Modernising Home Oxygen Services

1
Modernising Home Oxygen Services

• North West Region Home Oxygen Event (covering Air
  Products)
• Holiday Inn, Runcorn
• Thursday 5th October 2006

Viv Smith NHS North West SHA Regional Lead (AP
North)
2
Home Oxygen Services

• Introductions
• Housekeeping
• Timetable for today
• Aims of the day
• Opportunities

3
AIMS

• Provide a background to the HOS changes
• Understand current and future roles and
  responsibilities for HOS leads
• Share information and ideas
• Clinical assessment and follow up services
• Understand the transition plan

.to provide a better service for our patients
4
Today

• Looking forward but acknowledging the problems
  and learning from the past

5
Today Key Objectives

• Service Delivery national contract, service
  specification, finance, DH role, PCT role
• Local developments
• Service Issues quality of service, adverse
  incidents, complaints
• Clinical Assessment and Follow Up Services
  commissioning framework, roles and
  responsibilities, awareness
• Working with the Supplier local arrangements,
  arrangements for end of transition, i.e. 31st
  October and beyond

6
Governance Structure
Stakeholder Advisory Group
Regional Leads (Supra Regional Lead for AP
Regions)
PCT Leads
7
Policy Context

• Contract in line with Commissioning Patient Led
  NHS (CPLNHS) http//www.dh.gov.uk/PolicyAndGuidanc
  e/OrganisationPolicy/Commissioning/CommissioningAP
  atientledNHS/fs/en
• Increasing relationships with the independent
  sector
• Care closer to home and seamless care
  increasing the ability for all clinicians to
  order a service
• Introducing plurality and contestability into the
  home oxygen market

8
Home Oxygen Services

• Cylinders historically provided by community
  pharmacies under local contracts
• Concentrators were supplied using a number of
  varied arrangements with specialist companies
• Assessment and review of patients was ad hoc

9
Process

• Patients and clinicians wanted a different
  service
• Consultation with NHS on service specification
• DH went out to tender for 10 oxygen regions
  through NHS Purchasing and Supplies Agency
  (PASA) 
• 4 companies were offered contracts Air Products,
  BOC, Linde and Allied Respiratory/Medigas
• A range of health professionals including acute
  care can now order oxygen for patients as well as
  GPs
• Supply whole service cylinders, concentrators,
  ambulatory and liquid oxygen a service
  specification specifying response times etc  -
  supply within 4 hours of receipt of urgent
  orders, one day on discharge from hospital and
  within 3 working days of receipt of order for
  standard delivery

10
February 2006

• 1st February 2006 transition to new providers
  began
• National problems
• inundated with HOOFs
• poorly completed HOOFs
• lack of cylinders
• call centre problems
• data quality
• billing issue
• emergency supplies
• difficulties in meeting service specification
• adverse incidents
• complaints
• etc etc

11
October 2006

• Most patients transferred to new service
• Most problems being resolved
• Quality and reliability of service improving
• Concerns over financial situation
• PCT reconfiguration
• Insufficient development of clinical assessment
  services
• Community pharmacy disengagement

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Local networks

• NHS North West
• Viv Smith Viv.Smith_at_northwest.nhs.uk
• Karen Clayton Karen.Clayton_at_northwest.nhs.uk
• Helen Allanson Helen.Allanson_at_northwest.nhs.uk
• NHS Yorkshire and Humberside
• Alex Bower - Alex.Bower_at_leedssouth-pct.nhs.uk
• Sarah Alton - Sarah.Alton_at_yorksandhumber.nhs.uk