Sleep Service

The regional Sleep Service at UHSM is one of the oldest and largest sleep services in the country. We offer comprehensive services for the diagnosis and management of sleep related breathing disorders and a wide range of other adult sleep disorders. We also provide diagnostic services to children with suspected sleep apnoea in collaboration with the paediatric and ENT – Ear Nose and Throat – departments. The department of Sleep Medicine at UHSM is led by Mr Siddiq Pulakal.

What are the symptoms of sleep disorders?

Below are some of the common symptoms of sleep disorders. If you have any of these symptoms and or think that you may have a sleep problem, please contact your GP and discuss a referral to our service.

  • Unrefreshing sleep and excessive daytime sleepiness
  • Loud snoring and pauses in breathing during sleep
  • Atypical sleep behaviors
  • Difficulty getting to sleep and staying asleep
  • Rhythmic movements / twitching of legs while asleep

What are the common sleep conditions seen at our sleep service?

  • Sleep apnoea and other sleep disordered breathing
  • Narcolepsy and other hypersomnia
  • Parasomnias – Sleep walking, REM behavior disorder, nightmares and night terrors
  • Restless Leg Syndrome
  • Circadian Rhythm disorders

These are only the common conditions but we are happy to receive referrals from your doctor on any sleep related conditions for an initial consultation. Due to resource limitations, we cannot offer a comprehensive therapy service for established cases of insomnia but will offer initial consultation and diagnostic services for patients with all sleep problems.

Investigations

Our sleep service is equipped with diagnostic facilities and staffed with experienced clinical physiologists to investigate a wide range of sleep disorders and commonly conducted tests in our service include:

Home Oximetry – Patients collect equipment from our sleep unit, sleep for 1-2 nights at home and return it for analysis.

Home Sleep study – Patients collect the home sleep study kit from our sleep unit, sleep for one night at home and return the kit the next day for analysis.

Inpatient Polysomnography – Patients spend one night sleeping in a bedroom at our sleep unit at Wythenshawe hospital equipped to monitor sleep with video and recording of brain waves during the night.

Inpatient CPAP (Continuous positive airway pressure) titration – Patients spend one night being monitored in a bedroom at our sleep unit as above, while using the CPAP machine.

Mean Sleep Latency Test (MSLT) – Patients spend one night being monitored in a bedroom at our sleep unit as above, followed by further monitoring until 5.0 pm during next day

Maintenance of Wakefulness Test (MWT) – Outpatient test lasting 2-3 hours

Actigraphy at home – Patients collect the equipment and use it for two weeks at home before returning it to the unit.

Referrals

Patients are usually referred to our sleep service by their GP and we are on chose and book service. We also accept referrals from hospital specialists from anywhere in the country and complex cases from other sleep services.

Based on the information given in the referral letter, some patients will have a home sleep test (overnight oximetry) before the consultation.

We run consultant led clinics on Monday, Tuesday, Wednesday and Thursday and all new patients are assessed in a consultant led clinic supported by clinical physiologists.

Physiologist led clinics for patients already on treatment and using CPAP machine run on Monday – Friday at Wythenshawe hospital and Monday and Tuesdays at Withington Community Hospital. We also offer telephone consultation and remote monitoring of equipment for patients using CPAP at home.

Our dietetic clinic at UHSM’s Withington Community Hospital is on Tuesday and at Wythenshawe Hospital on Friday.

The Team

We have a multi-disciplinary team including consultants specialised in sleep disorders, clinical physiologist with accredited polysomnography qualifications, clinical psychologists, a dietitian and administrative and secretarial support.

Contact

Secretary

Tel: 0161 291 2493
Fax: 0161 291 4961

Admin support

Tel: 0161 291 2419

Technical Support and CPAP helpline

Tel: 0161 291 5335
Email: sleep.service@uhsm.nhs.uk

Appointments

0161 291 5120

Reception

0161 291 2569

Location

Wythenshawe Hospital. The Sleep Service is located on the first floor in the Green Zone, next to the Starlight Children day care unit. Please use entrance 5 (Main Outpatient Entrance) and disabled patients may use entrance 10 which is closer to the sleep clinic.