Redesigning a home oxygen assessment and review service
Art & Science Previous     Next

Redesigning a home oxygen assessment and review service

Christine Wrench Clinical nurse specialist in oxygen therapy, Sheffield Teaching Hospitals NHS Foundation Trust
Ruth Darwin Clinical nurse specialist in oxygen therapy, Sheffield Teaching Hospitals NHS Foundation Trust
Rod Lawson Consultant in respiratory medicine, Sheffield Teaching Hospitals NHS Foundation Trust

Christine Wrench and colleagues discuss the challenges that had to be overcome to provide equitable treatment for patients in Sheffield, and meet national guidelines

The Sheffield home oxygen assessment and review service was developed as a nurse-led, protocol-driven service, offering high standards of care to a limited number of patients. In line with national changes to oxygen provision in 2011, the service team was approached to address inconsistencies and inequalities in the existing care pathway, with a view to becoming a fully commissioned service. This required a complete redesign of the service, using a collaborative approach to include relevant interested parties in planning and decision making. Additional support was gained through participation in the NHS Improvement lung national improvement project. This article outlines the process of service redesign, including some of the major challenges as well as the main learning points. It has led to the provision of an equitable and efficient service for all oxygen patients across the city, offering more community clinics and robust cost controls, while maintaining quality of care.

Correspondence christine.wrench@sth.nhs.uk

Nursing Older People. 27, 2,18-24. doi: 10.7748/nop.27.2.18.e664

Received: 21 November 2014

Accepted: 19 January 2015

Published in print: 02 March 2015

Peer review

This article has been subject to double blind peer review

Conflict Of Interest

None declared