Admissions

Name	Location	Tel	Referral Criteria	How to refer
ENT Casualty	BRI, ENT outpatients 9-11am 2-4pm		●acute ENT condition ●urgent treatment	●no need to book ●patients need to turn up with a letter
Audiology Clinic			● over 65s only ● waiting list big!	●referral form ●there is an under 5s audiology form - but if major hearing problem, refer to consultant via ENT triage
Neck Lump Clinic	Mr Ian Smith & Chris Bem every Weds afternoon ENT Reception BRI Duckworth Lane Bradford BD9 6RJ	01274 382 404 Fax 01274 366 827	●Non resolving cervical lymphadenopathy/neck masses ●Thyroid Swelling ●Parotid and submandibular gland swellings	●Send or fax a referral letter (enclose patient's tel. number) ●Referral letter clearly marked "NECK LUMP CLINIC" ●The Head & Neck Cancer Fast-track system should be used for other suspicious symptoms or signs of head and neck malignancy (eg hoarseness, dysphagia etc)

Consultants

Name	Location	Tel	Referral Criteria	How to refer
Mr Sood Mr Smith Mr Bem				All referrals to go to ENT triage through eccleshill, not named consultant

Notes

GP Referral pathways for children with suspected hearing loss:

URGENT REFERRAL TO ENT:

unilateral/bilateral sudden hearing loss
incapacitating dizziness with nausea
neurological presentation

LESS URGENT PRESENTATIONS

Having considered the above urgent presentations any child with suspected hearing loss and suspected or actual ENT pathology such as unilateral persistent infection with/without discharge, discharging ears, progressive hearing loss, glue ears or persistent otalgia, should be referred to ENT. The child WILL have their hearing tested as part of the ENT referral.

REFERRAL FOR HEARING TESTING ONLY

Where there is suspected hearing loss WITHOUT suspected ENT pathology or relevant FH, the child should be referred either to:

aged >= 5 years: refer to school nurse; If the child fails the school nurse audiology screen they will be then referred to direct access paediatric audiology and not back to the GP. A copy of the school nurse audiology report will still be sent to the GP.
aged <5 years: refer to direct access audiology at BRI. Some local arrangements between GP practice and HV include referral to health visitor. This can continue, the HV should then refer to direct access paediatric audiology.