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Home Oxygen Service - Assessment and Review (HOS-AR)

About us

The National Health Service has estimated there are about 85,000 patients using home oxygen in England. We have over 600 patients in Derby City and South Derbyshire who currently are using home oxygen therapy.

The Home Oxygen Service assesses, prescribes, reviews and follows up patients requiring oxygen at home. When patients with respiratory problems and other conditions such as heart disease are thought to require oxygen, they are referred to the service. They will then be assessed at home or in a specialised community oxygen clinic to determine whether oxygen is appropriate.

The required oxygen equipment is then ordered on the HOOF form from the current provider Air Liquide, who safely install and explain fully how to use the equipment.

The HOS-AR service will then follow up the patient to ensure safety and provide support. 

The service also reviews all patients currently receiving oxygen to determine what supply and equipment is appropriate for their condition and will support and follow up those patients. Patients benefit by receiving the optimum oxygen therapy to meet their needs.

High quality home oxygen treatment is available to all who need it, and the service ensures this is supplied through the most cost effective route. Referral criteria and referral form can be found on both the Hospital and Community intranet.

Elements of the service

  • The respiratory assessment includes capillary blood gas analysis to accurately determine a patient’s oxygen requirements (this involves taking a small sample from an ear lobe).

  • Initiation, maintenance and withdrawal of home oxygen therapy.

  • Education, advice and support for not only the patient, but hospital and community colleagues who may have patients in receipt of oxygen therapy on their caseloads.

  • The service can also access support from other hospital specialist respiratory services such as Respiratory Consultants, Pulmonary Rehabilitation, Adult Respiratory Team (ART), and Palliative Care.

  • There is a dedicated telephone service to answer all home oxygen related queries.

  • All staff have specialist knowledge and training in all aspects of home oxygen provision.

The aim of the service is to comply with the local Home Oxygen Patient Pathway, and with National Department of Health and British Thoracic Society Guidelines on the Provision of Home Oxygen.

The service is not an emergency response service for patients who require oxygen therapy for acute episodes of illness.


Referrals are accepted from all healthcare professions, GP Practices, Community Nursing, Allied Healthcare Teams and Secondary Care by fully completing the Home Oxygen referral form and faxing it to the Home Oxygen Office. 

Patients who have an accurate diagnosis, free from exacerbation, with pulse oximetry of less then 92% on 2 separate occasions can be referred. Referral form.

We aim to see all new referrals within 2- 4 weeks, then follow up at 4 weeks, 4 months and annually.


Service operating times

Monday to Friday (excluding Bank Holidays) 9am to 5pm

If you have any questions please do not hesitate to contact the Home Oxygen Support Team:


Sue Smith

Specialist Practitioner for Home Oxygen

Office  01332 787825

Mobile 07500 976649

Nicola Edwards

Home Oxygen Nurse Specialist

Office  01332 787420

Mobile 07887 943516

Rose Smith

Project Support

Office  01332 787078



Fax      01332 788348