1. Please select the department that you attended during your last visit

Please type the first few letters... Cardiology Outpatients Gastroenterology Outpatients Surgical Outpatients Orthopaedic Outpatients Paediatric Allergy Clinical Nurse Specialist team Ageing and Health Outpatients Respiratory Outpatients Stroke Care Diabetes Outpatients Renal Outpatients Neurology Outpatients Haematology Outpatients Oncology Outpatients Occupational Therapy Physiotherapy Outpatients Speech & Language Therapy (SLT) Nutrition & Dietetics Paediatrics N&D Outpatients General Surgery Colorectal Outpatients Bowel Cancer Screening Plastics Outpatients Trauma & Orthopaedics Urology Outpatient Vascular Outpatients Children's Ortho Fracture DVH Children's day case/ day surgery Paediatric Epilepsy & Neurology Clinical Nurse Specialist team Paediatric Asthma & Respiratory Clinical Nurse Specialist team Paediatric Diabetes Clinical Nurse Specialist team Paediatric Sickle Cell Clinical Nurse Specialist team Paediatric Psychology Team Fracture Clinic DVH Breast OPD DVH (Empress) Orthotics

2. Did you understand the explanation from your clinician regarding your follow-up care plan?

Yes No Not completely I wasn't given an explanation

3. Were you given a PIFU Information leaflet with details on how to contact the service ?

Yes No

4. Did you receive a copy of your PIFU letter via post or digitally in Patient Knows Best?

Digitally in Patient Knows Best Letter Not at all

5. Did you know who to contact if you lost your information leaflet or PIFU letter?

Yes No

6. Did you contact us for an appointment or advice during the PIFU timeframe specified by your clinician?

Yes No Not applicable Not yet, I am still on the PIFU pathway

7. How soon were you offered an appointment?

Much sooner than expected A bit sooner than expected As expected / as advised by my clinician A bit later than expected Much later than expected

8. How easy did you find it to contact the service to book an appointment?

Very easy Easy Neither easy nor difficult Difficult Very difficult

9. How would you rate your overall experience of PIFU?

Very good Good Satisfactory Poor Very poor

10. In the last 12 months, have you or another family member attended a follow-up appointment that you felt could have been offered as a PIFU?

Yes No Not sure

11. Do you think that offering a Patient initiated follow-up approach is a good idea?

Yes No Don't know