Welcome to the Cardiff Sleep Centre

We spend a third of our lives sleeping! Many things can go awry in the coordinated function of organ systems during sleep, giving rise to a variety of sleep disorders. At the Cardiff Sleep Centre, we can help you find a solution for your sleep problems

Dr Jose Thomas

Consultant in Respiratory and Sleep Medicine

Dr Jose Thomas’ has been a Consultant Physician since 1995. His background speciality is Respiratory Medicine. He specialised in Sleep Medicine and Sleep Technology and led the development of the Aneurin Bevan Sleep Centre at Nevill Hall Hospital. Established in 2015, the Aneurin Bevan Sleep Centre is currently the only advanced Sleep Medicine Centre in Wales. Dr Thomas leads sleep services for the Aneurin Bevan University Health Board. He has experience in the full spectrum of sleep disorders and has a special interest in neurological sleep disorders, particularly Restless Legs Syndrome (RLS). He has wide experience in the management of RLS refractory to standard treatment. Further, he is trained and experienced in Cognitive Behaviour Therapy (CBT) and has expertise in the treatment of Insomnia including CBT for insomnia, Circadian Rhythm Sleep Wake Disorders and other sleep problems with a behavioural component. He is a general respiratory physician and has special interests in asthma, chronic cough, ‘unexplained breathlessness’, COPD and interstitial lung diseases.

Dr Jose Thomas’ clinical experience spans over three decades and he has been a Consultant Physician since 1995. His background speciality is Respiratory Medicine. He specialised in Sleep Medicine and Sleep Technology and led the development of the Aneurin Bevan Sleep Centre at Nevill Hall Hospital, established in 2015. The Aneurin Bevan Sleep Centre is currently the only advanced Sleep Medicine Centre in Wales. Dr Thomas leads sleep services for the Aneurin Bevan University Health Board. He has experience in the full spectrum of sleep disorders and has a special interest in neurological sleep disorders. Further, he is trained and experienced in Cognitive Behaviour Therapy (CBT) and has expertise in the treatment of Insomnia, Circadian Rhythm Sleep Wake Disorders and other sleep problems with a behavioural component.

How we can help you

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Sleep Disorders

Sleep apnoea is the commonest reason for referral to sleep services. It usually starts as light snoring and progresses to loud snoring, shallow breathing in sleep and eventually stoppage of breathing in sleep (apnoeas). These disrupt sleep and cause unrefreshing sleep and daytime tiredness and sleepiness.

Narcolepsy is probably the best known neurological sleep disorder. Restless Legs Syndrome is much more common and mostly goes unrecognised in the community. Other neurological sleep disorders manifest as excessive sleepiness in the daytime, sleep walking, sleep terrors, acting out dreams, and other symptoms. Dr Thomas has wide experience in the diagnosis and management of the full spectrum of sleep disorders and can help you arrive at an early diagnosis and advice the most effective treatment.

How we can help you

READ MORE ABOUT OUR SERVICES

Sleep Disorders

Sleep apnoea is the commonest reason for referral to sleep services. It usually starts as light snoring and progresses to loud snoring, shallow breathing in sleep and eventually stoppage of breathing in sleep (apnoeas). These disrupt sleep and cause unrefreshing sleep and daytime tiredness and sleepiness.

Narcolepsy is probably the best known neurological sleep disorder. Restless Legs Syndrome is much more common and mostly goes unrecognised in the community. Other neurological sleep disorders manifest as excessive sleepiness in the daytime, sleep walking, sleep terrors, acting out dreams, and other symptoms. Dr Thomas has wide experience in the diagnosis and management of the full spectrum of sleep disorders and can help you arrive at an early diagnosis and advice the most effective treatment.

Respiratory Medicine

Dr Thomas is a general respiratory physician and has practiced the speciality for over 30 years. He has extensive experience in managing asthma, interstitial lung diseases, COPD, unexplained breathless and other respiratory problems. We are able to carry out standard lung function test at the time of the initial consultation which helps arrive at a diagnosis quickly.

Sleep Studies

The diagnosis of sleep apnoea is confirmed objectively by sleep studies. In most cases, sleep apnoea can be diagnosed on home sleep studies. We offer home sleep studies. Sleep apnoea tests are performed on one or two nights. We can arrange advanced sleep studies in the patient’s home.

The diagnosis of sleep apnoea is confirmed objectively by sleep studies. In most cases, sleep apnoea can be diagnosed on home sleep studies. We carry out home sleep apnoea tests. We offer home sleep studies. Sleep apnoea tests are performed on one or two nights. Actigraphy is used to monitor sleep over longer periods. It is particularly helpful in the assessment of circadian rhythm sleep disorders and some cases of insomnia.

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Sleep Studies

The diagnosis of sleep apnoea is confirmed objectively by sleep studies. In most cases, sleep apnoea can be diagnosed on home sleep studies. We offer home sleep studies. Sleep apnoea tests are performed on one or two nights. We can arrange advanced sleep studies in the patient’s home.

The diagnosis of sleep apnoea is confirmed objectively by sleep studies. In most cases, sleep apnoea can be diagnosed on home sleep studies. We carry out home sleep apnoea tests. We offer home sleep studies. Sleep apnoea tests are performed on one or two nights. Actigraphy is used to monitor sleep over longer periods. It is particularly helpful in the assessment of circadian rhythm sleep disorders and some cases of insomnia.

Read More

Treatment Of Insomnia

Short term insomnia may be treated with hypnotic drugs. However, for long standing insomnia, the most effective treatment is Cognitive Behaviour Therapy specifically aimed at Insomnia (CBT-I). At the Cardiff Sleep Centre we have specific expertise in CBT for Insomnia.

CPAP therapy & Daytime Treatment for Snoring

If used correctly, CPAP (Continuous Positive Airway Pressure) therapy is 100% effective in the treatment of significant Obstructive Sleep Apnoea (OSA). We can help you get started on CPAP therapy quickly. If you experience difficulties in tolerating CPAP therapy we can help you get used to CPAP or explore alternative options for treatment of sleep apnoea. Until now, treatments for sleep apnoea involved use of devices while sleeping. A new device, ExciteOSA is used in the daytime for short periods for those with snoring and some cases of sleep apneoa. If your main symptom is snoring, this may be the treatment for you!

CPAP therapy & Daytime Treatment for Snoring

If used correctly, CPAP (Continuous Positive Airway Pressure) therapy is 100% effective in the treatment of significant Obstructive Sleep Apnoea (OSA). We can help you get started on CPAP therapy quickly. If you experience difficulties in tolerating CPAP therapy we can help you get used to CPAP or explore alternative options for treatment of sleep apnoea. Until now, treatments for sleep apnoea involved use of devices while sleeping. A new device, ExciteOSA is used in the daytime for short periods for those with snoring and some cases of sleep apneoa. If your main symptom is snoring, this may be the treatment for you!

Intravenous Iron Therapy

Restless Legs Syndrome and Periodic Limb Movement Disorder of Sleep are conditions characterised by defective Dopamine metabolism in the brain. Dopamine synthesis requires iron as a co-factor. The transfer of Iron from blood to brain is impaired in patients with RLS and they are often unable to transfer sufficient Iron into the brain, despite having blood level of Ferritin and Iron which would be considered normal for bone marrow function. The current international guideline for Iron treatment of RLS recommends keeping the Serum Transferrin Saturation at 45% while maintaining serum Ferritin level below 300. This often requires continuous oraI iron supplement and/or intravenous iron infusion.

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