Patient Initiated Follow-up (PIFU) – Information for patients under the care of the Dietitian

Patient Experience

  • Reference Number: HEY-1367/2022
  • Departments: Dietetics, Physiotherapy
  • Last Updated: 1 November 2022


This leaflet has been produced to give you general information. Most of your questions should be answered by this leaflet. It is not intended to replace the discussion between you and your dietitian, but may act as a starting point for discussion. If after reading, you have any concerns or require further explanation, please discuss this with your dietitian.

What is a Patient-Initiated Follow-Up (PIFU) pathway?

A patient-initiated follow-up (PIFU) means that we will not routinely book you a follow up appointment. Instead we are putting you in control of making your own appointments at a time when you need them most, within a given timeframe.

How does PIFU work?

It has been identified by your Dietitian that a PIFU pathway is suitable for you.  You will have access to the PIFU pathway for a 12-month period.  If you require an appointment within this period, you can contact the Dietetic department to explain that you are on a PIFU pathway and need to be seen. A suitable appointment will then be made with a Dietitian. Your appointment may be via telephone, video call or face-to-face depending on your needs.

When should I call for a PIFU?

You can call to make an appointment if you

  • are not improving to a level that was expected
  • have worsening symptoms relating to your condition
  • have a “flare-up” and need further dietary support

Please note you can only initiate a PIFU appointment for the specific condition you were originally referred to the Dietetic service for.

When should I not use PIFU?

  • If your concern is related to a different condition
  • If the specified time period has lapsed (please contact your GP or consultant in this instance)
  • If you need urgent medical advice (please contact your GP or NHS111 in this instance)

What if I don’t need a PIFU follow-up appointment?

You do not have to arrange an appointment if you feel it is not required.  If you don’t contact us to book an appointment within the specified timeframe, the PIFU will expire and you will be discharged back to the care of your GP or consultant.  We will not contact you to book a PIFU appointment – it must be initiated by you. 

Booking a PIFU follow up appointment:

·         Call the Dietetic department on 01482 674133 (Mon-Friday 8am-4pm – excluding bank holidays)

·         State you are on a PIFU pathway and require an appointment

·         Agree an appointment date and time

·         Attend your telephone, video or face-to-face appointment

You or your parent/guardian can make an appointment to see us if you have any concerns related to your specific injury/condition until:


Should you require further advice on the issues contained in this leaflet, please do not hesitate to contact the Dietetic Department on telephone: 01482 674133.

This leaflet was produced by the Dietetic Department, Hull University Teaching Hospitals NHS Trust and will be reviewed in November 2025.

General Advice and Consent

Most of your questions should have been answered by this leaflet, but remember that this is only a starting point for discussion with the healthcare team.

Consent to treatment

Before any doctor, nurse or therapist examines or treats you, they must seek your consent or permission. In order to make a decision, you need to have information from health professionals about the treatment or investigation which is being offered to you. You should always ask them more questions if you do not understand or if you want more information.

The information you receive should be about your condition, the alternatives available to you, and whether it carries risks as well as the benefits. What is important is that your consent is genuine or valid. That means:

  • you must be able to give your consent
  • you must be given enough information to enable you to make a decision
  • you must be acting under your own free will and not under the strong influence of another person

Information about you

We collect and use your information to provide you with care and treatment. As part of your care, information about you will be shared between members of a healthcare team, some of whom you may not meet. Your information may also be used to help train staff, to check the quality of our care, to manage and plan the health service, and to help with research. Wherever possible we use anonymous data.

We may pass on relevant information to other health organisations that provide you with care. All information is treated as strictly confidential and is not given to anyone who does not need it. If you have any concerns please ask your doctor, or the person caring for you.

Under the General Data Protection Regulation and the Data Protection Act 2018 we are responsible for maintaining the confidentiality of any information we hold about you. For further information visit the following page: Confidential Information about You.

If you or your carer needs information about your health and wellbeing and about your care and treatment in a different format, such as large print, braille or audio, due to disability, impairment or sensory loss, please advise a member of staff and this can be arranged.

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