After a consultation, it may be agreed no treatment is required at the time of referral. However, if the clinical team believe that a further referral for the same condition is likely in the future or if it is felt that treatment will be required but the patient is not quite ready for this or if the patient wishes to defer a decision on treatment, the patient will be placed on a Patient Initiated Review pathway. This allows the patient to make an appointment for the same condition at a future time should they feel the need to discuss the condition again.

You will be sent a letter describing the process for making a further appointment regarding the same condition. This does not require a further GP referral. This pathway does not include any other health condition, if you develop and new problem you should still contact your GP practice.

For patients who have a PIR letter, department contact details are:fife.fifeorthopaedics@nhs.scot

Tel: 01592 729000

Information required when contacting the department include name, date of birth, hospital number, consultant and telephone contact number.