Hearing Loss Guidelines Published By “Nice” UK
The adult hearing loss guidelines publsided recently in the UK said that if earwax is contributing to hearing loss or needs to be removed for an ear examination, practices or community clinics should provide the service rather than referring them to an ears, nose and throat specialist for the same procedure.
But the BMA’s GP Committee said this guidance ‘places no obligations on GPs to provide this service unless contracted to do so’, and suggested CCGs needed to commission the service separately.
The new NICE hearing loss guidance also recommends that your Local Health Centre or GP should do the following:
- Advise adults not to remove earwax or clean their ears by inserting small objects, such as cotton buds, into the ear canal, as this could cause damage or push the wax further into the ear;
- Refer adults with sudden onset or rapid worsening of hearing loss in one or both ears, which is not explained by external or middle ear causes;
- Immediately refer adults with acquired unilateral hearing loss and altered sensation or facial droop on the same side to an ear, nose and throat service or, if stroke is suspected, follow a local stroke referral pathway;
- Immediately refer adults with hearing loss who are immunocompromised and have otalgia (ear ache) with otorrhoea (discharge from the ear) that has not responded to treatment within 72 hours to an ear, nose and throat service;
- Consider making an urgent referral to an ear, nose and throat service for adults of Chinese or south-east Asian family origin who have hearing loss and a middle ear effusion not associated with an upper respiratory tract infection;
- Consider referring adults with hearing loss that is not explained by acute external or middle ear causes to an ear, nose and throat, audiovestibular medicine or specialist audiology service for diagnostic investigation, using a local pathway.
NICE has estimated that 2.3 million people in the UK each year have problems with earwax sufficient to need intervention.
A spokesperson said: ‘The NICE guideline aims to help improve care for people with hearing loss through better management of earwax, prompt and accurate referral
So What happens if your Local GP cannot or will not provide Earwax removal services?
It is up to the individual to seek the help of a local, qualified Audilogist.
There are many reigistered earwax removal London Clinics available where the latest technology known as Microsuction can be performed quickly and at a resonably low cost if you are in urgent need of care to stop an irritating earache. Earache can cause many problems and be very dibilitating so having an ear examination by a qualified Microsuction London Practitioner can bring fast relief to enable you to continue with you normal daily routine instead of having to wait possibly weeks to see your GP or get an appointment via the the NHS in the UK