It is important to remember that oxygen is a treatment for hypoxia, not for breathlessness. Patients who are breathless but not hypoxic require optimised medication and other non-pharmacological and pharmacological options should be tried.
We accept referrals for those living with a life-limiting condition who need support with controlling their breathlessness, regardless of the underlying cause. This would involve assessment and ongoing management from the Hospice Team. We are unable to accept referrals purely for the prescription of palliative oxygen when assessed by other clinicians. Palliative oxygen can be prescribed by clinicians who are not palliative or respiratory specialists using a Home Oxygen Order Form – Part A (HOOF A).
HOOF A forms only give the option of a static concentrator or static cylinder. If ambulatory cylinders are required this can be done by adding a comment in box 11 “additional information” (e.g. Please supply x number of cylinders at x l/min for x hours/ day for ambulatory purposes).
Please note that each HOOF referral is deemed a new prescription, not an additional prescription. So, if you are adding ambulatory cylinders to a previous order, both the previous order and the new order need to be added to the referral form. Otherwise the static concentrator/cylinder could be removed.
You can either download the HOOF A Form or complete it online via the Vivisol website.
Further information and guidance can be found on the NHS website or on the Vivisol website.
