Ear, Nose & Throat: RFL

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The Ear, Nose and Throat (ENT) team at Royal Free London (RFL) offers both routine and urgent ENT services.

Urgent ENT referrals for adults and children >2 years must be referred on the ENT urgent review clinic referral form.

The following surgeries are offered:

  • general ENT
  • rhinology
  • otology
  • head and neck
  • facial plastics
  • voice disorder

Additionally, the thyroid and endocrine surgery team diagnoses and treats a range of endocrine conditions, such as thyroid nodules, goitres and adrenal tumours.

An endocrine: thyroid and parathyroid service, as well as an audiology service, is also provided.

Eligibility Criteria

Inclusions

The ENT urgent review clinic reviews patients with one of the following conditions only. Referrals for other conditions will be rejected.

  • otitis externa (non-responsive to two weeks of drops, for example Sofradex)
  • foreign body in the ear (batteries must attend ED)
  • isolated facial palsy (if acute otitis media, send to ED)
  • nasal fracture (exclude septal haematoma)
  • recurrent acute epistaxis
  • sudden sensorineural hearing loss

How to Refer

EMIS form

Referral methods: Email, Hand to Patient

For urgent referrals, complete the ENT Urgent Review Clinic Referral - RFH and send to RF-TR.RF-ENTADMIN@nhs.net

Patients should be advised to come immediately to the emergency department, with a referral letter addressed to the medical team on-call or with the completed EMIS form.

ENT on-call: bleep 3091 or ENT SpR via switchboard 020 8216 4600

See Downloads for details of the urgent review pathway and complaints dealt with via the urgent review clinic.

Where to find the form

  • NCL Global Documents > ENT & Dental folder

Letter

Referral methods: e-RS

Refer via e-RS

For routine (non-urgent) referrals please ensure that the referral letter includes:

  • full GP and practice details
  • complete and correctly spelt patient name and date of birth
  • all relevant clinical history
  • any relevant pathology or scan results
  • whether an interpreter is required
  • patient contact telephone numbers
  • patient’s NHS number.

How to find the service on e-RS

  • Specialty:  Ear, Nose & Throat
  • Clinic type: Not otherwise Specified
  • Service name: General ENT - Ear Nose and Throat - Royal Free Hospital - RAL

Locations

Royal Free Hospital

Pond Street London NW3 2QG

Barnet Hospital

Wellhouse Lane Barnet EN5 3DJ

Chase Farm Hospital

The Ridgeway Enfield Middlesex EN2 8JL

North Middlesex

Sterling Way London N18 1QX

Service Feedback

RF-TR.RF-ENTADMIN@nhs.net 020 7794 0500 x 33123

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Review date: Friday, 01 May 2026