Referral for Microsuction for Ear Wax, Discharge or Debris Removal in Secondary Care – All Ages

  • Related keywords: Ear wax, ear blockage, tinnitus, vertigo, earache, wax, ear canal, keratin, otalgia, otitis externa.
  • Date: 15 Sep 2016
  • Who applies for funding: General Practitioner (GP)

Referral Route:

Prior Approval (PA)

Is a process that requires the referrer to obtain prior authorisation for patients who meet the criteria. If the patient demonstrably meets the criteria, please forward the application to the IFR Team for approval and await confirmation that funding is in place before a referral is made. If the patient does not meet the criteria for funded treatment, then a referral can be made to the Individual Funding Request Panel, but only if there is clear evidence that the patient’s clinical circumstances or condition are exceptional, i.e. there is something about the patient’s condition or circumstances that differentiate them on the basis of need from other patients with a similar diagnosis or condition and would justify funding being provided in an individual case when it is not routinely funded for others.

Please note any deviations from this policy, e.g. funding requests for a secondary care opinion only (where malignancy is not a concern), require Part C of the below application form completing and submitting to the Individual Funding Request team.

Funding requests from GP Practices can be accepted from Senior Clinicians, salaried GPs, Locum GPs or Practice Partners. Unfortunately we are unable to accept funding applications from other health professionals unless countersigned by a senior clinician or GP.

If you would like this policy in a different language or need it in another format, such as Braille, please contact the Patient Advice and Liaison Service on 0800 073 0907 or 0117 947 4477.

In most cases, ear wax falls out on its own, so there’s no need to remove it. However if it is completely blocking the ear canal and causing hearing loss, it may need to be removed.

Referral Route:

Criteria Based Access (CBA)

If the patient demonstrably meets the specific criteria for treatment, the patient can be referred directly via the appropriate Referral Service with a standard referral letter. If the patient does not meet the criteria for treatment then a referral can be made to the Individual Funding Request Panel but only if there is clear evidence that the patient’s clinical circumstances or condition are exceptional, i.e. there is something about the patient’s condition or circumstances that differentiate them on the basis of need from other patients with a similar diagnosis or condition and would justify funding being provided in an individual case when it is not routinely funded for others. Funding requests from GP Practices can be accepted from Senior Clinicians, salaried GPs, Locum GPs or Practice Partners. Unfortunately we are unable to accept funding applications from other health professionals unless countersigned by a senior clinician or GP.

If you would like this policy in a different language or need it in another format, such as Braille, please contact the Patient Advice and Liaison Service on 0800 073 0907 or 0117 947 4477.

Patients with Mastoid Cavities may be able to be referred under the Criteria Based Access referral route - please refer to the criteria under Section 1. of the Policy.

Patients with Chronic or Recurrent Ear Canal Pathologies may be able to be referred under the Criteria Based Access referral route - please refer to the criteria under Section 2. of the Policy.

Cover for Microsuction for Ear Wax, Discharge or Debris Removal Policy

Microsuction for Ear Wax, Discharge or Debris Removal Policy

Microsuction for Ear Wax, Discharge or Debris Removal is not routinely funded by the CCG and is subject to this restricted policy.

Cover for Microsuction for Ear Wax and Debris PA Application

Microsuction for Ear Wax and Debris PA Application

Please complete this form if your patient meets the criteria outlined in Sections 3. and 4. of the Policy

What we do and don't fund