Royal London Emergency Paediatric ENT

For urgent paediatric ENT referrals that cannot wait for routine treatment.

As you are aware Communitas have been providing ENT services across North East London for several years, including Barts Health.

However, there are Paediatric Emergency Services at Royal London Hospital (RLH) site that are still available on eRS. These services will be closed on eRS and replaced with email triage service as of 8th December 2023 for Paediatrics as below to align with other Barts Health sites.

Service line closure on eRS for RLH as of 8th December 2023 is:

Emergency Paediatric ENT RAS (RLH) Barts Health NHS Trust – R1H

Replacement service at RLH for Adult and Paediatrics is:

The new service is a 2 day email triage service and the referral will need to be sent to bartshealth.ENTreferralsRLH@nhs.net (referral template in downloads)

Eligibility

Inclusion

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

FOR ANY GUIDANCE AND ADVICE PLEASE CONTACT THE ON CALL TEAM VIA SWITCHBOARD

Exclusion

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

Clinician letter

Letter referral

Send by: e referral — Service Name: Emergency Paediatric ENT (RLH) Barts Health NHS Trust- R1H Service ID: 7944247 Service Location: THE ROYAL LONDON HOSPITAL Service Provider Organisation: BARTS HEALTH NHS TRUST Specialty: Children's & Adolescent Services Age Range Treated: 16 years and under