“…It is very encouraging to learn of a health service making a concerted effort to improve its clinical effectiveness, as reported by Pearce in this issue of the Primary Care Respiratory Journal [1], especially when a new system follows reports authored by pre-eminent healthcare professionals interested in their patients receiving the maximum benefit from long-term oxygen therapy (LTOT) [2]. Since there has been a longstanding issue in the UK regarding the limitations of providing ambulatory oxygen, it would seem that at least one important component of chronic disease management will be resolved as from February 1st 2006.…”