Snoring and Sleep Apnoea Milton Keynes CCG will only commission sleep studies for patients with suspected sleep apnoea, complex sleep disorders or where necessary to confirm a diagnosis of narcolepsy. Version: V6 Treatment for snoring will not be funded where snoring is the sole problem. Implementation date: If Obstructive Apnoea is suspected prior approval must be sought before referral for sleep studies. 29 October 2017 Please see below for referral criteria. Review Date: October 2019 What is Obstructive Sleep Apnoea Obstructive sleep apnoea (OSA) is a disorder in which a person frequently stops breathing during his or her sleep. It Category: results from an obstruction of the upper airway during sleep that occurs because of inadequate motor tone of the tongue Restricted and/or airway dilator muscles. These periods of 'stopping breathing' (Apnoea) only become clinically significant if the cessation lasts for more than 10 seconds each time and occur more than 10 times every hour. When they experience an episode of apnoea during sleep their brain will automatically wake them up, usually with a very loud snore or snort, in order to breathe again. People with OSA will experience these wakening episodes many times during the night and consequently feel very sleepy during the day: they have an airway that is more likely to collapse than normal. OSA is a breathing disorder during sleep that has implications beyond disrupted sleep. It is increasingly recognized as an independent risk factor for cardiac, neurologic, and perioperative morbidities. OSA should be suspected in obese or somnolent patients or in those who snore. Patients with OSA may also present with resistant hypertension, recurrent atrial fibrillation, or stroke or may have elevated fasting glucose values. Eligibility Criteria Overnight sleep oximetry and limited diagnostic sleep studies in secondary care are restricted and will only be considered for funding when the criteria below are met for the major symptoms, objective assessment and associated co-morbidity if any: Two or more of the following: Major Symptoms: Excessive day time sleepiness causing tiredness and lack of concentration Witnessed Apnoeas (stop breathing episodes) during sleep Nocturnal choking during snoring
Snoring and Sleep Apnoea Version: V6 Implementation date: 29 October 2017 Review Date: October 2019 Category: Restricted Milton Keynes CCG will only commission sleep studies for patients with suspected sleep apnoea, complex sleep disorders or where necessary to confirm a diagnosis of narcolepsy. Treatment for snoring will not be funded where snoring is the sole problem. If Obstructive Apnoea is suspected prior approval must be sought before referral for sleep studies. Please see below for referral criteria. What is Obstructive Sleep Apnoea Obstructive sleep apnoea (OSA) is a disorder in which a person frequently stops breathing during his or her sleep. It results from an obstruction of the upper airway during sleep that occurs because of inadequate motor tone of the tongue and/or airway dilator muscles. These periods of 'stopping breathing' (Apnoea) only become clinically significant if the cessation lasts for more than 10 seconds each time and occur more than 10 times every hour. When they experience an episode of apnoea during sleep their brain will automatically wake them up, usually with a very loud snore or snort, in order to breathe again. People with OSA will experience these wakening episodes many times during the night and consequently feel very sleepy during the day: they have an airway that is more likely to collapse than normal. OSA is a breathing disorder during sleep that has implications beyond disrupted sleep. It is increasingly recognized as an independent risk factor for cardiac, neurologic, and perioperative morbidities. OSA should be suspected in obese or somnolent patients or in those who snore. Patients with OSA may also present with resistant hypertension, recurrent atrial fibrillation, or stroke or may have elevated fasting glucose values. Eligibility Criteria Overnight sleep oximetry and limited diagnostic sleep studies in secondary care are restricted and will only be considered for funding when the criteria below are met for the major symptoms, objective assessment and associated co-morbidity if any: Two or more of the following: Major Symptoms: Excessive day time sleepiness causing tiredness and lack of concentration Witnessed Apnoeas (stop breathing episodes) during sleep Nocturnal choking during snoring
Snoring_and_Sleep_Apnoea_v6.docx