The adult diagnostic audiology department is based at the Royal National ENT and Eastman Dental Hospitals. Our audiologists are skilled at conducting hearing and balance assessments to support the tertiary level ENT and audiovestibular medicine (AVM) services. We also run a comprehensive Audiologist-Led Clinic (ALC) and an Audiologist-Led Vestibular Rehabilitation (VR) Clinic.
General enquiries
Service management
Ying Guo
Address
Royal National ENT and Eastman Dental Hospitals
47 - 49 Huntley Street
London
WC1E 6DG
Referral
Other referral information
How to refer
External referrals should typically be referred to either the AVM or the ENT clinic for consultant-led assessment and management. Non-complex patients may be referred to the ALC by the GP via the choose-and-book system.
Internal referrals can be completed via Epic in the patients' chart by adding a referral order for Audiology: Diagnostics and selecting ‘Outpatient referral to Audiology—Adult Diagnostics’.
What we treat
We primarily support the tertiary-level medical clinics within the ENT and AVM services. Our audiologist-run services include a ‘one-stop shop’ ALC for diagnosing and managing non-complex hearing, tinnitus or balance problems. We also provide a VR program for patients with vestibular disorders.
We also have an ototoxicity monitoring service for patients undergoing treatments that can affect the hearing system. This is accessed via internal referrals only.
Referral criteria/acceptance criteria:
Tertiary Audiologist-Led Service:
- Inclusions:
- Hearing loss and/or tinnitus symptoms only
- Vertiginous symptoms only
- Adult patients 18–75.
- Exclusions:
- Children under 18
- Acute pain and discharge (likely infection)
- Sudden onset hearing loss (sudden is defined as within one week, patients should be directed towards ED or referred to an urgent care ENT clinic via the GP)
- Tinnitus causing acute suicidal ideation, psychological crisis or speech hallucinations
- Facial nerve palsy
- Any neurological signs or symptoms in addition to hearing concerns, in particular any symptoms suggestive of brainstem pathology or a space-occupying lesion (e.g. hemisensory disturbance, unilateral motor weakness, visual field deficit).
- Combination of hearing, tinnitus and vertiginous symptoms
Community Audiologist-Led Service:
- Inclusions:
- Hearing loss, tinnitus, otorrhoea, wax, otalgia
- Adult patients 18 and over
- Exclusions:
- Children under 18
- Acute pain and discharge (likely infection)
- Sudden onset hearing loss (sudden is defined as within one week, patients should be directed towards ED or referred to an urgent care ENT clinic via the GP)
- Tinnitus causing acute suicidal ideation, psychological crisis or speech hallucinations
- Facial nerve palsy
- Vertigo
- Any neurological signs or symptoms in addition to hearing concerns, in particular any symptoms suggestive of brainstem pathology or a space-occupying lesion (e.g. hemi-sensory disturbance, unilateral motor weakness, visual field deficit).
Audiologist-Led Vestibular Rehabilitation Service:
- Access to VR services is via ENT, AVM or ALC as audiovestibular investigation must be completed first.
- Inclusions:
- Acute or Chronic Diagnosed Vertiginous Symptoms
- Adult patients 18 and over
Referral address
Medical Services RNENT&EDH
250 Euston Road
London NW1 2PG
Conditions we treat
We test for hearing, tinnitus, and balance disorders. Patients seen on our ALC or VR services are managed by an audiologist. Complex cases will be identified and thoroughly assessed, thus streamlining onwards referral to appropriate consultant-led services at the Royal National ENT and Eastman Dental Hospitals.
How to get referred
You will need a referral from your GP or health professional
Patient aftercare
Our rehabilitative services are an integrated blend of hearing, balance and psychological treatments delivered by both audiologists and other members of the professional multidisciplinary team at the hospital.
The audiologists can advise you on the charities and support groups for conditions like hearing loss, balance and tinnitus. The department has close links with charities, hearing therapists, psychologists, physiotherapists, physicians and surgeons.