Hearing problems in adults

Scope

This pathway is for adults with presentation of hearing problems.

Related guidelines:

Assessment

Signs and Symptoms

Following the removal of any ear wax:

  • Adults with non-fluctuating hearing loss of gradual onset with normal appearance of canals and tympanic membranes to be referred to audiology.

Indication for ENT referral

If patients present with any of the following please refer to ENT:

  • Sudden hearing loss (to be discussed with on call ENT team)
  • Pulsatile tinnitus
  • Vertigo
  • Pain in the ears
  • Discharging ears
  • Abnormality of ear drum
  • Facial palsy (lower motor neurone)

Please see Referral section below for e-Referral Service selection information.

Referral

Referral Criteria

Refer to ENT

  • Patients with the above indications

Refer to audiology

  • Patients who do not meet the AQP pathway but do not require ENT referral

Referral Instructions

Referral to ENT

e-Referral Service

  • Speciality: ENT
  • Clinic type: Ear
  • Service: DRSS-South Devon & Torbay-Ear Nose and Throat- Devon CCG -15N
Referrals to audiology (Non AQP)

e-Referral Service

  • Specialty: Diagnostic physiological measurements
  • Clinic: Audiology
  • Service: DRSS-South Devon & Torbay-Audiology (ENT)- Devon CCG - 15N
Referrals to AQP Audiology

e-Referral Service

  • Specialty: Diagnostic physiological measurements
  • Clinic: Audiology
  • Service: DRSS-South Devon & Torbay-Audiology (ENT)- Devon CCG - 15N

AQP referrals must be on the AQP referral form

Referral Forms

Torbay and South Devon seeking advice form

AQP Referral Form (word document)

Direct access referral form (non AQP)

Microsuction referral form

Supporting Information

Patient Information

The ear, hearing and balance – patient leaflet - check

Pathway Group

This guideline has been signed off by South Devon and Torbay CCG

Publication date: November 2017

 

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