Sleep that works.

Your consultation covers:

• How you are sleeping: when you wake, how you feel during the day, and what you have already tried.

• What is keeping you awake: stress and a racing mind, habits and routine, your body clock, pain, or a medical cause.

• Whether a home sleep study would help: a validated one-night device you wear at home and post back, that shows your sleep stages, how broken or light your sleep is, your breathing and oxygen, and your heart rhythm. It picks up apnoea, but it also shows the arousals and fragmentation behind insomnia.

• A plan you leave with: talking therapy for insomnia, better sleep habits, medication where it helps, or an onward referral. Whatever fits, we arrange it.

Insomnia

For insomnia that has gone on for months, the most effective long-term treatment is talking therapy for insomnia (CBT-I). It teaches your sleep to right itself, and the gains tend to last. It is also real work, and it works far better with someone supporting you than as an app you do alone, so we set you up properly and stay in touch rather than handing you a link.

Medication still has a place, to bridge you while the therapy beds in or for shorter stretches. We match it to you: melatonin, a short course of a z-drug, a low dose of a sedating antidepressant, or one of the newer prescription medicines for long-term insomnia. We talk you through the trade-offs and set it up sensibly.

Sleep apnoea

If screening points to apnoea, the next step depends on how marked it is. Milder cases often improve with lifestyle changes, weight, alcohol and sleep position, or a mandibular advancement device, and where weight is a factor our Weight Loss service can deliver a real improvement over a year. More significant apnoea needs CPAP: we coordinate the referral, follow up on how you get on, and stay your clinical home, though we do not fit CPAP ourselves.

Snoring

Snoring without apnoea can often be helped with a mandibular advancement device, or an ENT referral for surgical options where appropriate.

Most people see us in one of three ways. Pick the one that suits where you are.

Once. Book a single consultation. We assess you, prescribe if appropriate, dispense, and you are on your way. Nothing to commit to. Come back and book again whenever you need to.

Already on treatment. If you are on a sleep medicine from somewhere else and want to move your care to us, you are very welcome. For most sleep medicines a doctor reviews your history online and continues your treatment at no charge. Zopiclone and zolpidem are controlled medicines, so moving those to us starts with the £120 assessment.

Repeats. Reorder when you need more, and a doctor checks each request at no charge. No monthly fee.