Home ventilation service
The Royal Surrey provides assessment and ongoing monitoring for patients with or at risk of developing chronic respiratory failure. Patients are assessed for suitability of treatment and started on ventilatory support if appropriate.
Patients who may benefit from non-invasive ventilation (NIV) at home include those with chest wall disorders, COPD, neuromuscular disorders (such as motor neurone disease) and obesity hypoventilation syndrome.
The team is led by the respiratory consultants and includes specialist physiotherapists, nurses, occupational therapists and support staff.
What we offer
- Full outpatient or inpatient assessment.
- Commencement of NIV in the appropriate setting for the patient (outpatient, day case, inpatient stay or at home) including provision of oxygen if required.
- Monitoring of patients at risk (i.e. those with MND), assistance with airway clearance and maintenance of thoracic mobility.
- Ongoing monitoring and support for patients to maximise compliance and the benefits of treatment and to maintain equipment.
- Dedicated phone line for support, advice and replacement parts (01483 571122 Ext. 2662 Mon-Fri).
We are happy to accept referrals for both new patients, and those already on NIV treatment, who would like to transfer to our services, such as those currently managed by tertiary centres in London.
Please telephone for urgent referrals.
Please call us if you would like to discuss any referral on the number below.
Royal Surrey County Hospital
Tel: 01483 571122 Ext. 2662
Fax: 01483 408398
Indications for referral
Chest wall disorders/Obesity-hypoventilation/Neurological disorders
- Patients with respiratory signs and symptoms including dyspnoea, orthopnoea, daytime fatigue, sleepiness or early morning headaches.
- ± PaCO2 > 6 kPa.
Motor Neurone Disease
- All new NMD patients to establish baseline respiratory function.
- We are happy to assess any patient with MND and to monitor their respiratory function as per the NICE guidelines. This allows us to commence NIV in a timely fashion when indicated and to maintain respiratory function.
- Patients with respiratory signs and symptoms including weak cough, orthopnoea, morning headaches, progressive dyspnoea, or a PaCO2 > 6 kPa should be referred urgently for review.
Home ventilation should be considered in stable COPD patients with:
- Symptomatic hypercapnia.
- Hypercapnia and requiring long-term oxygen therapy.
- Recurrent exacerbations/admissions complicated by hypercapnia.