Yorkshire Patient Information Day Holiday Inn, Doncaster 22 nd October 2018

1. Yorkshire Patient Information DayHoliday Inn, Doncaster22nd October 2018 Holiday Oxygen Home and Abroad

2. Holiday Oxygen Home and Abroad

3. Objectives • Considerations before you travel • Ordering oxygen in the UK - Baywater Healthcare holiday advice • Trains, Planes and Automobiles • Oxygen companies • Flights, Ferries and Cruises • Holiday Insurance • European Health Insurance Card (old E111) • Questions

4. Considerations before you travel Choose your destination wisely and consider the following! • Transportation - getting to your holiday destination • Air quality - city tours, home and abroad • Terrain- access for mobility aids • Location, Location, Location - hills and dales • Weather- hot, cold, wind, snow. Will this have an impact on YOURbreathing • Fitness to fly test - discuss with your respiratory specialist team whether you require this test!

5. Ordering oxygen in the UK BaywaterHealthcare • Baywater Healthcare offer a FREE holiday oxygen service ANYWHEREin England, Wales, Scotland and Northern Ireland • Those wishing to travel to the Republic of Ireland will need to rent their oxygen equipment from an oxygen company • It is essential that you plan your holiday in advance, allowing 2-4 weeks for your oxygen order to be arranged with the oxygen provider for that region in the UK

6. Trains, planes and automobiles • You are able to travel on public transport with your oxygen equipment, however there is no national guidance as to what the trains, coaches, buses and taxi companies will allow • Check with the train company prior to departure to ensure oxygen equipment is permissible • The taxi legislation office at your local council will provide information on taxi companies that are registered to carry disabled passengers

7. Trains, planes and automobiles • If you do use public transport, always ensure that your oxygen cylinder or equipment is secure whilst the vehicle is moving • It is essential that you refer to your local oxygen provider handbook for advice regarding the safe transportation of oxygen cylinders ref: Baywater HealthcareHandbook, 2016

8. Coach Holidays • Talk to the coach operators • National Holidays will allow oxygen cylinders on board, however you must be able to carry them on-board yourself! • No plugs for portable oxygen concentrators

9. Oxygen companies Omega-Advanced Aeromedical • Specialise in making it possible for the oxygen dependent patient to enjoy a holiday abroad • Several rental options available Contact: 01273 308176 or 07860 458277 http://www.disabilityholidaysguide.com/omega-oxygen.aspx#sthash.XHInQW7Q.dpbs

10. Oxygen companiesOmega-Advanced Aeromedical Oxygen Cylinders Cruise and travel approved oxygen cylinders are available for your trip or holiday, delivered directly to your location or cabin and liaise with the on-board ship services to organise the correct storage of your oxygen cylinders.

11. Oxygen companiesOmega-Advanced Aeromedical Oxygen Concentrators They offer a wide range of Oxygen Concentrators. These options include specific "high-flow" concentrators. All cruise ships are installed with "backup" oxygen concentrators as a support option for any equipment malfunctions.

12. Oxygen companiesOmega-Advanced Aeromedical Portable Oxygen Concentrators They offer the most up to date technology to customers. Portable oxygen concentrators now have the ability to offer high levels of oxygen flexibility.

13. Oxygen companiesPure 02 • Specialise in providing the latest portable and stationary concentrators • Pure 02 will require your current oxygen prescription details • Pure 02 will deliver to fixed UK and European addresses and hotels Contact 0800 1455902 (9-5 pm) 0870 7120202 (24hrs) http://www.healthoxygen.com/

14. Oxygen companiesPure 02 Rental Equipment If you require oxygen for ambulatory use or on-board flights, Pure O2 recommend the Airsep Freestyle.

15. Oxygen companiesPure 02 Rental Equipment If you require larger amounts of oxygen by day or night, Pure 02 recommend the Eclipse portable concentrator.

16. PlanesFitness to fly test/hypoxic challenge • Check with your Respiratory Specialist Team whether you need to perform a fitness to fly test/hypoxic challenge prior to your holiday • The test is performed at the Lung Function Department at Castle Hill Hospital – please ask your Respiratory Specialist Nurses • The test involves simulating cabin pressure inhaling 15% oxygen for 30 minutes

17. Planes If you require inflight oxygen your airline will ask for a medical certificate, commonly referred to as a Fit to Fly Certificate or MEDIF (Medical Information Form). The following websites are a useful resource for airline information: http://www.europeanlung.org/lung-disease-and-information/air-travel/ http://www.europeanlung.org/en/lung-disease-and-information/air-travel/get-your-medical-certificate

18. Thomas Cook • Will not allow you to take YOUR own oxygen on-board! • They will supply it at £100 per flight. • To be arranged at least 21 days prior to your flight • Call their call centre prior to booking your holiday

19. Easyjet • Do not supply oxygen • Small cylinders <50cms in length and up to 250mm in diameter are permitted on the flight • Maximum 2 cylinders • MEDIF certificate required confirming you are fit to fly and that the oxygen cylinders are required for medical reasons

20. BA will provide oxygen free of charge at flow rates of 2 or 4 litres • The Federal Aviation Administration (FAA) have approved several Portable Oxygen Concentrators (POC) • Must be requested 48 hours in advance • However it can only be provided to 1 person per flight!!! • BA can’t provide oxygen on the ground in the airports • Medical information must be provided so BA can ascertain fitness to fly. MEDIF’s to be completed by passenger and physician

21. Cruises/Ferries • Omega-Advanced Aeromedical and Pure 02 both provide rental packages for cruise holidays • P&O Cruises allow oxygen on-board but like oxygen users to obtain their rental equipment from Omega-Advanced Aeromedical • Cruises: Talk to your tour operator about on-board facilities, disability access and wheelchairs

22. Holiday insurance • JS Travel insurance https://www.jsinsurance.co.uk/travel_insurance/pulmonary-fibrosis-travel-insurance.html • World First Travel Insurance Company https://www.world-first.co.uk/ • Action for Pulmonary Fibrosis and the British Lung Foundation both provide information regarding travelling and insurance

23. Holiday insurance What are your individual holiday insurance experiences? Share amongst yourselves!

24. European Health Insurance Card (E111) • It is recommended that you obtain a EHIC card prior to travelling abroad • The card is free and can be downloaded from the internet or obtained from the post office • The card is not a replacement to travel insurance • The EHIC entitles you to free or reduced cost medical treatment • The card should be carried with you at all times whilst traveling abroad

25. European Health Insurance Card (E111)What it will cover you for!

26. Any Questions ?