All information is correct at time of printing and is subject to change without notice. The Devon Formulary and Referral Website is not in any way liable for the accuracy of any information printed and stored by users. For the most up-to-date information, please refer to the website.
This pathway is for adults with presentation of hearing problems
Most gradual onset hearing loss should initially be referred to Audiology. Audiology will refer patients to ENT as required.
Following the removal of any ear wax:
Please note that persistent gradual onset unilateral hearing loss may sometimes represent an acoustic neuroma. These patients are now also assessed by the audiology team and should be referred routinely. The audiology team have access to MRI as required.
Adults with gradual onset hearing loss associated with other features such as:
Please note that persistent gradual onset unilateral hearing loss may sometimes represent an acoustic neuroma. These patients are now also assessed by the audiology team and should be referred routinely. The audiology team have access to MRI as required.
Please note that persistent gradual onset unilateral hearing loss may sometimes represent an acoustic neuroma. These patients are now also assessed by the audiology team and should be referred routinely. The audiology team have access to MRI as required.
Adults with gradual onset hearing loss associated with other features such as:
Referrals to AQP Audiology – see pathway
Referral to ENT via e-Referral Service
AQP Audiology - no merge fields
AQP Direct Access Hearing Aid EMIS
This guideline has been developed by Royal Devon and Exeter Healthcare Foundation Trust based on local guidelines.
This pathway was signed off by NHS Devon Eastern Locality Clinician to Clinician Group.
Dr Rob Daniels – GP
Dr Helena Wilson – ENT Consultant
Publication date: December 2016
Updated: September 2021
Reviewed: April 2024