Concierge otolaryngology · London
ENT assessment, consultant otolaryngology review with same-day audiology and flexi endoscopy.
A structured ENT assessment combines consultant otolaryngology examination with same-day audiology, tympanometry, flexi-nasal endoscopy, allergy testing and imaging as needed. First-line for hearing loss, tinnitus, dizziness, chronic sinusitis, hoarseness and neck lumps.
Why patients choose us
- 01
The right hands
We route you to a consultant otolaryngologist — with same-day audiology and flexi-nasal endoscopy under one roof.
- 02
Often answers same-day
Objective tests are performed at the same visit, so findings can frequently be discussed immediately.
- 03
Independent, and free
We are paid by no clinic, so the recommendation is impartial and costs you nothing.
Key facts
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Definition
Consultant ENT review with same-day objective tests
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Bundled with
Audiology and tympanometry as standard
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Flexi-nasal endoscopy
Nose, sinus and larynx visualisation
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Vertigo battery
Dix-Hallpike and vHIT when indicated
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Same-day imaging
CBCT and MRI at network sites
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Outcome
Structured plan and onward referral
Indicative pricing
What a private ENT assessment costs in London.
Indicative ranges across our partner clinics. Send the details and we quote firm figures across two or three options.
In short
A full ENT bundle with audiology and endoscopy: £520–£850, with the consultant plan the same day.
| Assessment | Indicative range | Typical duration | Report turnaround |
|---|---|---|---|
| Consultant ENT review (30 min) | £220–£320 | 30 min | Same-day |
| Consultation + audiology + tympanometry | £320–£520 | 45 min | Same-day |
| Consultation + flexi-nasal endoscopy | £380–£600 | 45 min | Same visit |
| Full ENT bundle (consult + audiology + endoscopy) | £520–£850 | 60 min | Same visit |
| Vertigo battery (Dix-Hallpike, vHIT + consult) | £450–£800 | 60 min | Same-week |
| ENT bundle + CBCT sinuses or MRI IAM | £800–£1,400 | Half-day | Same-week |
Prices vary by clinic, whether flexi-nasal endoscopy is included, and whether same-day imaging is added. We come back with a firm quote within one working day.
The problem
An ENT assessment is only as good as who does it.
The consultant, the audiologist and the scope all matter. We route you to a consultant otolaryngologist with same-day audiology and endoscopy — not a generalist and a return visit.
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Hearing loss or tinnitus?
Same-visit audiometry and tympanometry with a consultant plan.
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Vertigo or dizziness?
Vestibular battery — Dix-Hallpike and vHIT — with a targeted diagnosis.
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Sinus, voice or neck lump?
Flexi-nasal endoscopy at the same visit, with imaging if needed.
The journey
From enquiry to plan — what happens, in order.
One consultant from first message to plan — often at the same visit.
Phase 1 · Before your visit
Concierge, off-stage for you
Phase 2 · On the day
~60 minutes at the clinic
Phase 3 · After
Concierge, back on
- 01
Before
Book same-day consultant slot
A short, confidential form. