Patient initiated follow-up (PIFU)

Outpatient appointments

Patient initiated follow-up, or PIFU (pronounced 'piff-oo'), puts you in control of your outpatient care.

Instead of receiving a follow-up appointment from your healthcare team for a set future date, PIFU lets you arrange an appointment if and when you need one. This might be when your symptoms change, or if you're worried about something.

Arranging your own follow-up appointments can help you:

  • take control of your own care
  • see your clinical team when you need to
  • avoid appointments that might not be needed, saving time and money

If this type of follow-up is available and suitable for you, your healthcare team will talk to you about this option. If you are happy, they'll add you to the PIFU pathway.

The animation begins with a female clinician and an older male patient. There is bright, upbeat background music playing. They are both sat down, at the patient’s appointment. The doctor points to a poster on the wall that shows the bone structure of a leg. The knee is highlighted to show an area of pain. A female narrator with a south east London accent starts talking.

Narrator: After finishing your treatment we might offer you patient initiated follow-up appointments.

The scene changes to text, which reads ‘Patient Initiated Follow-Up’. The first letter of each word is bigger than the rest of the word.

Narrator: We sometimes call this PIFU.

The first letters of the word shuffle around, to form the word ‘PIFU’.

Narrator: Rather than routine appointments to monitor your health, you decide when to book your follow-ups.

The patient is standing next to an oversized calendar. The pages on the calendar turn, and the patient is thinking.

They point to a date on the calendar.

Narrator: Saving you from travelling when it might not be needed.

The scene changes, and the patient is standing on a busy train. No seats are available.

Narrator: Instead, you can get support when you need it most, like when a symptom gets worse, or if you’re worried about your health.

The patient and clinician are at an appointment. The patient is showing the clinician his knee, and is in pain. The clinician checks his knee. A speech bubble pops up to show that they are talking to each other.

Narrator: We only offer you PIFU if we’re confident your condition is stable.

The clinician is standing next to an oversized tablet device. The tablet displays an image of the patient. A tick graphic appears and the clinician taps it.

Narrator: You might still need routine appointments booked, so that we can continue to review your health.

The patient is walking their dog in the park, with their phone in their hand.

The view changes to show the phone, with the calendar open. The patient’s hand is in view, and he is scrolling on his calendar.

He clicks on the highlighted date. A pop-up appears, which reads ‘Hospital appointment 11am’.

Narrator: But you can arrange follow-ups while waiting, as and when you need them.

The clinician is sitting in front of a computer with headphones on. The patient is in the top right-hand corner, in a video-call window. Speech bubbles pop up to show they are talking to each other in the call.

Narrator: For more information visit the Guy’s and St Thomas’ website, and search PIFU, or talk to your healthcare team.

The patient is sitting on their sofa, with their legs up, using a tablet device. A browser search bar pops up above the patient. The patient types the word ‘PIFU’ which shows up in the search bar.

The scene changes to show the patient and clinician with 2 other male clinicians. They are happily chatting to each other.

Booking an appointment

You can contact your service for an appointment when you feel it’s needed. To book an appointment, use the contact details given to you by the team responsible for your care.

If you're unable to find these details, you can contact the service directly. Find your service’s contact details in your letters, or by searching for your service on our website.

You can contact your service for an appointment if:

  • you need help managing your condition
  • a symptom gets worse and you need non-urgent help
  • you have other concerns or worries related to your condition

Follow-up appointments are not for emergencies

If you need urgent help:

  • contact your GP
  • call 111 or visit NHS 111 online
  • go to your local emergency department (A&E) if you need immediate treatment

How long follow-up lasts

Your clinical team will tell you how long you'll be able to book your own appointments. This depends on your condition.

If you do not need to see your hospital team during this time, you will be discharged back to your GP. Your GP can refer you back to the hospital if you need to be seen again in the future.

If you have care under different departments

If you're under the care of more than one department, remember that your patient-initiated follow-up plan does not apply to all of them.

Some departments might still ask you to attend regular follow-up appointments so that they can monitor your condition.

Using the MyChart app to manage your follow-up

Our MyChart app and website lets you securely access parts of your health record with us, giving you more control over your care.

If you have spoken to your healthcare team about PIFU and have a MyChart account, you can:

  • view information about your upcoming and past PIFU appointments
  • view the After-Visit Summary from your visits with more details about PIFU
  • find information about the symptoms that you should make an appointment for

Find out more about MyChart and how to sign up.

More information

Your healthcare team will help to decide which type of follow-up is right for you. If you have any questions about follow-ups, or deciding when to book your appointments, please talk to your team.

Is this page useful?