Consultant ENT

• Providing consultant-led assessment and management of patients referred through central triage or escalated from Tier 2 services.
• Undertaking enhanced outpatient diagnostics, including nasendoscopy, otomicroscopy, audiovestibular testing and imaging review.
• Providing senior clinical decision-making for uncertain diagnoses, persistent symptoms or cases requiring specialist ENT assessment.
• Managing moderately complex chronic ear disease, recurrent otitis, selected dry tympanic membrane perforations, hearing loss and tinnitus where tertiary otology is not required.
• Managing persistent nasal obstruction, chronic rhinosinusitis, uncomplicated nasal polyps and septal deviation, with definitive treatment where appropriate and commissioned.
• Managing persistent globus, benign tonsillar disease and low-risk dysphonia, including laryngeal examination.
• Undertaking biopsy or excision of known benign lesions within the commissioned ambulatory scope.
• Providing selected commissioned low-risk ambulatory/day-case procedures, including septoplasty and turbinate reduction, grommet insertion, selected myringoplasty, day-case tonsillectomy, limited polypectomy, benign lesion removal and selected FESS, subject to appropriate facilities, workforce and anaesthetic governance.
• Working within agreed governance and referral pathways, redirecting patients outside the commissioned scope appropriately.
• Undertaking other duties appropriate to the role as reasonably assigned.

The service will provide consultant ENT-led assessment, diagnosis and management, supported by advanced outpatient diagnostics and selected definitive procedures.

• Nasendoscopy
• Otomicroscopy
• Formal audiovestibular testing
• Review and interpretation of relevant imaging
• Selected low-risk day-case procedures, where specifically commissioned and supported by appropriate facilities, equipment, workforce and anaesthetic governance.

Conditions and Patients Within the Service

The Consultant ENT will assess and manage patients within the following agreed service criteria:

• Tier 2 escalations where diagnostic uncertainty remains, symptoms persist despite adequate treatment, or consultant-level clinical decision-making is required.
• Moderately complex chronic ear disease, including recurrent otitis, selected dry perforations, hearing loss and tinnitus requiring specialist review but not tertiary otology input.
• Persistent nasal obstruction, chronic rhinosinusitis, uncomplicated nasal polyps and septal deviation requiring consultant assessment and consideration of definitive treatment.
• Recurrent epistaxis requiring enhanced specialist assessment and/or an agreed outpatient procedure.
• Persistent globus, benign tonsillar disease and low-risk dysphonia requiring laryngeal examination and consultant-led management.
• Known benign lesions requiring biopsy and/or excision within the commissioned ambulatory procedure scope.
• Selected low-risk ambulatory/day-case procedures, where explicitly commissioned, including:- Septoplasty with or without turbinate reduction
• Grommet insertion
• Selected myringoplasty
• Day-case tonsillectomy
• Limited polypectomy
• Benign lesion removal
• Selected FESS
• Trust waiting-list patients who have already been assessed as suitable for a self-contained ambulatory/day-case pathway, with the required clinical records and diagnostic investigations available.

Exclusions and Onward Referral

The Consultant will ensure that patients whose clinical needs fall outside the commissioned service are appropriately referred to the relevant hospital, tertiary or multidisciplinary pathway.

The following presentations are outside the scope of the service:

• Urgent, suspected cancer or red-flag presentations, including patients requiring a head and neck cancer pathway.
• Complex airway, swallowing or voice disorders, significant aspiration risk, or conditions requiring a hospital-based multidisciplinary service.
• Complex dizziness or balance disorders, central neurological signs, or conditions requiring specialist neuro-otology beyond the commissioned service.
• Patients requiring inpatient admission, overnight care, emergency support, complex or multistage surgery, or long-term/lifelong specialist follow-up.
• Tertiary ENT conditions, including cochlear implantation, skull-base disease, complex otology, major head and neck surgery and reconstructive surgery.
• Patients with medical, anaesthetic, safeguarding or functional risks that make the proposed ambulatory/day-case setting inappropriate.
• Procedures falling outside the agreed facility, equipment, workforce or anaesthetic scope, or unresolved diagnostic uncertainty requiring hospital-based MDT review.
• Patients who do not meet the locally agreed age, BMI, ASA, comorbidity or day-case selection criteria.

Health Harmonie is one of the UK's leading independent

healthcare providers, delivering high-quality NHS community services that

improve access to specialist care and support the delivery of healthcare closer

to patients' homes.

Working in partnership with NHS Integrated Care Boards,

Trusts, Primary Care Networks and GP Practices, we provide consultant-led

services across a range of specialties including Dermatology, Ophthalmology,

Gastroenterology, ENT and Diagnostic Services.

Our focus is on delivering safe, effective and

patient-centred care through innovative community pathways, reducing waiting

times and improving patient outcomes. We combine clinical excellence with

strong governance, modern technology and dedicated operational support to

ensure the highest standards of care.

At Health Harmonie, our people are at the heart of

everything we do. We are committed to creating a supportive and inclusive

working environment where clinicians can thrive, develop professionally and

make a meaningful difference to NHS patients. Through collaboration, innovation

and a commitment to continuous improvement, we help transform the way

healthcare is delivered within local communities.

Joining Health Harmonie offers the opportunity to be part of

an organisation that is passionate about clinical quality, outstanding patient

experience and delivering sustainable healthcare solutions across the NHS.

Essential: - GMC Specialist Registration is essential.; - Completed specialist ENT training, ideally at Consultant level.; - Strong diagnostic and procedural skills across ENT conditions.; - Excellent communication and teamwork abilities.; - DBS clearance required.

Desirable: - Previous experience in outpatient or community ENT services is desirable.