Sleep Disorder Centre
The Sleep Disorder Centre was established in 1992, and provides a comprehensive service in sleep medicine for the south east of England. It is one of the six largest centres in the UK.
The centre diagnoses and treats all aspects of adult sleep medicine, but respiratory disorders during sleep constitute the largest part of the workload. These include:
- sleep disordered breathing (SDB)
- hypoventilation syndromes (mostly related to increased body mass index)
- NREM parasomnias
- REM behaviour disorder
- sleep related movement disorders
- sleep related epilepsies and
- circadian rhythm disorders.
The centre is one of only a few in the UK with facilities for a full range of treatments for sleep disordered breathing, including continuous positive airway pressure (CPAP), non-invasive ventilation (NIV), orthodontic services for mandibular advancement devices, and surgery including bi-maxillary osteotomy.
Although bed partners will observe and complain about sleep disordered breathing, the subject themselves is usually unaware of their condition, but may notice a decline in daytime function and motivation, often accompanied by excessive daytime sleepiness. Measuring daytime sleepiness is therefore an easy marker of symptoms. One commonly used scoring system is the Epworth Sleepiness Scale (ESS), a questionnaire that assesses the likelihood of accidently falling asleep whilst undertaking eight common daily activities.
Sleep at night is essential for good health. Excessive sleepiness during the day causes a reduction in quality of life, decreased ability to drive safely, decline in intellect, and can be an antecedent to falls in the elderly. Increasing levels of respiratory dysfunction are associated with the development of arterial hypertension and the onset of adult type II diabetes, with cardiovascular sequelae, including stroke and myocardial infarct.
Patient related outcome measurements (PROMs) include assessing the patient’s subjective improvement in daytime sleepiness and function using the ESS (Epworth Sleepiness Score 0-24), and is therefore an effective indicator of the efficacy of therapy.
In February 2018, the sleep disorder centre expanded its Sussex outpatient clinic, moving to The Arundel Surgery in Arundel. This clinic enabled patients in the coastal part of West Sussex to be seen by our specialists closer to home. Find out more about the clinic.
Talk to your GP about NHS treatment
To get referred with a sleep problem on the NHS, you should initially consult your GP who will advise you further. Your GP may suggest a referral to a specialist first (often in ENT surgery for snoring), or may suggest a referral straight to QVH. Where your problem is one of difficulty sleeping, sleep walking or sleep talking, odd behaviour or movements whilst asleep, your GP may write to QVH for an expert opinion first and we will contact you to make an outpatient appointment to assess your problem and give advice. The NHS does not undertake treatment for complaints of snoring unless this is associated with disorder of breathing in sleep.
How to make a sleep centre referral – information for health professionals.
Dr Peter Venn
Consultant Anaesthetist and Clinical Lead
Specialist interests: Diagnosis and treatment of insomnia and treatments of obstructive sleep apnoea
Peter J Venn has been a Consultant Anaesthetist at Queen Victoria Hospital, East Grinstead, West Sussex since 1991. He qualified from The Middlesex Hospital Medical School in 1979 and after training as an SHO and registrar in London was a Senior Registrar in the Nuffield Department of Anaesthetics in Oxford.
He is past Head of the South Eastern School of Anaesthesia, past Regional Adviser to the Royal College of Anaesthetists for South Thames (East), past Chairman of the South Thames Specialty Training Committee, and an examiner for the Primary FRCA from 1997-2008. He is an elected member of Council of the Royal College of Anaesthetists, and past Editor of the Bulletin of the Royal College. He is past chairman of the Communications Committee for the RCA, and current chairman of the Professional Standards Committee. In 2015, he was Vice President of The Royal College of Anaesthetists.
He founded the Sleep Disorder Centre in 1992, now one of the largest centres in sleep medicine in the UK, and is a past council member and past Membership Secretary of the British Sleep Society. He has published extensively in sleep disorders and anaesthesia in journals and on the internet. He has lectured at home and abroad in both subjects.
Current clinical interests include the criteria for the treatment of patients with sleep disordered breathing using mandibular advancement splints and, more recently, with bimaxillary and saggital split osteotomy. He has a particular interest in patients with insomnia.
Professor Adrian Williams
Professor of Sleep Medicine & Consultant Respiratory Physician
Specialist interests: sleep complaints in general, including sleep apnoea, restless legs, excessive sleepiness, sleepwalking, acting out dreams.
Professor Adrian Williams has had a long interest in sleep medicine dating back to research into the sudden infant death syndrome conducted at Harvard University. Subsequently he was appointed at UCLA, ultimately becoming a tenured Professor of Clinical Medicine and Chief of the Division of Pulmonary, Critical Care and Sleep Medicine. He developed what was to become the largest sleep service within the Veterans Administration while at the same time co-directing the UCLA Sleep Disorders Centre.
He was one of the early clinicians boarded in sleep medicine and has published widely in that field including early contributions recognising that systemic hypertension could in part be related to obstructive sleep apnoea.
In the UK he has helped develop the Guy’s and St Thomas’ Sleep Disorders Centre into the largest and most active in the UK. He is a founding member of the Sleep Section of the Royal Society of Medicine, is one of Europe’s few recognised somnologists, as well as having been awarded the UK’s first Chair in Sleep Medicine.
Dr Neil Munro
Consultant Neurologist and Somnologist
Special interests: sleep neurology.
Dr Neil Munro has a DPhil in the Neurophysiology of Eye Movements from Oxford University. Before studying Medicine, I have a degree in Physics from Oxford University and this was followed by a brief period in Management Consultancy.
Sleep Disorder Centre opening times
Monday to Friday – 8.30am to 5pm
Saturday/Sunday/Bank holidays – closed
Please do not attend the Sleep Disorder Centre without a prior arranged appointment as this could result in a wasted journey.
“Every contact I’ve had the centre, be it cheery admin staff calling regarding appointments through to ‘sleeping over’, has been completely positive and I want to thank everyone of you.”
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You may be asked to complete an insomnia questionnaire. If so please download and complete it via the link below. Once finished please email it to firstname.lastname@example.org Your personal information is confidential and in accordance with NHS and Trust policy we will keep it secure.