Solent NHS TrustHigh quality community and mental health services

Community Home Oxygen, Assessment & Service - Portsmouth City

The specialist Home Oxygen Service-Assessment and Review (HOSAR), delivered by Solent NHS Trust, is responsible for the assessment and review of patients who already receive, or are felt may benefit from, oxygen therapy at home. The service covers patients registered with a Portsmouth CCG GP. The team of two specialist physiotherapists are happy to assist where possible and happy to provide expert advice.

Referral Criteria

Referrals to the Home Oxygen Service can only be made by a registered clinician.

Oxygen is not a treatment for breathlessness in the absence of chronic hypoxia.                                                     

Oxygen should only be considered once patients have a confirmed diagnosis, optimally controlled and clinically stable.

 

Reference: BTS Guidelines for Home Oxygen Use in Adults (2015)

 

Long Term Oxygen Therapy (LTOT):

·         Indicated for chronic hypoxic patients with a confirmed diagnosis and who are optimally managed.

·         Patients with a pulse oximetry of SpO2 ≤92% on air (or ≤94% with known Polycythaemia, Cor Pulmonale or Pulmonary Hypertension) when stable should be considered for referral for LTOT.

·         Minimum of eight weeks post exacerbation (or as long as possible if frequently exacerbates).

·         LTOT is to be worn for a minimum of 15 hours a day in order to derive the intended clinical benefit.

Ambulatory Oxygen Therapy (AOT):

·         Patients who desaturate by 4% or more to below SpO2 90% when mobilising when stable.

·         AOT is advised for use on exertion only when mobilising outdoors.

 

Short Burst Oxygen Therapy (SBOT):

·         SBOT is not evidence based in the absence of hypoxia.

·         SBOT is recognised as a treatment for Cluster Headaches if provides symptomatic relief.

 

Palliative Oxygen Therapy (POT):

·         POT is not evidenced in absence of hypoxia and alternative treatments, both pharmacological and non-pharmacological, should be considered and suitably trailed before commencing POT.

·         If a patient is end of life, it may be suitable for a clinician, rather than refer to the HOSAR team, to commence oxygen therapy based on individual assessment considering an improvement to oxygenation, reducing dyspnoea and improving quality of life. We are happy to provide advice regarding the Home Oxygen Order Form (HOOF) completion in these circumstances.

 

 

RISK:

·         When assessed or reviewed for a current supply the patients safety, and that of others, will be considered and assessed. If the risk, despite appropriate and feasible steps to mitigate, is deemed to remain high by the Home Oxygen Service oxygen therapy may not be commenced or if required may be removed.

·         Serious consideration should be given to current or relapsing smokers regarding commencement or continuation of oxygen therapy. Risk or compliance should be considered and Oxygen may not be commenced or may be removed.

 

ADHERENCE:

·         Serious consideration must be given to those who do not adhere to minimal requirements of use of oxygen therapy to achieve clinical benefit. (as per guidelines) This needs to be considered prior to referral and will also be considered on assessment and review.

If any of the information on this page is incorrect, if you did not find what you were looking for or if you have any other comments please let us know.
If you have a compliment, concern or complaint, please contact our Patient Advice and Liaison Service
 
 

Contact Information

Contact Ian Scrase
Phone 0300 123 3998
Fax 02392 340240
Web SNHS.Home-Oxygen-Service@nhs.net
Address Turner Centre, St James Hospital, Milton, Southsea, Portsmouth, PO4 8LD
 

Opening Hours

Monday 8:00 am - 4:00 pm
Tuesday 8:00 am - 4:00 pm
Wednesday 8:00 am - 4:00 pm
Thursday 8:00 am - 4:00 pm
Friday 8:00 am - 4:00 pm


Additional opening hours information
The service operates Monday to Friday 08.00-16.00 (with exclusion of bank holidays).

Additional Information for Health Professional

Full service description

We assess for Long Term Oxygen Therapy (LTOT) and Ambulatory Oxygen (AO), as per national guidelines. We ensure the correct order of home oxygen, appropriate to the individual at that moment in time.

Referral Criteria

Referrals to the Home Oxygen Service can only be made by a registered clinician.

Oxygen is not a treatment for breathlessness in the absence of chronic hypoxia.                                                     

Oxygen should only be considered once patients have a confirmed diagnosis, optimally controlled and clinically stable.

 

Reference: BTS Guidelines for Home Oxygen Use in Adults (2015)

 

Long Term Oxygen Therapy (LTOT):

·         Indicated for chronic hypoxic patients with a confirmed diagnosis and who are optimally managed.

·         Patients with a pulse oximetry of SpO2 ≤92% on air (or ≤94% with known Polycythaemia, Cor Pulmonale or Pulmonary Hypertension) when stable should be considered for referral for LTOT.

·         Minimum of eight weeks post exacerbation (or as long as possible if frequently exacerbates).

·         LTOT is to be worn for a minimum of 15 hours a day in order to derive the intended clinical benefit.

Ambulatory Oxygen Therapy (AOT):

·         Patients who desaturate by 4% or more to below SpO2 90% when mobilising when stable.

·         AOT is advised for use on exertion only when mobilising outdoors.

 

Short Burst Oxygen Therapy (SBOT):

·         SBOT is not evidence based in the absence of hypoxia.

·         SBOT is recognised as a treatment for Cluster Headaches if provides symptomatic relief.

 

Palliative Oxygen Therapy (POT):

·         POT is not evidenced in absence of hypoxia and alternative treatments, both pharmacological and non-pharmacological, should be considered and suitably trailed before commencing POT.

·         If a patient is end of life, it may be suitable for a clinician, rather than refer to the HOSAR team, to commence oxygen therapy based on individual assessment considering an improvement to oxygenation, reducing dyspnoea and improving quality of life. We are happy to provide advice regarding the Home Oxygen Order Form (HOOF) completion in these circumstances.

 

 

RISK:

·         When assessed or reviewed for a current supply the patients safety, and that of others, will be considered and assessed. If the risk, despite appropriate and feasible steps to mitigate, is deemed to remain high by the Home Oxygen Service oxygen therapy may not be commenced or if required may be removed.

·         Serious consideration should be given to current or relapsing smokers regarding commencement or continuation of oxygen therapy. Risk or compliance should be considered and Oxygen may not be commenced or may be removed.

 

ADHERENCE:

·         Serious consideration must be given to those who do not adhere to minimal requirements of use of oxygen therapy to achieve clinical benefit. (as per guidelines) This needs to be considered prior to referral and will also be considered on assessment and review.

Clinical Lead Contact Info

Clinical Lead Lisa Lee
Clinical Lead Title Service Lead
Clinical Lead Phone 023 92 683460
Clinical Lead Address Management Team 3rd Floor Civic Offices Portsmouth
Clinical Lead Postcode PO1 2GJ
Clinical Lead e-mail lisa.lee@solent.nhs.uk

Service Manager Contact Info

Service Manager Tim Hodgetts
Service Manager Title Operations Manager - Adults Portsmouth
Service Manager Phone 023 92 683425
Service Manager Address Management Team 3rd Floor Civic Offices Portsmouth
Service Manager Postcode PO1 2GJ
Service Manager e-mail tim.hodgetts@solent.nhs.uk
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