Post appointment

What happens after your appointment?

In some outpatient clinics, you may be seen by a different team member, but your tests will always be seen by a doctor. You may be asked to see a doctor while you are with us, based on your test results.

We will contact you a few weeks ahead of the due date for a routine follow-up appointment. We may arrange additional tests or consultations immediately after your appointment.

If you feel that your condition is deteriorating but does not require emergency attention, please contact us as soon as possible using the contact details for your Moorfields clinic.

If you have serious concerns about your eye health, or if you experience sudden sight loss, please use our A&E service at City Road or log on to our online A&E platform, where you will be able to speak to a doctor. 

If you do not live close to London, or cannot access our online A&E service, please go straight to your nearest eye care unit.

 

Follow-up appointment frequently asked questions

Why do you no longer book my follow-up appointment while I am with you?

We want to improve your experience as a patient at Moorfields by making booking your next outpatient appointment more efficient. The new process will reduce the number of cancellations made, ensuring patients are seen when they need to be.

Instead of arranging your next appointment when you leave the clinic, you will be placed on a managed list for your specific condition and your appointment will be booked on a date determined by the clinician managing your care.

This means you will receive your appointment date closer to the time you are due to be seen. For example, if you are scheduled to see us for a follow-up in six months’ time, we’d contact you with your appointment details approximately six weeks ahead of the date you are due in.

 

Will this affect all patients?

Those patients who need to be seen sooner, or reviewed more regularly, will still be provided with an appointment time before they leave clinic.

 

When will the changes take place?

The new process will happen automatically, so you do not need to take any action, unless you need to tell us of a change in your contact details. If you need to update your contact details or communication preferences, please email moorfields.outpatientbookingsbc@nhs.net if you are a patient at City Road. For patients at other Moorfields sites, please contact your clinic using the contact details in previous communications from us. 

 

What if I can’t make the appointment date?

If you are unable to attend the date provided, please contact us to arrange a date that is more suitable for you using the phone number or email address on your appointment letter.

 

What support can I get from Moorfields to help manage my eye condition between appointments?

Please continue to follow the healthcare advice given to you by your team between appointments. If you are required to administer eye drops to keep your condition stable, please do so. If you need any further support, you can speak to one of our nurses via the nurse-led helpline on 0207 566 2345.

If you experience sudden sight loss, or eye injury, please attend your nearest eye care unit or log on to our online A&E service.

 

What if I am worried about my sight/eye health between appointments and feel I need to be seen sooner?

If you feel that your condition does not require emergency attention, but you need to be seen before your next scheduled appointment, please contact us as soon as possible using the contact details for your Moorfields clinic. The clinician in charge of your care will, if required, arrange for you to be seen sooner, or they may give you advice on how to manage your condition in the time between your appointments.

If you have serious concerns about your eye health, or if you experience sudden sight loss, it’s important that you let us know straight away. To do this, you can or log on to our online A&E platform, where you will be able to speak to a doctor, or access our A&E service at City Road.

If you do not live close to London, or cannot use our online A&E service, please go straight to your nearest eye care unit.

 

Who can I speak to about how my appointments are managed?

If you have any questions about your appointment, please use the contact details on your last appointment letter or text message. If you have any concerns or complaints about your care, you can contact our Patient Advice and Liaison (PALs) team by calling the team on 020 7566 2324, or by emailing them at moorfields.pals@nhs.net 

Patient-initiated follow-up (PIFU)

  • If your clinical team assess your condition as stable enough, they may offer you the chance to make your follow-ups with us when you feel you need them, rather than requiring you to attend a routine appointment. If you are interested in taking advantage of this, please speak to your clinician.
  • This service is currently being rolled out across a significant number of clinics following a successful trial.

 

Patient-initiated follow-up (PIFU) – Frequently asked questions

What is PIFU?

Patient initiated follow-up (PIFU) puts you in control of making an appointment, or getting advice, when you need it. Some patients with stable long-term conditions, or conditions which flare up from time to time, do not require frequent checks at the hospital; others can be seen less often if they can easily get in touch when their condition changes. Research has shown that frequent visits do not necessarily help to prevent your condition returning or identify new problems.

With PIFU, instead of being offered regular clinic visits and routine checkups with your consultant, you can make your own appointment only when you need it– reducing the unnecessary anxiety, travel and time spent on a routine check-up.

 

Why are we introducing PIFU?

We are starting this type of care because:

  • It puts you in control of your own appointments. Appointments can be made based on your individual needs instead of being at routine intervals. If you experience a flare-up in symptoms or trouble with medication or drops, you will still be able to receive advice when you need it.
  • It saves you time and money attending appointments that are not essential. The number of people making these journeys will be reduced and we hope this will improve patients’ experience.
  • Freeing up appointments means we can reduce the waiting times for people who need an appointment, especially people who need to be seen quickly or whose sight is at risk if their appointments are delayed.
  • It will help us to cut down our carbon footprint by reducing the number of unnecessary journeys made to hospital.

 

How does it work?

You will be advised by your eye care team if your condition is now suitable to have your follow-ups as patient-initiated instead of, or alongside, the regular appointments scheduled by the hospital. Your eye care professional will discuss the process with you and provide you with this leaflet. Managing your appointments in this way is optional and it is your decision.

 

How do I book a PIFU appointment?

The service is quick and easy to use. If you experience a flare-up or a problem or would like to book a follow-up appointment, simply follow the link (from your introductory text or email) and indicate that you would like to initiate a follow up appointment. If you can’t find this text, you can access the DrDoctor patient portal. You can also ring the number on your last patient letter for help.

Please remember that, if an appointment is booked, it is important that you attend it. If you find you are unable to do so, please tell us in advance, so we can give your appointment to someone else who needs it.

 

When should I call for a PIFU?

You should call your eye care team if you are experiencing a flare-up of your condition or have a problem with your condition or medication, and need to be seen or need advice from the eye team. The text we sent you and/or your most recent eye clinic letter will highlight symptoms to look out for to help you decide when you need to contact us.

 

When not to use PIFU

f you require very urgent medical advice you should contact your GP or NHS 111, or if you are really unwell, attend or video call our A&E. For all other concerns, or if you are feeling unwell, your GP remains your first point of contact.

 

Will you still be looking after me if I do not call to set up an appointment?

This depends on whether another booked appointment has been made. If so, if you do not call back, you will be seen at the next scheduled appointment.

If you do not have a scheduled appointment, and you have not called us back within the time frame agreed with you by our clinical team, you will be discharged back to your GP and optometrist (optician). If you feel that you need further investigations, your GP will need to complete a new referral.

 

What if I am worried and change my mind about PIFU?

Some patients worry about losing contact with the hospital when they no longer need to be seen regularly by their eye care team. If you wish to go back to regular hospital appointments, tell us and we will arrange this for you.

We appreciate and encourage feedback. Please note we may be in touch in the future to ask about your experience.

 

What if I cannot get through to make an appointment?

If you cannot get through to your eye care team, please email us at moorfields.outpatientbookingsbc@nhs.net 

 

Why have you set a limit on the time for me to make an appointment?

Depending on your condition and the judgement of your clinical team, we may safely discharge you to the care of your GP or optician after an extended period of stability. They can quickly and easily refer you back to us again, and our nurse-led helpline on 020 7566 2345 can always offer you advice on eye conditions.