ENT Outpatients

Ward/Unit Philosophy of Care


We aim to provide an efficient, relaxed and friendly outpatient service, ensuring a high level of professionalism in an environment where individuals are supported at every stage of their patient journey.


We aim to ensure patients are fully informed and have a clear understanding of their condition and treatment.


We aim to ensure that staff maintain and develop their knowledge and skills, and that research based practice and trust and hospital standards are implemented at all times.


Who Are We?


We are a small but busy outpatient department.

The team includes:


4 Consultants, 2 Specialist Registrars, 1 SHO.

A Sister, 3 RGNs and 3 HCAs. No receptionist.


Working Hours: 8:30 - 17:00 Monday to Friday


Learning Environment Manager: Lynn Dewhurst

Contact: 01246 512098 or lynndewhurst@nhs.net


ONCOLOGY (Ear related problems)


•Reduced Hearing (acute or chronic onset)


•Glue Ear

•Perforated Ear Drum

•Recurrent Ear Infections

•Balance Related Issues.. 


•Meniere's Disease


Audiologists are present during most clinics to undertake hearing tests.


Weekly Oncology Clinic


Patients are given diagnoses and are supported by the Specialist head and neck Cancer Nurse. 

They have consultations with Oncologists, Dieticians, Speech and Language Therapists and Radiologists

Neck Lump Clinic

Weekly Urgent Fast Track Clinic taking referrals from GP for anyone who is found to have a palpable lump within the neck

•A One Stop clinic:Consultation, Ultrasound Scan and if necessary a Biopsy.

Rhinology (all nose related problems)


•Blocked or running

•Sinus problems

•Allergies  (nurses undertake skin prick testing in clinic)

•Nasal Polyps  (overgrowth of nasal lining)

•Perforated Septum / Deviated Septum

•Snoring Issues

•Nosebleeds / Nasal Cautery

•Facial Neuralgia  (presents as painful sinus)

Throat Related Problems


•Difficulty swallowing

•Globus Hystericus:

•feeling of something stuck in the throat

•Changes in the voice

•Pre and Post Op vocal cord checks

•Acid reflux associated problems

•Changes of tracheostomy tubes for patients    living at home

We make referrals to and have close links with Speech and Language Therapists within the hospital.


Nurse Led Treatment Clinic


•Perform Aural Toilet with the use of head torch and suction.

•Daily AM and PM clinics

•Patients referred by GP or practice nurse when ear syringing with water is contraindicated, has proved ineffective or the patient has narrow ear canals.


Emergency Clinic


Daily Emergency Clinic

Referrals from GPs, A&E, Wards

Nasal fractures (manipulated in clinic or theatre)

Foreign Body


Acute Ear Infections

Theatre List


All patients requiring surgery are consented, given a date and any relevant information whilst in clinic.


Waiting lists are around 2 months or less

Learning Opputunities


Observe: ENT consultation Clinics, Nurse Led treatment clinics, Fibre Optic laryngoscopy, Emergency ENT clinic, Skin Prick Allergy testing, Epley Manoeuvre


Attend: Maxillo-Facial Department, Neck Lump clinic, Multidisciplinary team meetings, Speech and language clinic


Additional Areas: ENT, Theatres, Ultrasound Department, Vestibular Rehabilitation, Audiology


Multi-disiplinary team/Specialist linked to area: Audiologist, Specialist head and neck Nurse, Speech and language Therapist,

Dietician, Oncology Services

The following graphic represents the nursing procedures that will be encountered in this placement area, according to the Annexe B section of the Future Nurse: Standards of proficiency for registered nurses (2018).


Green: Encountered frequently/daily

Amber: Encountered occasionally/rarely

Red: Never encountered

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