Ear, nose and throat (ENT)

The Ear, Nose and Throat (ENT) Department provides comprehensive adult and paediatric ENT services for patients with conditions affecting the ear, nose, throat, head and neck.

Our multidisciplinary team delivers high-quality, patient-centred care across the full spectrum of otolaryngology, offering both general and highly specialised services using modern medical and surgical techniques.

Our ENT Department provides specialist ENT services during normal working hours, with consultant and registrar on-call support available out of hours for urgent ENT emergencies that may require emergency surgical intervention.

Our services

We provide assessment, investigation and treatment for a wide range of ear, nose and throat (ENT) conditions in both adults and children, including:

  • Otology, hearing and balance, including ear disorders, hearing loss, tinnitus, dizziness and balance disorders.
  • Rhinology and allergy, including nasal obstruction, chronic rhinosinusitis, sinus disease, nasal polyps, allergy-related conditions and disorders of smell, as well as more complex rhinological conditions such as septal perforation.
  • Sleep-disordered breathing, including snoring and obstructive sleep apnoea.
  • General and paediatric ENT, including tonsil and adenoid disease and other common ENT conditions affecting adults and children.
  • Laryngology, including voice, throat and swallowing disorders.
  • Head and neck, including the assessment and management of head and neck lumps, salivary gland disease, and benign and malignant head and neck conditions.
  • Thyroid and parathyroid, including the assessment and management of thyroid and parathyroid disorders.
  • Head and neck skin lesions, including the assessment and treatment of skin lesions affecting the head and neck region.
  • Emergency ENT care, providing specialist assessment and management of urgent ENT conditions that may require emergency or surgical intervention.

Specialist Clinics and Services

Our department offers a range of specialist clinics and tertiary-level services, including:

  • General Adult and Paediatric ENT Clinics
  • Otology and Hearing Disorders Clinic
  • Advanced Rhinology Clinic
  • Smell Disorders Clinic
  • Septal Perforation Clinic
  • Septorhinoplasty Service
  • Biological Therapy Service for Chronic Rhinosinusitis with Nasal Polyps
  • Advanced Endoscopic Sinus Surgery
  • Anterior Skull Base Surgery
  • Sleep Surgery Clinic
  • Drug-Induced Sleep Endoscopy (DISE)
  • Hypoglossal Nerve Stimulation Programme
  • Transoral Robotic Surgery (TORS)
  • Barbed Reposition Pharyngoplasty (BRP)
  • Head & Neck, Thyroid and Parathyroid Clinic
  • Radiofrequency Ablation (RFA) for Benign Thyroid Nodules
  • Head and Neck Cancer Diagnostic and Rapid Access Pathways

Our Team

Mr Darren Gillett - Consultant ENT Surgeon- General ENT
Qualifications: MBBS, DLO, FRCS (ORL-HNS)

Mr Gillett is a Consultant ENT Surgeon providing comprehensive adult and paediatric ENT care. His clinical practice encompasses the diagnosis and management of a broad range of ear, nose and throat disorders, including ear disease, hearing loss, nasal and sinus conditions, tonsil disease and benign head and neck pathology.

 

Mr Max Whittaker - Consultant ENT Surgeon - Otology
Qualifications: MBBS, DOHNS, MSc, FRCS (ORL-HNS)

Mr Whittaker specialises in otology and neurotology. He has expertise in the diagnosis and management of hearing loss, chronic ear disease, balance disorders and complex ear surgery, providing care for both adults and children.

Mr Whittaker's specialist interests

  • Otology and Hearing Disorders Clinic
  • Hearing loss
  • Chronic ear disease
  • Cholesteatoma surgery
  • Tympanoplasty
  • Mastoid surgery
  • Endoscopic ear surgery
  • Stapes surgery (stapedotomy/stapedectomy)
  • Balance disorders

 

Mr Hassan Elhassan - Consultant ENT Surgeon - Rhinology and Anterior Skull Base Surgery
Qualifications: MBBS, BSc (Hons), DOHNS, FRCS (ORL-HNS)

Mr Elhassan specialises in the medical and surgical management of disorders affecting the nose, paranasal sinuses and anterior skull base. His practice includes advanced endoscopic sinus surgery, complex rhinology, nasal obstruction management and chronic rhinosinusitis with nasal polyps, including biological therapies where appropriate.

Mr Elhassan's specialist interests

  • Advanced Rhinology Clinic
  • Septal Perforation closure
  • Functional and reconstructive septorhinoplasty
  • Biological therapy for chronic rhinosinusitis with nasal polyps
  • Advanced Endoscopic Sinus Surgery (FESS)
  • Anterior Skull Base Surgery

 

Professor Matt Lechner - Professor of Rhinology and Consultant ENT Surgeon
Qualifications: MD, PhD, FRCS (ORL-HNS), FHEA

Professor Lechner is a recognised rhinologist with specialist expertise in disorders of smell and advanced rhinology. He manages patients with complex nasal and sinus disorders and leads the department’s specialist smell service.

Professor Lechner's specialist interests

  • Smell Disorders Clinic
  • Assessment and management of anosmia and parosmia
  • Advanced Rhinology Clinic
  • Functional Endoscopic Sinus Surgery (FESS)

 

Ms Purnima Sangwan - Consultant ENT Surgeon - Head & Neck, Thyroid and Parathyroid Surgery
Qualifications: MBBS, MS (ENT), MRCS (Eng), FRCS (ORL-HNS)

Ms Sangwan specialises in head and neck surgery with expertise in thyroid and parathyroid disorders. She provides comprehensive management of benign and malignant head and neck disease, salivary gland disorders and neck lumps, with a specialist interest in minimally invasive thyroid treatments.

