The New Home Oxygen Therapy Service HOTS

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The NewHome Oxygen Therapy Service(HOTS)
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Todays presentation

• Who are Air Products?
• How is the home oxygen therapy service
  changing?
• How will patients and the NHS benefit?
• What are the new ordering procedures?
• How will the transition be managed?
• What information systems do we have to help
  you?
• Your questions

3
About Air Products
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Air Products Healthcare

• 14 countries worldwide
• Over 400,000 patients
• Over 70,000 in UK Irelandafter Feb 05

5
Our experience

• Concentrator Service
• England Wales 8,000 patients, 16 years
• Cylinder Service
• Managed Cylinder Service - 1,000 patients, 7
  years
• Pharmacy Service 800 pharmacies, 9,000 patients
• Liquid Oxygen Service
• England Wales 55 patients, 11 years
• European Continent - 10,000 patients
• Emergency Service
• Existing 4 hour response, 24/7 emergency service
• Holiday Service
• 1,275 holidays arranged in 5 years
• Per diem service in other countries

6
Patient Forums

• 15 conducted in 2004 across the UK
• Contributions from
• 200 patients / carers
• Clinical staff, fire services, BLF
• Information provided and feedback gathered on
• Service quality
• New equipment suitability
• Safety concerns
• Patient information
• Holiday information
• Self help networks
• AP will conduct 2 forums in your region every year

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An overview of the new service
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Air Products new regions
The 11 regions
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The new HOTS service

• Starts on 1ST February 06
• All modalities supplied by a call to a single
  supplier
• Concentrators
• Integrated valve cylinders
• Conservers
• Liquid Oxygen
• Future technology
• Provides a better quality of life for patients
• Ambulatory oxygen
• Holiday provision across the UK
• Eliminates postcode prescribing
• Home Oxygen Order replaces FP10
• Proper assessment of clinical needs
• Will reduce unnecessary SBOT prescriptions
• Ambulatory oxygen for those with a requirement
• Will identify LTOT patients earlier

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Benefits to the NHS

• More accountable and auditable service
• Better availability of information
• Easier coordination between clinicians and
  suppliers
• Prescribing according to the patients clinical
  needs
• Increased patient safety
• Conversion of high-use (SBOT) patients to
  concentrators leading to fewer heavy cylinders
  and fewer changeovers
• Potential reduction in emergency admissions

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Ordering Procedures
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New ordering procedures

• GPs provide HOO for short term requirements and
  refer patients to specialist team for full
  assessment
• Respiratory consultants and specialist teams
  provide Home Oxygen Order indicating therapy,
  flow rate and hours per day
• HOO faxed to the single supplier
• Suppliers install most appropriate equipment to
  reflect the patients requirements identified on
  the HOO
• No repeat orders required a new HOO is only
  required if the order changes
• Second HOO required from GP for holiday service
  or place of work / study
• Emergency HOO valid in perpetuity until succeeded
  by standard HOO

13
Tailored information systems

• MEDiCs comprehensive patient information system
  
• Produces reports for the health service on
• Patient and equipment movement
• Usage trends
• Prescribing data
• Standard reports being developed in conjunction
  with DH
• Direct access planned for future

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The transition to the new service
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Managing the transition

• October to January 2006
• Identifying all patients
• Gaining their consent
• Setting up assessment centres
• Conversion of high usage cylinder patients
• Introduction of higher capacity cylinders on DT
• From February 2006
• Cylinder transition from pharmacy
• Concentrator patients transfer
• New technology introduced
• Liquid Oxygen
• Lightweight cylinders for frail patients/children
• Communication critical
• DH Comms
• AP Comms
• QAs for all stakeholders
• A patient information pack
• Web resources
• Face to face presentations

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Whats Most Important For You To Do

• Patient data
• Postcode
• 1360 ltr cylinder use per month
• Ambulatory cylinder use per month
• Convert high use SBOT patients to concentrator
• Oct 05 Drug Tariff patients using greater than
  2 hrs per day
• Eliminates 50 SBOT cylinder demand
• GP awareness of 2122 litres cylinders
• Identify cylinder headset availability

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Thank you