The impact and utilisation of patient-initiated follow-ups (PIFU) in the elective upper-limb clinic at secondary care

PIFU is a safe and effective follow-up model for stable or early-stage shoulder and elbow conditions, reducing outpatient burden, supporting patient autonomy and preserving clinic capacity without compromising care quality. Broader implementation, supported by patient education and structured feedback, may enhance sustainable delivery of orthopaedic services.

Authors

Robert Moverley (ORCID: https://orcid.org/0000-0002-4336-4520)
Rajib Naskar (ORCID: https://orcid.org/0000-0002-6590-5439)
Vipul Garg (ORCID: https://orcid.org/0000-0003-4896-6130)
Elizabeth A. Middleton (ORCID: https://orcid.org/0000-0002-5120-8202)

Publication Details

Journal: Annals of The Royal College of Surgeons of England
Published: 2025-10-21
DOI: https://doi.org/10.1308/rcsann.2025.0073
Primary Topic: Clinical practice guidelines implementation
Type: article
Field-Weighted Citation Impact: 0.00

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article

The impact and utilisation of patient-initiated follow-ups (PIFU) in the elective upper-limb clinic at secondary care

Robert Moverley, Rajib Naskar, Vipul Garg, Elizabeth A. Middleton

Oct 21, 2025

Annals of The Royal College of Surgeons of England

Clinical practice guidelines implementation

article

The impact and utilisation of patient-initiated follow-ups (PIFU) in the elective upper-limb clinic at secondary care

Robert Moverley, Rajib Naskar, Vipul Garg, Elizabeth A. Middleton

October 21, 2025article en

Abstract

PIFU is a safe and effective follow-up model for stable or early-stage shoulder and elbow conditions, reducing outpatient burden, supporting patient autonomy and preserving clinic capacity without compromising care quality. Broader implementation, supported by patient education and structured feedback, may enhance sustainable delivery of orthopaedic services.

Annals of The Royal College of Surgeons of England

Openalex Percentile: Top 60%

Clinical practice guidelines implementation

DOI Open Access PDF OpenAlex

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