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Patient Initiated Follow up’s (PIFU)

Giving you greater control over your hospital follow-up care

What is a PIFU?

PIFU puts you in control of when you need to access outpatient follow up care. For some people with a long term condition it means spending less time attending hospital appointments but still having access to specialist input when it’s needed.

The pathway is designed to allow you to access clinical teams when you feel you need to get help with your condition, or for example if you have a flare up of symptoms.

This means rather than having a prearranged or regularly scheduled appointments you can access help when you need it the most.

If your condition is stable, you may not find it helpful to attend regular outpatient appointments scheduled by the hospital. Sometimes these appointments may not result in any change to your treatment, but you’ll have spent time and energy putting arrangements in place to attend your appointment.

Moving on to a PIFU pathway will always be a mutual agreement between you and the clinician, you will be provided with information regarding triggers and symptoms.

What happens next and how will I contact the service if I need to?

  • You will be given a guide card by your clinician, this will have all the service details on, what symptoms to look out for and who to contact.
  • If you feel you need an appointment you will be able to contact the service and agree what is best to help you with your query. 

What are the benefits of a PIFU?

  • Can save time and travel to the hospital.
  • Reduces waiting times for you the patient.
  • More flexibility and ability to speak to someone when you need to.

Your feedback on this service

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PIFU Specialties


Guide Cards

CHFT_PIFU_ANAENA +ve  (links to a PDF document)

CHFT_PIFU_Ankylosing Spondylitis or Axial  (links to a PDF document)

CHFT_PIFU_GCAPMR  (links to a PDF document)

CHFT_PIFU_Rheumatoid Arthritis  (links to a PDF document)

Inflammatory Bowel Disease

Leaflets and Supporting information

PIFU Poster Black and White  (links to a PDF document)

PIFU Poster Large Font  (links to a PDF document)