The primary objective of the ENT urgent referral clinic is to provide speedy access and effective care to all adult and paediatric patients aged above two years old with urgent ENT problems.

The urgent referral clinic is:

  • Not a walk-in clinic.
  • Only for two years and above paediatric patients

The clinic is designed to treat short term (usually less than a week), severe conditions such as those listed below:

  • Haemorrhage
    Nasal: non-arrested epistaxis episodes
    Aural: due to trauma, surgery or infection
    Throat: due to trauma or surgery
  • Acute infections
        All acute infections pertaining to ear, nose and throat,
        for  example, otitis externa, acute aural discharge,
        acute tonsillitis, peri-tonsillar abscess and acute nasal discharge.
  • Acute pain - pertaining to all ENT regions
  • Non-acute airway obstruction
  • Acute vertigo
  • Foreign bodies suspected or proved

The urgent referral clinic is unlikely to provide effective and satisfactory treatment on non-urgent ENT conditions. These conditions often require regular follow up and extensive investigation where Ther Royal National ENT Hospital provides relevant dedicated outpatient clinical service. These non urgent ENT conditions include:

  • Long term vertigo
  • Tinnitus
  • Chronic sinusitis
  • Long term hearing loss
  • Chronic eustachian tube dysfunction
  • Chronic aural discharge
  • Aural wax impaction

Patients with suspected malignancy should not be referred to urgent referral clinic. Instead, these patients should be referred to relevant clinic under the ‘two week policy.’

All patients will either require to be booked via the NHS e-Referral System (e-RS) to be completed by their GP, or if you attend your local accident and emergency department they can also refer you to our care by contacting us and providing a referral letter. We do not offer a walk-in service. All patients must be registered with a GP.

Patient contact

Service management


The urgent referral clinic
Royal National ENT and Eastman Dental Hospitals
47-49 Huntley Street

GP contact

Other referral information

GPs – Please make referrals via the NHS e-Referral Service (e-RS), selecting the urgent referral clinic and attaching a completed urgent referral form. For any patients that need to be seen urgently on the day, please contact the ENT SHO on-call doctor. If accepted, you will still have to complete a referral via the NHS e-Referral Service (e-RS) with a completed urgent referral form attached. Please indicate that you have spoken to the ENT SHO on-call doctor at the top of the form with date and approximate time of the call.

Other Referrers – Please contact the ENT SHO on-call doctor or the Urgent Referrals Coordinator on 020 3456 5200. Only if accepted by the ENT SHO on-call doctor, should you send a completed urgent referral form to the team coordinator by email

Referral address

Urgent referral clinic
Royal National ENT and Eastman Dental Hospital
47-49 Huntley Street