G_CS_74 Assessment and Review of Patients on Home Oxygen SOP

Long Term Oxygen Therapy (LTOT) is a widely used treatment that improves survival in patients with Chronic Obstructive Pulmonary Disease (COPD) and severe hypoxaemia.  Once started this therapy is likely to be life long.  Ambulatory oxygen therapy refers to the provision of oxygen therapy during exercise and activities of daily living.  In 2015 the British Thoracic Society (BTS) published updated guidelines and a structured framework for the assessment and follow up care of patients requiring home oxygen therapy.   There is a strong recommendation in the guidelines that both LTOT and ambulatory oxygen therapy should only be prescribed after appropriate assessment by a respiratory specialist.  The Adult Oxygen Assessment Service provides the primary care component of a joint primary/secondary care model for the provision of specialist oxygen assessment and follow up care which are based on the clinical standards set out by the BTS (2015).  Patients across Lincolnshire will have access to standardised clinical assessment, appropriate and safely prescribed oxygen therapy and formal arrangements for community based follow–up care thus ensuring that the prescribed LTOT adequately corrects hypoxaemia, that there is good compliance with LTOT and ambulatory oxygen therapy, to detect clinical deterioration and to ensure continuing requirement for domiciliary oxygen.

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