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Patient Initiated Follow-Up (PIFU)

What is Patient Initiated Follow Up

Patient Initiated Follow Up, often referred to as ‘PIFU’, puts you in control of making an appointment when you need it and provides you with direct access to guidance when you need it.

The majority of patients with stable long-term conditions do not require regular follow up by the hospital team.  Research has shown that regular visits do not help to prevent your condition returning, or identify new problems.  Instead of being offered regular clinic visits and routine check-ups with your consultant, PIFU patients can make their own appointment only when they need it e.g. when you experience a flare-up of your condition - reducing the unnecessary anxiety, travel and time spent waiting for a routine follow-up.

When not to use PIFU

If you require urgent medical advice you should contact your GP or NHS 111, or if you are really unwell, your local emergency department (A&E).  For all other concerns, or if you are feeling unwell, your GP remains your first point of contact. 

How to use PIFU

If you are on a PIFU pathway and experience a flare-up, please call us and explain to the team that you are experiencing a flare-up and you need to be seen – the contact details for each service can be found on the pages below.  The team will agree a suitable appointment date and time over the phone with you.

To access further detail, including support team contact details and symptoms to look out for, please navigate to the specific service page you require below. 






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Coronavirus - useful information

The latest health information about Coronavirus can be found at

Information and updates about our services can be found on this website here.

From Monday 15 June 2020, visitors and outpatients coming into our hospitals will be asked to wear a face covering at all times, to help us reduce the spread of Covid-19.  A face covering can be as simple as a scarf or bandana that ties behind the head.  It should cover your mouth and nose while allowing you to breathe comfortably.  For more information click here