Hearing problems in adults


This pathway is for adults with presentation of hearing problems


Signs and Symptoms

Following the removal of any ear wax:

  • Adults with symmetrical non-fluctuating hearing loss of gradual onset with normal appearance of canals and tympanic membranes to be referred to audiology.

Indication for ENT referral

If patients present with any of the following please refer to ENT:

  • Sudden hearing loss (to be discussed with on call ENT team)
  • Unilateral tinnitus
  • Pulsatile tinnitus
  • Vertigo
  • Pain in the ears
  • Discharging ears
  • Abnormality of ear drum
  • Facial palsy (lower motor neurone)

Please see Referral section below for e-Referral Service selection information.


Referral Criteria

Refer to ENT

  • Patients with the above indications

Refer to Chime audiology

  • Patients who do not meet the AQP pathway but do not require ENT referral

Referral Instructions

Referral to ENT

e-Referral Service

  • Speciality: ENT
  • Clinic type: Ear
  • Service: DRSS-Eastern-Ear Nose and Throat-Devon CCG- 15N
Referrals to AQP Audiology

e-Referral Service

  • Specialty: Diagnostic physiological measurements
  • Clinic: Audiology
  • Service: DRSS-Eastern-Audiology-Devon CCG- 15N
Referrals to Chime audiology (Non AQP)

Audiology referrals should be sent to Chime Audiology as paper referrals as this service is not provided on e-Referrals:

  • Audiology Department, RD&E Hospital Wonford.
  • Tel: 01392 402 223/6

Referral Forms

DRSS Referral forms

AQP Referral Form

Supporting Information

Patient Information

The ear, hearing and balance – patient information


This guideline has been developed by Royal Devon and Exeter Healthcare Foundation Trust based on local guidelines.

Pathway Group

This guideline has been signed off by the Eastern Locality on behalf of NEW Devon CCG.

Publication date: 02 December 2016


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