ENT (Paediatric) Referral Access Criteria
ENT (Paediatric) Referral Access Criteria
Patient requires immediate (within 7 days) attention
| Immediate referrals (patient to be seen within 7 days) should be sent directly to the relevant hospital. Do not send immediate referrals via Central Referral Service (CRS). |
Contact the on-call registrar or service to arrange an immediate ENT assessment for:
- Acute nasal trauma with external open bone displacement (best results for acute nasal fracture are achieved within 2 weeks from time of injury
- Facial cellulitis
- Clinical concern regarding prolonged apnoeas, cyanosis, altered level of consciousness or significant and escalating parental concerns should prompt direct phone contact with the ENT registrar on call to discuss the case and arrange review as clinically appropriate
- Acute episode tonsillitis with non-resolution despite optimal medical management
- Noisy breathing, voice change or severe odynophagia / obstructive sleep apnoea
- Suspected neoplasm – ulceration, or recurrent unilateral enlargement, particularly with associated cervical lymphadenopathy
- Conductive hearing loss if acute event with ear discharge
To contact the relevant service, please see Clinician Assist WA: Acute Paediatric ENT Assessment (external site)
|
| Ear, Nose and Throat (paediatric) conditions with Referral Access Criteria |
|
These conditions are routinely seen by ENT (paediatric) outpatient services. This is not an exhaustive list of all conditions seen by the outpatient service. Consideration for referral will not be excluded unless the condition is listed on the exclusion list. If the condition you are referring for is not listed, or is unknown, please include details in the body of the referral.
Referrals missing 'mandatory information' with no explanation provided may not be accepted.
|
|
|
Excluded conditions and services
Exclusions
Referrals to public ENT (paediatric) outpatient services are not routinely accepted for the following conditions:
| Excluded condition |
Details |
| Hearing aid dispensing |
|
Excluded elective procedures
All elective procedures must meet an identified clinical need to improve the health of the patient. Procedures are not to be performed for cosmetic or other non-medical reasons. Excluded procedures will not be performed unless under exceptional circumstances and where a clear clinical need has been identified. For excluded procedures, the referral must clearly state:
- that the request is for an excluded procedure
- the clinical exception reason as to why it should be considered.
Access the WA Elective Surgery Access and Waiting List Management Policy at WA Health Policy Frameworks.
| Excluded procedure |
Clinical exception reason |
| Aesthetic surgery |
|
Last reviewed: 05-01-2024