The unpredictable course of inflammatory bowel disease means that many patients are in remission when they are scheduled to attend a follow-up appointment. They often face long, unnecessary waits in congested outpatient departments when they require only verbal intervention. This article describes a year-long pilot study by a team of nurses and a consultant which involved offering telephone support to IBD patients. The service reduced unnecessary follow-up, provided rapid help during periods of relapse and promoted individualised care.