Royal London Emergency ENT Clinic
For urgent 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 Adult and 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 both Adult and Paediatrics as below to align with other Barts Health sites.
Service line closure on eRS for RLH as of 8th December 2023 are:
- Emergency ENT RAS (RLH) Barts Health NHS Trust – R1H
- Emergency Paediatric ENT RAS (RLH) Barts Health NHS Trust – R1H
Replacement service at RLH for Adult and Paediatrics are:
- 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
16 years and over
FOR ANY GUIDANCE AND ADVICE PLEASE CONTACT THE ON CALL TEAM VIA SWITCHBOARD- 0207 377 7000
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
Who can refer: GP
✉ bartshealth.ENTreferralsRLH@nhs.net
From 8 December 2023 please use referral form in downloads
Letter referral
Send by: email