We cannot accept referrals directly from primary care, or where there is no ongoing secondary care follow-up clearly indicated in the referral.
We cannot accept referrals from paediatricians working in private practice, and all referrals must be made and supported by an NHS consultant paediatrician or psychiatrist.
Children can be referred up to the age of 16. Young people aged 17 or over should usually be referred to the adult sleep medicine department at Guy’s Hospital; exceptions to this can be discussed with one of the consultant team.
All patients referred to our clinic should have been examined prior to referral by the referring secondary care consultant/team, and this should be documented in the referral. Initial assessment and attempted management of sleep difficulties are expected to have been completed in secondary care, and interventions attempted, and details of these should be documented in the referral.
We will not be able to accept a referral where the referring consultant has discharged the patient from follow-up, or where ongoing follow-up plans are not clearly indicated.
Where there are concerns regarding potential neurodevelopmental diagnoses (eg social communication disorder, ADHD etc) it is essential that assessment for these conditions has been completed and appropriate management/support put in place.
We will not be able to accept a referral where this has not yet been done.
Anxiety in children and young people is common, and often has a significant impact on sleep. Our service is not able to provide ongoing support for children with significant anxiety, and this needs to be considered and provided at secondary care level.
Management of complex sleep problems often involves optimisation of management of all other existing medical problems which may impact on sleep. Sleep quality may be adversely affected by symptoms of a wide range of common (and less common) paediatric conditions, including but not limited to asthma, eczema, reflux, epilepsy, autism or ADHD. It is essential that these conditions are identified and managed where present.
Referrals should be made using our referral checklist referral checklist for sleep medicine (PDF 1.29Mb) and emailed to: