Reviewed on : 2 Aug 2021

Reviewed by : GP Gateway Editor

Expires : 2 Aug 2023

Community ENT Clinic (Community Assessment Service CAS ENT)

All community-based ENT issues can appropriately be referred to this service.

Do not refer patients with suspected cancer or pre-cancer.

All referrals are made via the NHS eReferral Service where the clinic is called ENT Community Clinic. The service is available to patients registered with a Coventry GP and is provided by UHCW.

Location:
First floor of City of Coventry Health Centre
2 Stoney Stanton Road,
Coventry
CV1 4FS

Contact:

UHCW contact details: Tel 024 76964233.

Clinics are run on a Monday afternoon and a Tuesday evening.

Conditions seen in Community ENT

Chronic Ear infections      Epistaxis

Glue ear                           Grommets (see additional notes)

Hearing loss                    Tonsillectomy & Adenoids

Post nasal drip                Rhinoplasty

Septal defect                   Sinusitis

Snoring                            Sore throat

Tinnitus

Hoarseness (longstanding, if recent within 3 weeks refer via 2 week wait )

Procedures performed within the consultant led clinic 

• Cauterization to nasal canal (for the treatment of epistaxis)
• Hearing Tests (pure tone audiometry and tympanometry)
• Micro suction of the ear canal
• Nasendoscopy
• Clinical assessment for surgery
• Assessment for CT scan/MRI
• Assessment for Sleep studies

Exclusions:

Do not refer for hearing aids. Assessment for hearing aids is no longer carried out in the Community ENT clinic.

Hearing Tests

On a Tuesday evening clinic we have an audiologist who can measure pure tone audiometry and tympanometry.

However if the hearing test is for a child under 16 it is more suitable to refer them to the Paediatric Audiology Service

Nasendoscopy

The nasendoscope is routinely used as part of the ENT assessment to examine the nasal cavities, pharynx and larynx. It is used to:

• Identify normal and abnormal pathology
• Identify Nose–nasal polyps, vascular defects, inflammation; upper pharynx–ulcers, lymphoid hyperplasia, cysts; lower pharynx–lymphoid hyperplasia, cysts, vocal cord trauma
• To gain information that allows a diagnosis to be reached.

Within ENT community clinics we carry out a 3 Step cleanse of the nasendoscope to minimise the risk of infections like Creutzfeldt–Jakob disease (CJD)

Please indicate on your patient referral if a PATIENT HAS EVER BEEN NOTIFIED THAT THEY ARE AT RISK OF CJD OR vCJD FOR PUBLIC HEALTH SERVICES.

Micro suction

Micro suction is performed within the clinic setting and is an option if syringing isn’t successful. If referring for this it may be an option to use an ear wax softener a few weeks prior to the appointment.

Low Priority Procedures

Grommets

Grommets for glue ear are considered a Low Priority Procedure

See link for Grommets & Myringotomy Gateway page

Rhinoplasty Septorhinoplasty Septoplasty

Rhinoplasty, Septorhinoplasty, Septoplasty for nasal deformity are considered a Low Priority Procedure for which treatment will only be considered on functional grounds

See link for Rhinoplasty Septorhinoplasty Septoplasty Gateway page