Is an advanced audiology-led service the solution to the paediatric ENT outpatient waiting list problem?

Purpose: The present study's objective was to predict the effect of an advanced audiology-led clinic on paediatric ENT outpatient waiting lists in a large secondary public hospital. Methods: A retrospective, single observational study was performed to obtain data on all children referred for semi-urgent or routine ENT outpatient assessment over a six month period. Set criteria were used to calculate the proportion of new ENT referrals that could be eligible for a new advanced audiology-led clinic and the effect this could have on ENT outpatient referrals and capacity. Results: Results indicated that 23% of all semi-urgent and routine paediatric ENT outpatient referrals were eligible for referral to an advanced audiology-led clinic, with 74% of these being from the semi-urgent category. Based on these data, an advanced audiology-led clinic was predicted to increase this facility's ENT outpatient capacity by 77%. Conclusion: In conclusion, the introduction of an advanced audiology-led service could significantly reduce waiting lists and increase capacity in paediatric ENT outpatient services in the public healthcare system