Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to help increase the uptake of patient-initiated follow-up for people with long-term conditions.

Patient Initiated Follow Up (PIFU) is one way in which the Government will reform follow up care to ensure more optimised and productive clinical pathways. Offering PIFU to patients gives them greater choice and control, where it is clinically recommended, so they can decide if/when they require follow up care. This in turn reduces low value follow up appointments, freeing up hospital capacity for patients who need it.

The Elective Reform Plan, published in January 2025, commits to offering PIFU to patients with long-term conditions as standard in all appropriate pathways by March 2026, and to support the expansion of PIFU to at least 5% of all outpatient appointments by March 2029. The Government will implement digital and technology solutions to support this expansion, including piloting digital options for signing-up patients for PIFU via the NHS App and enhancing how patients suitable for PIFU are identified using artificial intelligence and automation.

In addition, remote monitoring of conditions at home or away from direct clinical settings can help support PIFU by helping inform patients and their healthcare teams about any changes in their condition, ensuring follow-up appointments only happen when clinically needed. We will expand remote monitoring by using Patient Engagement Portals and the NHS App to host digital questionnaires, integrating remote monitoring tools with hospital administration systems, and producing technical guides for remote monitoring to support the sharing of best practice across providers.