[QUOTE=JoannaP79;1235160]I'm really baffled Joanna. Of course you don't need to do this privately? Any high street Boots or reputable optician can run the slit tear break up test or Rose Bengal. I've never even seen an opthamologist - only opticians. In the U.K opticians are mostly qualified to test for sicca and you see them on the NHS and then they can refer you to opthamology if need be. It never has been for me yet though. Try SpecSavers or Boots. Then you could ask your dentist for a referral to get a lip biopsy - also should be possible on the NHS. Just be cunning, calm and convincing with all the healthcare people you come across. That's all I can advise. If tests are positive then spend your money seeing Dr Elizabeth Price in Swindon privately. If the optician thinks you may have Sjogrens. Mine did but dentist didn't. Neuro symptoms can start long before dry eyes or mouth and most people in this boat are seronegative. Good luck. Mat x