Home Oxygen Service A/R

Rosemary SteelHighly Specialist Respiratory PhysiologistRespiratory CentreNew Cross Hospital.September 2012WITH THANKS TO AIR PRODUCTS FOR SPECIFIC SLIDES USED.

HOME OXYGEN SERVICE CARE PATHWAY - REFERRAL

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

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

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

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

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

Oxygen Equipment

HOOF A order

CHARGES

Daily (per) equipment charges.

ie: possible 2 concentrators.( Risk assessment and H/S issues)B10 – SBOTAmbulatory (where prescribed by HOS A/R)

CHARGES

Each activity charged.

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

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.

Delivery Options

HOOF SUPERSEDENCE

HOOF SupersedenceHOOF Received

New Patient Existing HOOF 2.3

Existing HOOF A

Existing HOOF B

A *

B

v2.3 **

**

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

NEW PATIENT CONSENT FORM

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 install service and remove equipment

•Consent MUST be obtained for all new patientsAir Products will obtain updated consent from all existing patients

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

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.

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

No Change Holiday Order or COA