Islington Community Ear Nose and Throat Service (ENT)

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October 2020: Service Update

The recovery of Islington's Community ENT service continues and staff have been working closely with Mr Theo Joseph, consultant ENT surgeon at UCLH, to ensure that we are resuming services safely and sensibly.

Although the service is open to referrals for all the usual conditions (see below), it remains restricted in the nose and throat procedures that can be performed. While continuing to undertake telephone/remote consultations where clinically appropriate, more imaging is being arranged as part of the assessment, as staff have lost access to nasendoscopy. 

Face-to-face clinics have been resumed for ear conditions (including audiology and micro-suction).

However, since services resumed, demand has out-stripped available resources. Only two of three sites have so far authorised the service's return, which means there is limited face-to-face capacity. At the same time, appointments are taking longer as staff are using PPE for all face-to-face contact. 

If you have any questions, please contact the team:

e: icents@nhs.net 
t: 020 7549 7989

 


Islington's Community Ear, Nose and Throat (ENT) service provides specialist ENT services to the Islington population at community-based clinic locations. Staffed by GPs with a special interest in ENT, the clinics can provide straight forward services and procedures, such as audiology and telescopic examination of the throat and nasal passages. If a patient requires surgery, the service will triage the referral and if necessary, refer on to the appropriate secondary care service.


Eligibility criteria

Inclusions

Referrals are accepted from Islington GPs and consultants.

Acceptance criteria: 

  • over-16s, registered with an Islington GP practice       

Patients presenting with the following ENT conditions:

  • epistaxis (including recurrent)
  • globus, chronic superative otitis media, rhinitis, nasal polyps
  • foreign body in the ear
  • sinusitis (chronic)
  • snoring
  • tinnitus
  • vertigo
  • nasal obstruction
  • persistent otalgia
  • persistent ear discharge
  • unilateral deafness (if sudden onset and not due to wax or infection, patient must attend A&E)
  • bilateral deafness in under-50s

Exclusions

  • under-16s
  • patients requiring emergency treatment should be referred to the appropriate service, includes
    • sudden onset deafness
    • hearing loss not due to wax or infection,
  • patients requiring an assessment or treatment by a secondary care service will be triaged by the service and referred on to the relevant secondary care service, includes
    • neck lump
    • hoarseness
    • dysphagia
    • glue ear
    • suspected cancer (should a suspected cancer be found during a routine appointment, the service shall discuss with the patient and urgently contact the referrer who will refer onwards)
    • foreign bodies in the nose
    • bilateral deafness in over-50s 
  • domiciliary visits
  • suspected cancer referrals (GP to refer under a two-week wait)

How to refer

The following clinicians can refer to this service: GPs

EMIS form

Referral methods: Email, EMIS managed referral

A referral form can be found in ISL EMIS under
ISL global documents > ENT  > ICENTS

GPs can refer via the managed referral system in EMIS (select Islington Community ENT as target) or email the referral form

e: icents@nhs.net

For urgent referrals call 020 7549 7989


Locations

City Road Medical Centre
Islington Central Medical Centre
Hornsey Rise Health Centre