Diagnosis and Management of Dizzy Patients

Welcome to the Surrey Dizziness Service Clinic website at the Royal Surrey County Hospital. We are dedicated to providing a comprehensive, patient friendly, diagnostic audio-vestibular service to our dizzy patients.
We also offer tailored therapy for our dizziness patients and involve them in every step of the therapeutic process. The clinic is dedicated to further development. We thus offer seminars for clinicians which are held on an annual basis.

Our Team


Team Leader
Dr. Nicola Topass (Currently on Maternity Leave)

Team Members
Mrs. Joanne Athawes
Miss. Danielle Howard
Dr. Alex Lindsay
Dr. Anna Pepler

Chartered Clinical Psychologist
Dr. Sarah Whitaker

Departmental Links include:
Mr. Peter Valentine (Consultant Otologist and ENT surgeon)
Michelle Dawson (Outpatient Physiotherapy Superintendent)
Dr. Hiro Khoshnaw (Consultant Physician, Lead Clinician for Falls and Bone Health)
Our Sites

-Royal Surrey County Hospital
-West Byfleet Health Centre
How to Access the Service

If you think that you have a dizziness problem, please contact your GP and ask them to refer you to the clinic. Your GP can book an appointment directly on the Choose and Book system or send a letter address to the Clinic.

What is the balance system?

The balance system is a ‘tripod system’ of sensory information; it is the coordination of information from the visual system, the proprioceptive system (information about position from your feet, limbs and joints) and the vestibular system (information from the balance organs in the inner ear). The brain processes the information from all these systems and ensures that the muscles in your limbs and eye respond correctly when the balance system is challenged. For example you are walking along when suddenly you trip over a stone in the pathway. Your balance system reacts to ensure that you do not fall and makes corrective movements with your limbs and eyes.
Futher information please click here.

What is dizziness?

Vertigo (an illusion of movement), dizziness and balance problems arise when there are problems in one or more of the systems involved in balance (vision, proprioception and/or vestibular system). It can be due to a number of different things including problems with the balance organ or nerve, various medical conditions or neurological problems. It is thus important that the cause for the dizziness be determined by a professional.
Further information please click here.

What do we do in clinic?

Our highly trained staff would complete a full case history and perform audio-vestibular testing procedures. These procedures may take approximately 1hr 30m to 2hr 30 min to complete.

What happens after testing is complete?

After the testing has been completed, you may require therapy to help with your dizziness symptoms. Therapy would then be discussed and arrangements would be made for you to attend the Vestibular Rehabilitation Clinic.

Partnership Organisations

The Surrey Dizziness Services has established links with the Brain and Spine Institute and are working together to create awareness of Dizziness problems.
Brain and Spine Institute
Ménière’s Society

Support Groups

We offer a patient support group for our patients which started in March 2012 in conjunction with the Meniere’s Society. It provides a venue in which patients with similar experiences can express their views and experiences with their disorder.
– Further information

Further Links


Departmental Research

The role of vestibular evoked myogenic potentials in the diagnosis of Dizziness
Motivational approach to behaviour change in vestibular rehabilitation to improve clinic attendance

Role of Vestibular Evoked Myogenic Potentials

Motivational Interviewing Approach

Contact Information

Nicola Topass
Team Leader (Balance Service)
Audiology Department
Royal Surrey County Hospital
Egerton Road
E-mail: nicola.topass@nhs.net
Tel 01483 464108
Fax 01483 408338



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