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)
  • insomnia
  • 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.

Measuring effectiveness

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.

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.

Page last updated: 16 January 2024.

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.

Patient feedback

“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.”

Pre-admission questionnaire

Please download and complete the questionnaire below. Once finished please email it to Your personal information is confidential and in accordance with NHS and Trust policy we will keep it secure.

Insomnia questionnaire

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 Your personal information is confidential and in accordance with NHS and Trust policy we will keep it secure.