An evaluation of patient-initiated follow-up outpatient services in the English NHS 

This report examines Patient-Initiated Follow-Up (PIFU), a system that allows patients to schedule their own follow-up appointments rather than attending pre-set hospital visits. While PIFU aims to give patients more control over their care and reduce unnecessary appointments, patient awareness and engagement remain key challenges. 

Many patients are unaware they are on a PIFU pathway, leading to confusion about when and how to seek follow-up care. Some feel uncertain about whether their symptoms warrant an appointment, which may delay necessary medical attention. Others worry about how easy it will be to book an appointment when needed. 

The report highlights that clear communication is essential to making PIFU work well. There is a need for healthcare providers to ensure that systems are accessible and responsive, so patients feel confident that they can get care when needed.