 Patient-initiated hospital follow-up for patients with moderate to severe psoriasis might reduce inappropriate follow-up appointments, improve rapid access to specialist care and release resource to further in-depth consultation. If the patient is empowered to initiate hospital review thus patients individual needs dictate the content, duration and contact with clinicians. It is our goal that an individual needs-based patient involvement in the shape of patient-initiated hospital follow-up,will be perceived as a benefit of the patients who 1 meets a high safety in the patients own provision of medical treatment, 2 increase the patients knowledge of the lifestyle and prevention of comorbidities and 3 strengths patients overall satisfaction with treatment. 