the BAUS Section of Oncology.
More recently, he has joined the BAUS Audit and Steering Group. He has prior experience as a National Clinical Advisor to NHS England for the Enhanced Recovery Partnership Programme and has served on the NHS England Clinical Reference Group for specialised surgery. He has now taken up a new role on the NHS England Clinical Reference group for genomic medicine.
Report author: Simon Harrison
Simon was a consultant urologist at Pinderfields Hospital, Wakefield, from 1992 to December 2016 where he worked in a large, sub-specialised District General Hospital urology department. Simon retired as the GIRFT clinical lead at the end of 2019, after publishing GIRFT’s national report on urology in July 2018 and working on a subsequent handbook comprising a guide to setting up urology area networks (UANs) and good practice case studies to share with trusts.
The project manager for this workstream is Caroline Ager ([email protected])