ISMA Clinic — Integrated Sleep Medicine Assessment

A snoring clinic Harley Street combining specialist sleep apnoea assessment with private GP care — the most efficient route to Professor Vik Veer.

Integrated Sleep Medicine Assessment



Joint Sleep & GP Clinic

As a sleep apnoea surgery London specialist, I have spent many years treating patients with complex sleep conditions. While I am comfortable dealing with conditions within my specialty, sleep conditions often spill over into many wider medical issues such as endocrine, cardiac, respiratory, or neurological conditions.

In the past, patients often had to see multiple specialists separately, leading to delays and repeated tests. I wanted to create a better way: a service where my expertise as an obstructive sleep apnoea specialist London is combined with a holistic Private GP assessment — one that can manage the related medical conditions (such as thyroid, blood pressure, diabetes etc), and coordinate onward referrals when needed.

In this new innovative clinic, patients have a sleep study (done at home - no spending nights in a noisy hospital), complete online sleep questionnaires, and then receive detailed sleep report from Professor Vik Veer.

Vik Veer and Natasha Thandrayen

Patients then meet with our Private GP for a focused assessment and examination. Available blood results, the sleep report and treatment options will be clearly explained, whilst also addressing medical conditions that are commonly associated with sleep problems.

This combined approach ensures that patients not only understand their sleep disorder but also receive cohesive care for the broader health issues that surround it.


Our aim is simple: to give patients clarity, direction, and a clear pathway that addresses both sleep and overall health.

"In February this year I visited Professor Vik Veer at his London clinic, which proved to be extremely rewarding as I was very anxious and worried about my condition. His calming manner put me at my ease straight away. He listened to what I had to say and then explained in easy-to-understand terms the options that were available to me. I left his clinic at much more ease and would highly recommend his services." Google Review, 5 stars — Bill J

Vik Veer – ENT Sleep Surgeon
Dr Natasha Thandrayen – Private GP



Package includes:

  1. Home Sleep Studysleep study
    You will receive a WatchPAT home sleep test device delivered to your address. This compact and comfortable device monitors your sleep overnight in your own bed, providing key data such as oxygen levels, pulse rate, respiratory effort, snoring intensity, sleep stages, and apnoea-hypopnoea index (AHI). Once complete, the data is automatically uploaded to the cloud for analysis.


  2. Personalised Video Report by Professor Vik Veer
    After reviewing your home sleep study and questionnaire responses, Professor Vik Veer will create a bespoke video for you, explaining your sleep data in plain English. This video will walk you through your results, highlight any areas of concern, and lay the groundwork for future treatment planning. This step ensures that you are fully informed and empowered to understand your sleep health.


  3. Written Sleep Summary
    Alongside the video, you’ll receive a detailed written summary authored personally by Professor Vik Veer. This document includes interpretations of the sleep study results, an assessment of your questionnaire scores, clinical impressions, and initial suggestions for treatment pathways. It serves as a clear and comprehensive record of your baseline sleep health.


  4. Sleep-Focused GP Consultationsleep study
    You will then meet in person with Dr Natasha Thandrayen, an experienced private GP with an interest in sleep medicine. She will review your blood results (either pre-existing or newly requested), examine you, and help identify any medical conditions that could be contributing (or being caused by) your poor sleep. This consultation allows for a holistic evaluation and ensures that other treatable health conditions are not sidelined.


  5. Explanation of Results and Next Steps
    During the consultation, Dr Thandrayen will explain the key findings from the sleep report, address any concerns you may have, and offer guidance on potential next steps. This may include sleep apnoea treatment without CPAP (such as surgical options or oral appliances), sleep hygiene strategies, positional therapy, further diagnostic tests, or referral to a snoring surgeon London.


  6. Coordination of Ongoing Care
    If further care is required — for example ENT surgery, dental devices, neurology or endocrinology review — Dr Thandrayen will coordinate referrals with the appropriate specialists. She can also continue as your private GP if ongoing management is beneficial.



Affordably Streamlined Access to Specialist Care

This clinic has been designed as the most efficient and cost-effective way to access care from Professor Vik Veer. By combining remote diagnostics with targeted in-person consultation, patients benefit from his specialist input without the additional costs associated with traditional private hospital pathways. This streamlined model allows for expert guidance and referral planning while keeping the process accessible and affordable for those interested in private health care.

"I wouldn't hesitate to recommend Mr Veer — my experience under his care has been fantastic. He has the right balance of professionalism whilst being approachable and understanding. I felt comfortable and reassured in his care from first consultation to my operation for sleep apnea and turbinate reduction — the benefits have been immediate." Google Review, 5 stars — Christina Marriott

Contact Dr Thandrayen's Private Secretary to book for an ISMA assessment

Telephone: 0207 935 1711 (9am – 5pm weekdays)

Email: Secretary@PrivateGP.Doctor


Frequently Asked Questions

At the ISMA clinic you complete a home sleep study and online questionnaires beforehand. Professor Vik Veer then produces a personalised video report and written summary of your results. You then meet Dr Natasha Thandrayen, a private GP, who reviews blood results, examines you, explains the findings, and maps out your next steps — all in one joined-up pathway.

NHS GP referrals for sleep assessment can involve lengthy waiting times and may not include the breadth of specialist input available privately. The ISMA clinic is designed to deliver Professor Veer's specialist sleep surgery expertise alongside holistic GP management, without the delays associated with NHS pathways.

Professor Veer reviews your home WatchPAT sleep study data, your completed questionnaire scores, and any existing medical information to assess for obstructive sleep apnoea, snoring, and related breathing conditions. His video and written report explains your results clearly and outlines possible treatment pathways.

The home sleep study runs overnight in your own bed. Professor Veer's video and written report are prepared before your appointment. The in-person consultation with Dr Thandrayen is a focused session covering your sleep results, blood tests, physical examination, and treatment planning.

Yes. Because the sleep study device is posted to your home and the initial report is delivered digitally, patients from anywhere in the UK can access the ISMA assessment before travelling to the Harley Street clinic for their in-person consultation with Dr Thandrayen.

As a snoring clinic Harley Street, the ISMA service offers prompt access to consultant-level assessment, a detailed personalised report, and coordinated GP management — typically within weeks rather than months. It is designed as a cost-effective private alternative that avoids the fragmentation often experienced through NHS referral pathways.

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