Planned clinical care
Anshino will assess adult sleep problems by video across England. This page explains the planned scope before the clinic opens. It is not a symptom checker or a substitute for medical advice.
Every route begins here
A structured history of sleep, daytime function, health, medicines, work patterns and what has already been tried.
Difficulty sleeping
For persistent difficulty falling asleep, staying asleep or waking too early, with an effect on daytime life.
Understand persistent insomniaCognitive behavioural therapy for insomnia, or CBT-I, addresses sleep timing, learned associations, unhelpful effort and worry around sleep. It is a structured clinical treatment, not a list of sleep-hygiene tips.
Medicines may sometimes help, but they will not be the automatic first step or repeated without review.
Breathing during sleep
For patterns such as loud snoring, witnessed pauses, gasping, morning headaches or marked daytime sleepiness.
Know the signsWhen the history supports it, Anshino plans to arrange a home sleep apnoea test by post. A clinician will interpret the recording in context and explain the result.
People who need CPAP initiation, laboratory testing or complex respiratory assessment will be referred onward.
When it is not straightforward
Restless legs, circadian timing, parasomnias and excessive sleepiness can look like insomnia but require different questions.
The first task is to distinguish the pattern and identify medical, psychiatric, neurological, respiratory, medication or lifestyle contributors.
Anshino will only treat problems within its competence. Complex or high-risk presentations will be directed to an appropriate NHS or specialist service.
Clinical boundaries