Our Services

Sleep and Home Ventilation Service

sleep service

Assessment, management and support for adults over 18years with sleep breathing problems such as sleep apnoea and respiratory muscle weakness caused by conditions such as chronic obstructive pulmonary disease (COPD), motor neurone disease (MND) and other musculo-skeletal conditions causing breathing compromise.

What services do we provide?

Sleep Clinics

The Royal Surrey provides diagnostic, treatment and ongoing monitoring services for patients with sleep disorders and those that have trouble breathing during sleep. 

Insomnia

Our insomnia team also provide services for patients with chronic insomnia. More about this service can be found out on the Insomnia Clinic page here

Home Ventilation Clinics

We offer assessment, monitoring and treatment for patients who require assistance with their breathing due to long term conditions such as:

  • Chronic Obstructive Pulmonary Disease (COPD)
  • Motor Neurone Disease and other neuromuscular disorders
  • Chest wall problems (Kyphscoliosis)
  • Obesity Hypoventilation Syndrome
  • Weak cough due to neuromuscular disorders

Oxygen Therapy 

We provide: 

  • Outpatient assessment with home sleep studies including breathing tests (Spirometry), blood gases when required.
  • Home assessment for patients who are too unwell to leave home.
  • Ongoing monitoring and support for patients on CPAP and ventilator support.

Who do we see?

Referral

Q: How do I get referred

A: We accept referral from GPs via Choose and Book, hospital consultants and other healthcare professional in the Hospitals and community services.

Q: What are the indications for referral?

A: Daytime sleepiness
History of snoring and witnessed apnoeas (where you are witnessed to stop breathing during your sleep)
Nocturnal symptoms such as waking gasping or choking

Q: Do you see children?

A: No we only see adult patients over 18 years of age

Your appointment

Q:What will happen at the first appointment

 A: You will be seen by a member of the sleep  and home ventilation team who will make full assessment. 

They will listen to you and ask you to describe

  • Current sleep/breathing problem and how it is affecting you
  • Medical history (previous operations and conditions managed by your GP)
  • List of medication
  • Your sleep pattern
  • Anything unusual that happens to you at night

They may perform or arrange various tests including:

  • Blood pressure check
  • Height, weight and BMI
  • Spirometry (breathing tests)
  • Blood gases (to measure oxygen and carbon dioxide levels)
  • Chest xray (if required)

They will review the questionnaires sent out to you in the post

  • Epworth sleepiness score (Please add link to Epworth sleepiness score here)
  • Sleep diary

Overnight Sleep study

  • Most patients will have a sleep study at their first appointment

Q: What should I bring with me to my appointment

  • Your diary so we can book further visits and tests (where necessary) at a convenient time for you
  • Your current medication list including any alternative or herbal remedies and anything you have bought over the counter.

Q: Should I bring someone with me to my appointment?

A: For initial consultations it is helpful if your bed partner or a relative comes with you as they may be able to give a better account of what's going on during your sleep than you can. 

Q What does the sleep study entail?

A: You will be provided with a device to take home and wear overnight which will monitor your breathing, heart rate and oxygen levels. 

Q: Will I been shown how to put the equipment on?

A: Yes during you appointment we will put the equipment on you to make sure that it fits and to demonstrate how to put it on. You will also be given a diagram to help remind you.

Q When do I need to return the equipment?

A: We will ask you to return the equipment the next day.

Q: When will I get the results?

A: We will aim to see again as quickly as possible. This will depend which hospital you are seen at.

For clinics at Cranleigh and Haslemere followup will be the following morning.

For clinics at Royal Surrey-We will see you as quickly as possible (usually within 2 weeks). We may arrange a telephone consultation to give you your results if appropriate

Q: What information do we get from the sleep study?

A: The sleep study measures snoring, breathing, breath holds, oxygen levels, pulse rate, body position in bed, chest movement and chest movement. When required we also measure leg movements with additional leg leads.

Q: What is the treatment for Obstructive sleep apnoea?

A: This will depend upon the severity and your symptoms. Find out more on: https://www.blf.org.uk/support-for-you/obstructive-sleep-apnoea-osa/symptoms

Treatment Options

Lifestyle changes including:

  • Weight reduction
  • Exercise
  • Alcohol intake
  • Stopping smoking

CPAP: https://www.blf.org.uk/support-for-you/obstructive-sleep-apnoea-osa/cpap-machines

An auto titrating CPAP machine and a mask is provided for a trial period of 4-6 weeks to assess your response to treatment. CPAP machines control snoring and sleep apnoea; they are not a cure. If the trial period is a success and the treatment is beneficial you will be provided with a CPAP machine and other equipment. You will be asked to use the machine and mask every night for at least four hours and preferably all night. We will review you on a yearly basis.

Q: What happens if I have questions or problems using the CPAP?

A: Our team are available on email or via the telephone if you have any problems or questions. We can often advise you over the telephone or email. If you need to see us in clinic we can arrange an appointment for you to come in and see us.

Q: Will a diagnosis of sleep apnoea affect my driving license?

A: If you have a diagnosis of sleep apnoea syndrome

Information about driving: https://www.blf.org.uk/support-for-you/obstructive-sleep-apnoea-osa/driving

Contact us

Telephone: 01483 571 122 Ext 2662

Email rsc-tr.sleepteam@nhs.net

Location

The Sleep Office is located on level B at the Royal Surrey County Hospital. 

We provide services across our sites at Royal Surrey Hospital in Guildford, Cranleigh village hospital  and Haslemere Hospital.

Home visits may be offered to patients who are too unwell to travel to a clinic.

 

Royal Surrey Charity