The new domiciliary oxygen service started on 1 February 2006. The first full year operational costs relate to 2006-07. These details are set out in the following table.
Total expenditure (£000) England 71,786,157 Strategic health authority (SHA) North East SHA 7,135,372 North West SHA 9,606,498 Yorkshire And The Humber SHA 6,561,058 East Midlands SHA 5,518,053 West Midlands SHA 7,767,896 East of England SHA 10,762,053 London SHA 7,265,996 South East Coast SHA 4,873,611 South Central SHA 4,361,402 South West SHA 7,934,217 Primary care trust Ashton, Leigh and Wigan 422,298 Barking and Dagenham 364,217 Barnet 346,003 Barnsley 406,828 Bassetlaw 168,147 Bath and North East Somerset 264,958 Bedfordshire 654,732 Berkshire East 303,405 Berkshire West 358,290 Bexley Care Trust 232,273 Birmingham East and North 601,560 Blackburn with Darwen 214,496 Blackpool 266,665 Bolton 207,863 Bournemouth and Poole 310,160 Bradford and Airedale 798,600 Brent Teaching 160,359 Brighton and Hove City 275,036 Bristol 853,220 Bromley 271,009 Buckinghamshire 493,795 Bury 184,817 Calderdale 202,524 Cambridgeshire 849,513 Camden 205,759 Central and Eastern Cheshire 588,313 Central Lancashire 597,722 City and Hackney Teaching 232,961 Cornwall and Isles Of Scilly 1,223,929 County Durham 1,381,047 Coventry Teaching 507,622 Croydon 296,231 Cumbria 472,985 Darlington 256,502 Derby City 215,937 Derbyshire County 825,763 Devon 1,012,912 Doncaster 431,860 Dorset 629,215 Dudley 66,017 Ealing 210,866 East and North Hertfordshire 1,032,617 East Lancashire 408,320 East Riding of Yorkshire 479,246 East Sussex Downs and Weald 317,323 Eastern and Coastal Kent 1,014,547 Enfield 241,238 Gateshead 360,123 Gloucestershire 643,545 Great Yarmouth and Waveney 577,213 Greenwich Teaching 209,171 Halton and St. Helens 519,985 Hammersmith and Fulham 143,767 Hampshire 1,486,888 Haringey 163,915 Harrow 283,697 Hartlepool 259,252 Hastings and Rother 294,640 Havering 440,512 Heart of Birmingham 255,156 Herefordshire 211,270 Heywood, Middleton and Rochdale 225,334 Hillingdon 261,562 Hounslow 189,195 Hull 670,595 Isle of Wight Healthcare 142,901 Islington 204,372 Kensington and Chelsea 142,565 Kingston 138,149 Kirklees 367,750 Knowsley 305,047 Lambeth 293,549 Leeds 813,336 Leicester City 418,884 Leicestershire County and Rutland 730,593 Lewisham 203,040 Lincolnshire 1,032,190 Liverpool 946,459 Luton 265,912 Manchester 781,331 Medway 231,405 Mid Essex 723,096 Middlesbrough 656,756 Milton Keynes 320,505 Newcastle 576,821 Newham 310,662 Norfolk 1,319,045 North East Essex 802,791 North East Lincolnshire 188,626 North Lancashire 413,032 North Lincolnshire 237,132 North Somerset 317,200 North Staffordshire 285,311 North Tees 346,791 North Tyneside 491,900 North Yorkshire and York 719,473 Northamptonshire 819,829 Northumberland Care Trust 972,049 Nottingham City 445,944 Nottinghamshire County 860,764 Oldham 219,860 Oxfordshire 637,583 Peterborough 442,028 Plymouth 377,135 Portsmouth City Teaching 211,986 Redbridge 229,610 Redcar and Cleveland 341,494 Richmond and Twickenham 150,039 Rotherham 343,028 Salford 526,063 Sandwell 398,363 Sefton 458,618 Sheffield 587,294 Shropshire County 532,528 Solihull 322,866 Somerset 830,212 South Birmingham 304,853 South East Essex 661,386 South Gloucestershire 327,960 South Staffordshire 1,024,489 South Tyneside 450,484 South West Essex 866,779 Southampton City 406,048 Southwark 263,048 Stockport 279,328 Stoke on Trent 488,753 Suffolk 920,331 Sunderland Teaching 1,042,152 Surrey 1,109,438 Sutton and Merton 239,371 Swindon 308,848 Tameside and Glossop 246,710 Telford and Wrekin 181,840 Torbay Care Trust 197,726 Tower Hamlets 263,986 Trafford 225,639 Wakefield District 314,766 Walsall Teaching 503,569 Waltham Forest 319,260 Wandsworth 110,625 Warrington 193,822 Warwickshire 494,350 West Essex 669,703 West Hertfordshire 976,908 West Kent 833,283 West Sussex 797,939 Western Cheshire 294,387 Westminster 144,986 Wiltshire 637,197 Wirral 607,406 Wolverhampton City 510,865 Worcestershire 578,485 Source: NHS Business Services Authority
The Department does not hold information on the number of people using the home oxygen service in England prior to 2006-07, as the information collected was based on the number of oxygen cylinders dispensed, not the number of patients using the service. However, information was available on the number of patients using the oxygen concentrator service under contracts with specialist suppliers. The 2004 estimate used to support procurement of the new service was that around 60,000 patients used the service (of which 20,000 used concentrators).
Data available from the new integrated service contract implemented from 1 February 2006 show that there are some 79,000 patients using oxygen at home.
Prior to the introduction of the new home oxygen service on 1 February 2006, there were no explicit requirements on those providing an oxygen cylinder service or an oxygen concentrator service to deliver a service urgently or within another specified period. Therefore, no data are available to assess average delivery time prior to that date.
The new service contract requires the service provider to meet specific response times for each oxygen service provided under the contract. These are:
emergency or urgent supply of oxygen to be delivered within four hours of receipt of an order from a healthcare professional;
an order supporting the discharge of a patient from hospital to be delivered on the day following receipt of the order or on a date specified by the healthcare professional in the order; and
an order for short burst oxygen therapy, long-term oxygen therapy, or an ambulatory oxygen service to be provided within three working days of receipt of an order either from a health care professional or from the patient directly (for re-supply).
Each supplier must meet these service requirements under the terms of the contract and delivery times are a key indicator used in monitoring supplier performance. There is no average delivery time. A supplier will either pass or fail in meeting these requirements. Current data show that suppliers are achieving around 99 per cent. compliance with this service requirement.