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IMPRESS IMProving and Integrating RESpiratory Services in the NHS

Rationalising oxygen use to improve patient safety and to reduce waste

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Rationalising oxygen use to improve patient safety and to reduce waste

The IMPRESS step-by-step guide IMPRESS has produced a guide More for Less that recommends that one area of potential waste, and ineffective care that is crying out for change, is in the prescribing and ordering of oxygen. This is our step-by-step improvement guide to oxygen. If you follow these steps we would expect that you will improve care. You will also probably release savings that we hope you would negotiate with your local commissioner could be reinvested in implementing some of the other recommendations in the national strategy. You can start this now.

The consultation for the Strategy for Services for Chronic Obstructive Pulmonary Disease (COPD) in England contains 24 recommendations for improvements in the delivery of care for people with COPD and asthma.  As it comes without additional funding, efficiencies will need to be made to balance the books. How should you get started in the current tough financial climate?

IMPRESS has produced a guide More for Less that recommends that one area of potential waste, and ineffective care that is crying out for change, is in the prescribing and ordering of oxygen.  (See extract at Appendix 1). According to the national consultation document over 60% of home oxygen is used by people with COPD.

Here is our step-by-step improvement guide. If you follow these steps we would expect that you will improve care. You will also probably release savings that we hope you would negotiate with your local commissioner could be reinvested in implementing some of the other recommendations in the national strategy.   You can start this now.

Note this guide refers to adult patients.

Appendices include:
Appendix 1 - Extract from the IMPRESS guide More For Less setting the context of improving quality and potentially reducing cost with examples of oxygen services from around the country
Appendix 2 - Home Oxygen Order Form information
Appendix 3 - South Essex home oxygen service checklist for nurse team
Appendix 4 - Information for Patients in England and Wales: Arranging, trying and using Short-burst Oxygen Therapy to abort Cluster Headaches
Appendix 4 - Information for GPs and Neurologists: Arranging Short-burst Oxygen Therapy for patients in England and Wales with Cluster Headaches
Appendix 5- example of report from supplier, SHA level, showing variation
Appendix 6 - Oxygen prescribing - information for GPs
Appendix 7 - London Ambulance Service NHS Trust Patient Specific Protocol and Oxygen Alert Cards - Flagging process between Southend University Hospital Trust and East of England Ambulance NHS Trust

To download all IMPRESS publications go here: http://www.impressresp.com/index.php?option=com_docman&Itemid=82

(There are several pages of downloads)

For more on oxygen: http://www.impressresp.com/index.php?option=com_content&view=article&id=29&Itemid=28
September 2010