Buying health services for local people

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Everyone must stay at home to help stop the spread of coronavirus. Advice for clinicians on COVID-19 (coronavirus) is here. If you are a member of the public looking for health advice, visit the NHS website or North Yorkshire Public Health. And if you are looking for the latest travel information, and advice about the government response to the outbreak, go to the gov.uk website.

Last updated: 30 March, 2020 15:59pm

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Snoring – Information for GPs

Referral Criteria / Commissioning position

Refer to secondary care if:

  • sleep apnoea is suspected (to respiratory medicine for further assessment (sleep studies) and potential treatment (CPAP))
  • conventional primary care management is unsuccessful

Refer to weight loss management as appropriate.

Red flag symptoms

  • Symptoms or signs suggesting possible obstructive sleep apnoea (Epworth scale)
  • Any possibly abnormal growths, swellings etc. in the head and neck area
  • Stridor or voice changes
  • Swallowing problems

Investigations prior to referral

Consider TFT if suspected thyroid problem.

Information to include in referral letter

  • Timeline, severity, impact on daily living
  • Known variation of intensity, triggers
  • Patient’s understanding and expectation regarding options in a specialist service setting
  • Details of treatments and measures tried including outcomes
  • Drug history (prescribed and non-prescribed)
  • Relevant past medical/surgical history
  • Current regular medication
  • BMI
  • Smoking status
  • Alcohol consumption

Patient information leaflets

Additional references

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