If your child has an urgent problem requiring immediate surgical assessment you are referred acutely to the ORL Department where your child will initially be seen by the Registrar (a trainee specialist) who will decide whether he/she needs to be admitted to hospital. Investigations will be performed as required and the more senior members of the team involved where necessary.
If the problem is not urgent, the GP will write a letter to the ORL Department requesting an appointment in the outpatient clinic. Each month the Department receives more new referrals than can be seen in clinic. One of the consultant surgeons working in the Department reviews the referral letters to determine who should be seen first, based on the information provided by the GP. Very urgent cases are usually seen within a couple of weeks, but other cases may have to wait a much longer time. Routine cases are often returned to the GP with some management advice.
When you come to the ORL Outpatient Department you will be seen by a member of the ORL team who will ask questions about your child's illness and examine him/her to try to determine or confirm the diagnosis. This process may also require a number of tests (e.g. blood tests, x-rays, scans etc). Sometimes this can all be done during one clinic visit, but for some conditions this will take several follow-up appointments. Occasionally some tests are arranged even before you are seen at the hospital to try to speed up the process.
Once a diagnosis has been made, the medical staff will discuss treatment with you. In some instances this will mean surgery, while other cases can be managed with medication and advice. If surgery is advised your child will be put on the elective surgical waiting list. Again these waiting lists are ordered according to the urgency and severity of the condition. The steps involved in the surgical process and the likely outcome are usually discussed with you at this time.
