Camden Home Oxygen referral flow chart
PATIENTS REGISTERED
WITH Camden GP who require oxygen
Air Liquide HCP
Support Team:
Tel: 0808 202 2099
Fax: 0870 863 2111
8.30am - 5.00pm
Monday to Friday
Is patient currently prescribed oxygen?
YES
NO
Has patient* had a review within 4 weeks of
treatment commencement?
(*Review within 4 weeks required for COPD
patients. Other patients may require more frequent
or ongoing review e.g. paediatric patients)
NO
YES
Has patient had a
review 6 months
after initiation?
YES
Is the
patient
having a
review by a
specialist
every 6
months?
All patients must be
assessed by a specialist.
Does patient require
immediate home oxygen prior
to specialist assessment?
NO
Contact
specialist
team to
request
patient is
reviewed
NO
Refer to
appropriate
specialist –
respiratory,
neurology,
paediatrics,
palliative care
etc.
24-hour call centre
Tel: 0808 143 9991
(Patient line but will
take HCP calls out of
hours)
YES
Complete Home Oxygen Order
Form (HOOF) (Part A) & Home
Order Consent Form (HOCF)
(Concentrator or static cylinders)
Fax HOOF to Air Liquide
FAX: 0870 863 2111
Next day order should only be used except
in exceptional circumstances when 4 hour
emergency order can be justified
NO
HOOF Part A
YES
Continue to ensure
6 monthly review if
clinically stable
HOCF
Refer to appropriate specialist for
assessment and ongoing review
Contact details for specialists for Camden patients
Speciality
Respiratory
Location
Royal Free Hospital
University College Hospital
Respiratory Nurse Specialists
Whittington Hospital
Community paediatric
team
Neurology
Cardiology
Palliative care
CICS COPD clinic
Royal Free Hospital
Contact details
Referral via Choose and book
Tel: 020 7794 0500 and bleep 1144, 1816 or 2083 (resp
registrars)
Fax: 020 7472 6141
Referral via Choose and book
Tel: 07961 221848, Fax: 020 3447 9476
Referral via Choose and book
Tel: 020 7288 5236, Fax: 020 7288 5060
Complete CICS proforma and do referral via choose and book
Referral via Choose and book
Tel: 020 3317 2200, Fax: 020 7830 2347
Usual referral through Choose and Book
Usual referral through Choose and Book
Usual referral to local team
References
1.
British Thoracic Society. Guideline for emergency oxygen use in adults. Thorax 2008. 63: Suppl V1
2.
NHS Primary Care Commissioning. Home Oxygen Service – Assessment and Review. Good practice guide. April 2011.
3.
National Institute for Health and Clinical Excellence. Clinical guideline 101. Chronic obstructive pulmonary disease. Management of
chronic obstructive pulmonary disease in adults in primary and secondary care (partial update). June 2010.
4.
Royal College of Physicians. Domiciliary oxygen therapy services. Clinical guidelines and advice for prescribers. July 1999.
Camden Home Oxygen Referral Flow Chart. December 2013