Resources for Doctors

Peninsula Sleep Clinic (PSC) is accredited by the Australasian Sleep Association/NATA and the National Safety and Quality in Health Services Standard. Our mission is to provide outstanding diagnostic, therapeutic and educational sleep services to our patients and carers, referring doctors and workforce. For any questions or concerns about our service please contact us on 9451 0522.

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This page contains resources for referring doctors.

The Peninsula Sleep Clinic HealthLink ID is pensleep – our pdf sleep reports are sent securely using the HealthLink secure messaging system.

Click on the headings below to expand each section.

To fast-track patients that we diagnose with severe sleep apnoea we use the following process:

  • Patient has a sleep study result with an AHI (Apnoea Hypopnoea Index) >30/hr = severe sleep apnoea
    • We fax a copy of the results to the referring doctor
    • We send a copy of the results to the patient asking them to consult with referring doctor (so they are aware and seek treatment)
    • The patient is added to a list of patients to have an expedited consultation with one of our co-located Sleep Physicians. For this to occur either;
      • The patient needs to call Peninsula Respiratory Group 9975 4911 to book a consult (Dr KR Burgess, Dr S Braude, Dr L Seeto, Dr J Eu Tai) – they just need to state they are on the “severe list” so they can be expedited or
      • Referring doctor can contact Peninsula Respiratory Group 9975 4911 to book the consult
      • Note due to increased wait times at Peninsula Sleep Clinic: Sleep Physicians are triaging their waiting list to move urgent patients forward.
    • Treatment is decided with the Sleep Physician and if/when CPAP required, Peninsula Sleep Clinic expedites CPAP trial process and overnight CPAP pressure determination study.
  • Note: It is a Medicare criterion that CPAP treatment is only referred by a Sleep Physician.
  • Patient has a sleep study with an Arousal Index >60/hr or a desaturation event <60% SpO2 – these two indicators are linked to sleepiness independently. These patients receive a letter recommending that they do not drive
    • The reporting Sleep Physician calls the referring doctor to discuss the results directly
    • Fast tracking process occurs as above for severe results
    • Note: Peninsula Sleep Clinic does not report any patients to the RMS if they receive a recommendation not to drive.

The Australasian Sleep Association has generated these primary care resources for sleep health.
These extensive resources are designed to help GPs with assessment and management of Obstructive Sleep Apnoea (OSA) and Insomnia.

About our CPAP Clinic:

Peninsula Sleep Clinic (PSC) is dedicated to establishing our patients effectively onto CPAP Therapy and to supporting them with their long-term usage so that they receive all the benefits of CPAP. Our CPAP Clinic has a unique structure where we can provide CPAP Therapist consultations to patients on a one-to-one basis, this gives patients the best opportunity for success when initiating CPAP Therapy. The structure also allows CPAP Therapists direct access to liaise with our patients’ Sleep Physicians and access to the Sleep Clinic’s overnight sleep study data. These data and interactions are invaluable when initiating CPAP Therapy and help us to resolve problems quickly and tailor the care for each individual patient.

Peninsula Sleep Clinic has been developing its processes over the past 28 years. Our data collection on CPAP Usage shows that 86% of our patients are successfully established onto CPAP therapy at the end of their trial. This is much higher than reported usage rates in CPAP Trials at around 42%-46%1 2.

A trial of equipment is essential as CPAP Therapy is not for everyone and every patient has their own response to CPAP Therapy. Symptomatic benefit may not occur in all cases and direct contact the patients’ Sleep Physician helps our CPAP Therapists to resolve any persistent issues that may arise. Whilst CPAP Therapy is the Gold Standard Treatment for Sleep Apnoea sufferers3 it is not always practical and, in these cases, alternate therapies may be required. If a patient does not successfully initiate onto CPAP therapy then they are directed

back to their Sleep Physician to discuss alternative treatments (dental device, weight loss, positional therapy, surgery etc…).

Overview of CPAP Process

  • Diagnosis sleep apnoea
  • Sleep Physician consult and referral for CPAP treatment
  • Mask fitting – one on one at Peninsula Sleep Clinic
  • Pressure titration study – overnight sleep study to find the correct pressure and determine a suitable mask
  • Home trial – patient rents equipment for 1-2 months to acclimatise to therapy with multiple appointment and phone calls from our experience CPAP Therapists
  • Follow up with Sleep Physician
  • Patient purchases their own equipment for long term use (or is recommended an alternate therapy if CPAP not appropriate)

1 McEvoy RD, Antic NA, Heeley E, Luo Y, Ou Q, Zhang X, Mediano O, Chen R, Drager LF, Liu Z, Chen G, Du B, McArdle N, Mukherjee S, Tripathi M, Billot L, Li Q, Lorenzi-Filho G, Barbe F, Redline S, Wang J, Arima H, Neal B, White DP, Grunstein RR, Zhong N, Anderson CS, SAVE Investigators and Coordinators. CPAP for Prevention of Cardiovascular Events in Obstructive Sleep Apnea. N Engl J Med. 2016 Sep;375(10) 919-931. doi:10.1056/nejmoa1606599. PMID:27571048.

2 Kribbs NB, Pack AI, Kline LR, et al. Objective measurement of patterns of nasal CPAP use by patients with obstructive sleep apnea. AM Rev Resp Dis 1993;147:887-95.

3 Adult Obstructive Sleep Apnea Task Force of the American Academy of Sleep Medicine. Clinical Guideline for the Evaluation, Management and Long-term Care of Obstructive Sleep Apnea in Adults. Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine. 2009;5(3):263-276.

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      Call 9451 0522

      Why do a sleep study with Peninsula Sleep Clinic?

      Peninsula Sleep Clinic aims to provide outstanding diagnostic, therapeutic and educational sleep services. With friendly knowledgeable staff, accredited procedures and a variety of testing available, we offer a full service approach.

      Home trials of CPAP equipment are available to all patients who have undergone a sleep study through Peninsula Sleep Clinic.

      Our CPAP Education Clinics have a unique structure where we can provide CPAP Therapist consultations to patients on a one-to-one basis,  giving patients the best opportunity for success.

      If you are a patient of Peninsula Sleep Clinic and are experiencing any CPAP related issues, just call our friendly staff within office hours to help you resolve your problem.

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       Accredited to the National Safety & Quality Health Services Standards.