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REMEDY : BNSSG referral pathways & Joint Formulary

BNSSG Adult Joint Formulary
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3. Respiratory System

First line drugs Second line drugs Specialist drugs Secondary care drugs
Recommended in both primary and secondary care Alternatives (often in specific conditions) in both primary and secondary care Where a specialist input is needed (see introduction for definition) Prescribing principally within secondary care only

Respiratory System Information


Home oxygen

  • The Home Oxygen supplier for the South West Region is Air Liquide. Home oxygen should be ordered using the Home Oxygen Order Form (HOOF) which is accessed via the web base portal.
  • Prescribers will be required to complete the Initial Home Oxygen Risk Mitigation (IHORM) and consent form and store in the patient’s records.
  • The Part A portal allows non specialist staff to order static equipment (concentrators and static cylinders)  and will ask you to confirm that the patient has a signed consent form and that you have completed a risk assessment. These forms can be found on the access Part A HOOF portal click here (and for the 2020 HOOF Part A update click here)
  • The Part B portal is restricted to respiratory nurses and specialist teams.
  • If a patient requires ambulatory oxygen or a change in their ambulatory prescription, they will need to be referred to the local respiratory team. The Air Liquide HCP support team can be contacted on 0808 202 2099.
  • NHS Guidelines for patients on home oxygen who are known to smoke can be found here