1. Do patients with active IBD have higher fatigue scores than patients with inactive disease? This question will be addressed as we will be screening a selection of patients coming to the specialist IBD clinic. Some will have active disease when assessed and so will be excluded from further interventional study. Others with inactive disease will be recruited to the study, but we will be able to compare fatigue scores in both the active and inactive disease groups. In addition we will explore any association between fatigue scores and anxiety/depression, somatisation scores, quality of life, overlapping IBS symptoms and the faecal microbiome.