In this section
Clinical Lead for Sleep Medicine
Dr Maria Mascareno, ESRS Somnologist
Sleep Service Manager
Mr David Jones, ESRS Somnologist
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 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 behaviours
- 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 sleep behaviour disorder, nightmares and night terrors
- Restless Leg Syndrome
- Circadian Rhythm disorders (including delayed sleep phase disorder)
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 laboratory is equipped with diagnostic facilities and staffed with experienced clinical physiologists to investigate a wide range of sleep disorders. Commonly conducted tests in our service include:
Home Sleep Studies
Nox study
Patients collect the home sleep study equipment from our outpatient clinic, wear it for one night at home and return it to us the next day for analysis. More information.
WatchPAT study
Patients collect the home sleep study equipment from our outpatient clinic, wear it for one night at home send the data to us using a mobile phone app and then dispose of the device the following day. More information.
Actigraphy
Patients collect a small watch which measures activity. They are asked to wear this continuously for 2 weeks and also to complete a sleep diary. The test gives information about a person’s usual sleep and wake patterns at home.
Inpatient Sleep Studies
Full Video Polysomnography
Patients spend one night sleeping in a private room in the sleep laboratory. Different aspects of sleep quality including brainwave activity, breathing and limb movements are measured. Additionally, the patient is recorded on video so that any abnormal behaviours can be reviewed by the consultant.
Multiple Sleep Latency Test
The day following an inpatient polysomnography study the patient is asked to complete four or five 20-minute nap tests. These tests provide information about how sleepy someone is at different times of day. The tests usually start at 8.30am and are usually finished by 5pm.
Maintenance of Wakefulness Test
The day following an inpatient polysomnography study the patient is asked to complete four 40- minute tests to keep themselves awake for as long as possible. These tests provide information about how well someone can keep themselves awake in boring and unstimulating conditions.
The tests you are booked for will depend on your symptoms and the type of sleep problem which you have. Not all tests are necessary or appropriate for every patient.
New Referrals
Patients are usually referred to or service by their GP using an electronic referral system. We also accept referrals from hospital specialists from anywhere in the country and complex cases from other sleep services.
Before the first appointment with a consultant, patients are usually booked to complete a home sleep study. The results of this study can then be discussed during the consultation. Consultations may be conducted by telephone or as an outpatient appointment.
CPAP Treatment
The Sleep Service treat over 8,000 patients with CPAP for obstructive sleep apnoea. The majority of our machines are monitored remotely. Most appointments to review CPAP treatment are conducted by telephone but we are happy to organise face-to-face appointments where these are more appropriate.
We offer an email and telephone helpline for CPAP patients. The helpline operates from Monday to Friday. We take a large number of calls each day so if the phone isn’t answered please leave a message or send an email and the team will get back to you. More information.
The Team
We have a multi-disciplinary team including consultants who specialise in sleep and ventilation, clinical physiologists with international polysomnography accreditation, clinical psychologists, a dietician, administrative and secretarial support.
Contact
Sleep service: 0161 746 2700
Medical secretary: 0161 746 2178
Helpline (Technical Support and CPAP): 0161 746 2059
Email: sleep.service@mft.nhs.uk
Location
PLEASE NOTE: The Wythenshawe Sleep Service has been temporarily relocated to Trafford General Hospital.
Outpatient Clinics
Audiology/ENT Department, 1st Floor, Red Zone, Trafford General Hospital.
Use Entrance 9 or Entrance 1 and follow signs to Audiology/ENT in the Red Zone. Report to the clinic reception on arrival.
Inpatient Sleep Studies
Ward 4, 1st Floor, Blue Zone, Trafford General Hospital.
Use Entrance 9 or Entrance 1 and follow signs to the restaurant and then the Blue Zone. The Sleep Laboratory is located on the 1st Floor of the hospital on Ward 4. Please ring the bell and wait for a member of staff before entering.