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Acute fractured nose
Allergic Rhinitis / Conjunctivitis
Anaemia - suspected in clinically well children
Anaphylaxis
Atopic Eczema in children
Benign Skin and Subcutaneous Lesions
Benign Skin and Subcutaneous Lesions Commissioning Policy
Child and Adolescent Mental Health Services (CAMHS)
Chronic Abdominal Pain
Circumcision commissioning policy
Constipation and faecal incontinence
Cough (chronic) in children
Diabetes
Drug reactions in children
Ear Wax Removal
Fits, faints and funny turns
Food allergy
Headache
Hearing loss in children
Integrated Children's services
Lymphadenopathy
Myringotomy commissioning policies
Otitis media with effusion in children - suspected
Paediatric Bladder & Bowel Service
Post COVID Syndrome (PCS) in Children and Young People
Recurrent Tonsillitis/Tonsillectomy
Tonsillectomy commissioning policy
Urinary Tract Infection (UTI) - suspected in children
Urticaria, Angioedema and Mastocytosis
Vaccination reaction referrals
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Otitis media with effusion in children - suspected
Scope
This guidance covers suspected otitis media with effusion (OME) in children.
Refer these patients to secondary care:
- Cleft palate (not lip)
- Down Syndrome
- Turner Syndrome
- Cystic Fibrosis
- Craniofacial anomalies
- Valsalva manoeuvre
- Avoid passive smoking around the children via parents/carers or others
Referral Criteria
Referral to Paediatric Audiology if:
OME present for more than 6 weeks and developmentally under 4 years
Referral to ENT if:
OME present for more than 6 weeks and developmentally 4 years or older
Referral Instructions
To refer to Paediatric Audiology:
e-Referral selection
- Speciality: Children's & Adolescent Services
- Clinic type: Audiology
- Service: DRSS-South Devon & Torbay-Children's & Adolescent Services- Devon CCG - 15N
To refer to ENT:
e-Referral selection
- Speciality: Children's & Adolescent Services
- Clinic type: ENT
- Service: DRSS-South Devon & Torbay-Children's & Adolescent Services- Devon ICB - 15N
Referral Forms
Pathway Group
This guideline has been signed off by South Devon and Torbay CCG
Publication date: August 2017
