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Home Oxygen Service A/R

Home Oxygen Service A/R. Rosemary Steel Highly Specialist Respiratory Physiologist Respiratory Centre New Cross Hospital. September 2012 WITH THANKS TO AIR PRODUCTS FOR SPECIFIC SLIDES USED. HOME OXYGEN SERVICE CARE PATHWAY - REFERRAL. New Specification.

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Home Oxygen Service A/R

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  1. Home Oxygen Service A/R Rosemary Steel Highly Specialist Respiratory Physiologist Respiratory Centre New Cross Hospital. September 2012 WITH THANKS TO AIR PRODUCTS FOR SPECIFIC SLIDES USED.

  2. HOME OXYGEN SERVICE CARE PATHWAY - REFERRAL

  3. New Specification • Clinician chooses equipment and quantity at install • HOOF A (non specialist static supply only) • HOOF B (specialist HOS-AR) • A new HOOF supersedes an old HOOF • Minimum One weeks supply • Activity based cost model • Daily equipment rental price (per diem) • Each activity charged (installations/refill visits/services etc) • Quantity can be varied later • if patient request is reasonable and in line with HOOF • NHS Spine (DBS) access allows Deceased & COA checks. • Rental Billing Stops on removal request

  4. Part A HOOF • Non Specialist • Temporary Orders • Out of Hours Providers • Hospital Discharge [where there is no access to HOS-AR] • Completed by health professional

  5. The New HOOF • Live from 1st day of New contract • HOOF A: Before Assessment- Non Specialist or Temporary Order • HOOF A :Available on the NHS PCC website • Any HOOF received SUPERCEDES any previous HOOF • Revised Consent Form

  6. HOOF A • For a temporary order or non specialist, pending assessment, use PART A • Write clearly in bold with black ink • Ensure all sections are completed • Any section marked * is Mandatory • Provide as much information as possible to ensure smooth delivery

  7. HOOF A Static oxygen for use in the home. Static concentrator – back up cylinder supplied. Static cylinder – B10 ORDER = L/min and Hours per day. QUANTITY = 1

  8. Oxygen Equipment

  9. HOOF A order

  10. CHARGES Daily (per) equipment charges. ie: possible 2 concentrators.( Risk assessment and H/S issues) B10 – SBOT Ambulatory (where prescribed by HOS A/R)

  11. CHARGES Each activity charged. ie: Installation – walk in – plumb in. Re-charge for full installation. Ambulatory cylinders, Refill visits, servicing.

  12. CHARGES Delivery charges by Air products Within 3 working days – standard. Next calender day – order sent before 5pm. – standard charge. 4 hour – charged at higher rate.

  13. Delivery Options

  14. HOOF SUPERSEDENCE

  15. HOOF Supersedence Process Process as HOOF A, subject to DBRA checks Reject * Unless 4 hr HOOF A - where we will process changes to static order **If v2.3 received for Paediatric AP will process as HOOF B

  16. NEW PATIENT CONSENT FORM

  17. Revised consent includes : • Exchange of data across NHS team involved in Oxygen Services • Exchange of more detailed data with Fire Rescue Service • Exchange of data with electricity supplier • Agreement to be contacted with patient satisfaction Survey/ Audit • Agreement to allow reasonable access to supplier to installservice and remove equipment • Consent MUST be obtained for allnewpatients • Air Products will obtain updated consent from all existing patients

  18. Next Steps • Once HOOF A completed, referral should be made to HOS-AR service by the prescribing clinician, this includes GPOOH UNLESS PATIENT END OF LIFE

  19. Palliative Patients • Access to same quality assessment. • Oxygen prescribed when appropriate and correct flow rate. • Type 2 Respiratory Failure – Oxygen Alert cards. • Regular assessments to change / increase flow rates – Patients on 15 l/min managing home oxygen.

  20. Information Sharing • Team W • RHW – open invitation to sessions. • Community Matrons. • Heart Failure Team. • Lung Cancer Nurse Specialists. • Palliative Care Team. • Compton Hospice Consultant and Nurse Specialist

  21. No Change Holiday Order or COA

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