230 likes | 415 Vues
This document outlines the new Home Oxygen Service (HOS) Care Pathway and the updated Hospital Oxygen Order Form (HOOF) specifications, effective September 2012. Clinicians can now choose equipment and quantities at installation, with activity-based cost models for daily rental pricing. The revised consent form facilitates data exchange across the NHS teams involved in oxygen services, ensuring patient satisfaction and efficient service delivery. Important changes include supersedence of previous HOOFs and new patient consent requirements, enhancing the home oxygen supply process.
E N D
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.
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
CHARGES Daily (per) equipment charges. ie: possible 2 concentrators.( Risk assessment and H/S issues) B10 – SBOT Ambulatory (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.
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
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
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