1. ENT Outpatient Information Sarah Casemore Deputy Director of Clinical Commissioning Sarahcasemore@nhs.net

7. Community ENT service Dr John Rees at Woodbridge Hill Surgery Additional capacity required Short waiting times & GPwSI/Clinical Nurse Specialist with rapid access to Consultant if required Community based clinics around G&W Appointments on C&B for easy RSS access & activity monitoring Provider to host the service being actively sought 1 st April start as stated in QIPP 2014/5 plans

8. Inclusion Criteria - Adult conditions (17 years and above) Otalgia Nasal polyps Aural Toilet Chronic Rhinitis Otitis Externa Recurrent epistaxis Otitis MediaGlue ear Impacted ear wax removal/failed syringe/contraindication to syringe Snoring Perforation of eardrumGlobus (no suspicion of cancer intermittent) non smoker, no weight loss) Mastoid cavities requiring evaluation and toileting Intermittent hoarseness >3 weeks Dizziness/vertigo if known BPPV Cough, catarrh, throat clearing where laryngopharyngeal reflux may be present Nasal blockage ± facial painRemoval of foreign bodies Voice disturbances Loss of sense of smell Catarrh and post nasal drip Paediatric Conditions (16 Years and below) Nose Bleed (Epistaxis) Glue Ear (age 3 and above)

9. Referral Support Service Dr Andrew Cross GP Clinical Assessor

13. Clinical Pathways http://nww.guildfordandwaverleyccg.nhs.uk/Pages/Home.aspxhttp://nww.guildfordandwaverleyccg.nhs.uk/Pages/Home.aspx via NHS computer