Ms Sangwan's specialist interests

  • Head & Neck, Thyroid and Parathyroid Clinic
  • Thyroid surgery
  • Parathyroid surgery
  • Salivary gland surgery
  • Management of head and neck lumps
  • Head and neck oncology
  • Radiofrequency Ablation (RFA) for benign thyroid nodules

 

Mr Mohamed Rashwan - Consultant ENT Surgeon - Sleep Surgery
Qualifications: MD, PhD, MRCS, FRCS (ORL-HNS)

Mr Rashwan specialises in the assessment and surgical management of snoring and obstructive sleep apnoea. He offers advanced diagnostic techniques and contemporary surgical treatments for upper airway obstruction, providing personalised management for patients with sleep-disordered breathing in addition to various ENT related procedure for adults and paediatrics including endoscopic ear surgeries.

Mr Rashwan's specialist interests

  • Dedicated Sleep Surgery Clinic
  • Drug-Induced Sleep Endoscopy (DISE)
  • Hypoglossal Nerve Stimulation
  • Transoral Robotic Surgery (TORS)
  • Barbed Reposition Pharyngoplasty (BRP)
  • Multilevel surgery for obstructive sleep apnoea
  • Snoring and upper airway surgery
  • Nasal airway surgery

 

Mr Samuil Milev - Consultant ENT Surgeon - General ENT (Locum)
Qualifications: To be confirmed

Mr Milev is a Locum Consultant ENT Surgeon providing assessment and management of a broad range of adult and paediatric ear, nose and throat conditions. His practice supports the delivery of comprehensive general ENT services, including outpatient assessment, elective surgery and acute ENT care.

Mr Milev's specialist interests

  • General Adult ENT
  • Paediatric ENT
  • Ear, nose and throat disorders
  • Nasal and sinus conditions
  • Tonsil and throat disorders
  • Emergency ENT care

 

Mr Usama Ahmed - Consultant ENT Surgeon - Head & Neck, Thyroid and Parathyroid Surgery (Locum)
Qualifications: MRCS (ORL), FRCS (ORL-HNS)

Mr Ahmed specialises in the assessment and surgical management of thyroid, parathyroid and head and neck conditions. His practice includes the investigation and treatment of neck lumps, salivary gland disease and head and neck oncology.

Mr Ahmed's specialist interests

  • Head & Neck, Thyroid and Parathyroid Clinic
  • Thyroid surgery
  • Parathyroid surgery
  • Salivary gland surgery
  • Head and neck oncology
  • Neck lump assessment
  • General head and neck surgery

 

Mr Mohamed Khedr - Associate Specialist in ENT

Mr Khedr provides comprehensive outpatient, inpatient and emergency ENT care across a broad range of adult ENT conditions and supports both elective and emergency services.

 

Dr Monica Doshi - General Practitioner with a Special Interest (GPwSI) in ENT

Dr Doshi supports integrated ENT services through the assessment and management of common ear, nose and throat conditions within community and secondary care pathways.

 

Dr Natalie Tabares - Specialty Doctor in ENT

Dr Tabares provides outpatient, inpatient and emergency ENT care, supporting the delivery of comprehensive adult and paediatric ENT services.

 

The department is supported by six Specialty Registrars who work alongside consultants in outpatient clinics, operating theatres, emergency care and multidisciplinary team meetings.

We are committed to excellence in clinical education, quality improvement, innovation and research, ensuring our patients benefit from evidence-based care delivered by a highly skilled multidisciplinary team.

Referral Process for GPs

Routine referrals
GP referrals to the ENT service should be made via the NHS e-Referral Service (e-RS).

Urgent ENT referrals
For urgent ENT advice or review, please contact the ENT team via e-RS Advice and Guidance. If you believe a patient requires urgent assessment in the Emergency Department (A&E), please contact the on-call ENT team via the hospital switchboard to discuss the referral.

Urgent Suspected Cancer referrals
Urgent Suspected Cancer referrals should be made using the latest version of the Head & Neck Pan-London Urgent Suspected Cancer referral form. EMIS users can access the latest version of the form using the F12 key.

Please complete the referral form with all relevant clinical information, including the patient's presenting symptoms, duration and progression of symptoms, any associated red-flag features, and relevant risk factors. Please attach any supporting documentation as this will help the team triage the referral effectively and determine the most appropriate next steps. On e-RS, select "Urgent Suspected Cancer - Head & Neck RAS" and submit the referral.

All Urgent Suspected Cancer referrals are reviewed by our Head and Neck Triage Clinical Nurse Specialist (CNS), who will triage the referral and arrange an appropriate appointment.

More information about urgent suspected cancer referrals can be viewed here.

Waiting times

The average waiting time for the ENT outpatient clinics is:

  • for cancer cases up to 2 weeks
  • for routine appointments is approximately 9 - 18 weeks.

Waiting times for new ENT outpatient appointments are reviewed regularly and may vary depending on clinical demand, referral volumes, appointment availability, and clinical urgency. As referrals are prioritised according to clinical need, it is not possible to guarantee an exact waiting time. Patients will be contacted as soon as an appointment becomes available and should ensure their contact details are up to date. We appreciate your patience while awaiting an appointment.

Useful information

ENT Conditions and Procedures | ENT UK (https://www.entuk.org/patients/conditions)

Resources | ENT UK for Healthcare professionals: (https://www.entuk.org/professionals/resources.aspx)