Royal London Emergency ENT Clinic

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For urgent ENT referrals that cannot wait for routine treatment.


Eligibility criteria

Inclusions

  • Unresolving otitis external or otitis media
  • Sudden sensorineural hearing loss
  • Foreign bodies in the ear/ nose
  • Acute facial palsy
  • Fractured nose, within 5 days (WITHOUT septal haematoma)
  • Recurrent epistaxis
  • Acute TM injury
  • Acute neck swelling

16 years and over

FOR ANY GUIDANCE AND ADVICE PLEASE CONTACT THE ON CALL TEAM VIA SWITCHBOARD- 0207 377 7000

Exclusions

  • Unexplained neck lump
  • Persistent hoarseness >3 weeks
  • Throat pain>4 weeks in >40 yr olds
  • Sero-sangiunous nasal discharge > 3 weeks
  • Unilateral purulent nasal discharge (not FB related)
  • Orbital mass
  • Not resolving severe facial pain
  • Lesion /suspicious lump or red/white patches in lip/oral cavity (consider Maxfax)
  • Poor healing in oral cavity >3 weeks (consider MaxFax)

FOR ANY OF THE ABOVE – GP SHOULD BE ADVISED TO REFER VIA SUSPECTED H&N CANCER (2WW)

OTHER CASES

  • Ear wax – GP should refer to Nurse-Led Aural Care (Microsuction) Clinic or a General ENT Clinic

Very acute referrals – SEND TO A&E- Examples:

  • Epistaxis
  • Acute mastoiditis
  • Unable to eat & drink
  • Breathing difficulty

Chronic problems (>6 weeks) - refer to Consultant-led ENT clinics- examples:

  • Recurrent ear/sinus/throat infections
  • Decreased hearing
  • Dysphonia
  • Nasal obstruction

How to refer

Letter

Referral methods: e-Referral

  • Service Name: Emergency ENT (RLH) Barts Health NHS Trust- R1H
  • Specialty: Ear, Nose & Throat
  • Appointment type: First Outpatient
  • Clinic Type: Not Otherwise Specified
  • Service ID: 7944253
  • Service Location: The Royal London Hospital
  • Service Provider Organisation: Barts Health NHS Trust

Service Feedback

Contact Name

Royal London Switchboard- request ENT on call team- available 24 hours a day

Phone Number

t: 0207 377 7000

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Last updated: Jun 11th, 2020
Review date: Dec 30th, 2020