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Oxygen Ordering
The prescribing of home oxygen therapy should be completed by a qualified Healthcare Professional and ordered from Baywater Healthcare using the Home Oxygen Order Form (HOOF). The HOOF is available in two formats:
HOOF A
Before oxygen assessment, non-specialist or temporary order whilst awaiting oxygen assessment. The HOOF A has sections to order static concenctrators and cylinders.
HOOF B
After specialist or paediatric oxygen assessment. The HOOF B has sections to order LTOT, oxygen cylinders and ambulatory oxygen supply.
If you require assistance with modality selection and order form completion, you can use the Clinician Portal.
If you do not have access to a HOOF B, please contact your local Home Oxygen Assessment Team, Respiratory Specialist Service or ICB/LHB Home Oxygen Lead. If you are unsure of who to contact in your region, please contact us, and we will be able to advise you.
For further advice on prescribing, please follow one of the below links to the British Thoracic Society (BTS), Royal College of Physicians (RCP) or the British Paediatric Respiratory Society (BPRS).
Initial Home Oxygen Risk Mitigation Form (IHORM)
The IHORM has been introduced to reduce the risk of a serious incident occurring if medical oxygen is installed in a home environment. So before a patient is ordered a home oxygen supply, the clinician needs to ask some relevant questions.
The first page of the form consists of several safety questions the clinician needs to discuss with the patient or their carer before requesting oxygen. The second page of the form contains the ‘Patient agreement to sharing information’ this must be completed.
BTS Guidelines
The British Thoracic Society (BTS) was formed in 1982 by the amalgamation of the British Thoracic Association and the Thoracic Society. It has grown to include medical practitioners, nurses, scientists and any professional with an interest in respiratory disease.
Its core functions are:
- The relief of sickness of people with respiratory and associated disorders by the promotion of the highest standards of clinical care and the undertaking of research into the causes, prevention and treatment of respiratory and associated disorders, and disseminating the results of such research.
- The preservation and protection of public health by the provision of information in matters concerning respiratory and associated disorders and how they might be prevented.
To learn more, visit: www.brit-thoracic.org.uk
The website contains all the latest guidelines for the oxygen service and has all the relevant documentation available to download.
RCP Guidelines
The Royal College of Physicians is a registered charity that aims to ensure high-quality care for patients by promoting the highest standards of medical practice. It provides and sets standards in clinical practice and education and training, conducts assessments and examinations, quality assures external audit programmes, supports doctors in their practice of medicine, and advises the Government, public and the profession on healthcare issues.
Doctors of the Highest Quality Serving Patients Well
The RCP’s vision is to see doctors educated and trained to the highest medical standards, delivering care to patients of the highest quality. The College’s vision encapsulates our role in building, protecting and strengthening the values of the medical profession and acting as its authoritative voice.
For more information, please visit: www.rcplondon.ac.uk
The RCP website also contains a report on clinical guidelines and advice for prescribers. This report has been prepared for those involved in the care and assessment of patients with respiratory and cardiac disease who require domiciliary oxygen. In particular, it is targeted at general practitioners and general physicians, geriatricians, palliative care physicians and cardiologists.
BPRS Guidelines
The British Paediatric Respiratory Society, BPRS, is a multidisciplinary organisation that exists to promote all children’s respiratory health and improve the health of children with respiratory diseases.
Membership of the Society is open to Healthcare Professionals who are active in the field of paediatric respiratory medicine.
The objectives of the Society, set out in its constitution, are:
- To advocate excellence in provision of, and equity of access to clinical services for children with respiratory disease.
- To set and maintain standards of care in paediatric respiratory medicine.
- To promote education and training in paediatric respiratory medicine.
- To foster co-operation and friendship between all those involved in the care of children with respiratory disease.
- To promote research into paediatric respiratory disease.
- To learn more, visit: www.bprs.co.uk
