Ear, Nose & Throat Conditions

Who are we?

Advanced Primary Care Services offers specialist care to a variety of patients that require further care for Ear Nose and Throat (ENT) health problems but do not require hospital treatment. Patients will be seen by a practitioner with special interest in ENT. Audiology clinics are also run prior to appointments with the practitioner if they feel this is necessary for the patient. Clinics are held in both the Telford & Wrekin and Shropshire areas.


Our services

We are able to offer assessment and treatment for a range of ENT problems as well as advice and guidance on managing these. Some of the procedures offered to patients include nasal endoscopy, microsuction and cauterisation.

The people we see

We see patients with a range of ENT problems who require further treatment but do not require hospital treatment. Some of the conditions seen within the APCS service include:

  • Hearing loss
  • Nasal obstruction
  • Otitis externa (inflammation of the ear)
  • Recurrent epistaxis (nose bleeds)
  • Rhinitis (inflammation of the inside of the nose)
  • Tinnitus
  • Vertigo
  • Wax impaction

New patients

New patients can be referred into the service by the General Practitioner via referral through Choose and Book. This service is available in both the Telford & Wrekin and the Shropshire area; patients of all ages in the Telford & Wrekin area can be seen within the APCS service but within the Shropshire area only adults aged 18 and over will be seen. The provision of the service does not vary depending on the age of the service user.

Existing patients

Existing patients or patients previously seen within the APCS service can be referred back to the service in the same way as new patients. The same age restrictions will also apply.

Services we do not offer

We are not able to supply hearing aids to patients who require them. The APCS service will not see patients who require surgery or who are being referred under the 2 week cancer rule.

What you should bring with you

On initial assessment patients should bring a detailed list of current medication.

Frequently asked questions

What are Advanced Primary Care Services?

Advanced Primary Care Services see a variety of patients needing specialist, but not hospital treatment, for particular health problems. These services have been developed using the skills of practitioners with special interests who are GPs, nurses, therapists and other health professionals who develop additional expertise which enables them to expand their clinical practice in a defined area. These advanced practitioners are able to diagnose, manage and treat more simple problems and procedures in primary care, so reducing the need for a referral into main hospital/ consultant care.

What are General Practitioners with special interests?

They are General practitioners (GPs) who supplements their core generalist role in a doctors surgery by delivering an additional high-quality service to meet the needs of patients. They must-

  • Demonstrate appropriate levels of skill and competence to fulfil the role they are specialist in (probably a postgraduate diploma in the relevant field).
  • Demonstrate a clear understanding of the key role the GPwSI is being asked to fulfil this is done through a vigorous process and accreditation with a local panel of professionals
  • Understand the appropriate clinical pathway.
  • Understand and participate in the clinical network in relation to the clinical pathway.
  • Set out commitment to ongoing training, updates and education through appropriate appraisal and a personal development plan.
  • Make appropriate indemnity arrangements.
  • Make appropriate peer review and mentoring arrangements.
  • Demonstrate how the role fits the existing portfolio.
  • Provide evidence of professional registration and recognition on a PCT performers list.


Special Educational Needs and Disability (SEND) and our "Local Offer"

What is the Local Offer?

The local offer provides information for children and young people with special educational needs (SEND) and their parents or carers in a single place. You can find out more about information about this on our SEND reforms and Local Offers page.

Service Description

Advanced Primary Care Services (APCS) offer specialist care to a variety of patients that require further care for some specialist health problems but do not require hospital treatment. Patients will be seen by either GPs with special interest in that field or a member of the nursing team.

Who can use our service? Age? Disability?

We are an adults only service for patients over the age of 18.

How to access our service (inc. referral routes)

New patients can be referred into the service by GPs via referral through E-Referral.

When and where is our service available?

Please see our "Where are we?" section (right-hand column) for the active list of clinic locations.

How can families contact the service?

Please see our "Contact us" section on this page (right-hand column).

For external agencies: is the service free or charged?


Is the service accredited? If so, by whom?

Care Quality Commission

How can families complain if they are not happy with the service?

All complaints are handled by our Patient Advice and Liaison Service (PALS) and Complaints teams.


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