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For many years, an anomaly existed in the provision of home oxygen therapy: responsibility for prescribing it fell to GPs, who usually had no way of gauging a patient's oxygen requirements. In 2006, new contractual arrangements for home oxygen supply in England and Wales led to development of the Home Oxygen Order Form (HOOF).1,2 This form allows healthcare professionals to specify the appropriate flow rate and number of hours a day a patient is to have oxygen, with the supplying company deciding how the oxygen is best administered and what equipment is required.2 However, …