Islington Community Ear Nose and Throat Service

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25 March 2020: service update

To release clinical capacity for other tasks during the Covid-19 outbreak, the service is in the process of completing its existing caseload via telephone, face to face or discharge. Future referrals will be limited to the most urgent cases including: 

  • persistent discharging otitis externa 
  • persistent discharging otitis media 
  • foreign body in the ear 
  • painful impacted wax only 
  • epistaxis 
  • vertigo (will be telephone only) 

The service cannot accept any other referrals for the time being. It is no longer treating routine ear irrigation, nor undertaking audiology. Wherever possible, triage and consultations will be carried out via telephone.
If you have any questions, please contact the team. 

t: 020 7549 7989


The service provides specialist ear, nose and throat (ENT) services to the Islington population at community-based clinic locations. Staffed by GPs with a special interest in ENT, the clinics can provide straight forward services and procedures, such as audiology and telescopic examination of the throat and nasal passages. If a patient requires surgery, the service will triage the referral and if necessary, refer on to the appropriate secondary care service.

t: 020 7549 7989

Eligibility criteria


Referrals are accepted from Islington GPs and consultants.

Acceptance criteria: 

  • Patients over 16 years, registered with an Islington GP practice       

Patients presenting with the following ENT conditions:

  • Epistaxis (including recurrent)
  • GlobusChronic Superative Otitis Media Rhinitis Nasal Polyps
  • Removal of foreign body from the ear
  • Sinusitis (chronic)
  • Snoring
  • Tinnitus
  • Vertigo
  • Nasal Obstruction
  • Persistent Otalgia
  • Persistent ear discharge
  • Unilateral deafness (if sudden onset and not due to wax or infection, patient must attend A&E)
  • Bilateral deafness under 50 years


  • Patients that require emergency treatment, such as for sudden onset deafness or hearing loss not due to wax or infection, should be referred to the appropriate service.
  • Patients who require an assessment or treatment by a secondary care service – including for neck lump, hoarseness, dysphagia, glue ear, suspected cancer, foreign bodies in the nose, bilateral deafness over 50 years – will be triaged by the service and referred on to the relevant secondary care service.
  • Domiciliary visits.
  • Suspected cancer referrals (GP to refer under a two-week wait), should a suspected cancer be found during a routine appointment, the service shall discuss with the patient and urgently contact the referrer who will refer onwards.  
  • Islington CCG GP-registered children under the age of 16 years.

How to refer

EMIS form

Referral methods: Email, EMIS managed referral

A referral form can be found in ISL EMIS under
ISL global documents > ENT  > ICENTS

GPs can refer via the managed referral system in EMIS or email the referral form to the Community ENT Service, using the contact details on the form.


City Road Medical Centre
Islington Central Medical Centre
Hornsey Rise Health Centre

Provided By

Commissioned By

Service Feedback

Contact Name

Islington GP Federation Patient Advice & Liaison Line (12-2pm, weekdays)

Email Address


Phone Number

t: 020 3859 4959


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Last updated: Mar 27th, 2020
Review date: Dec 25th, 2020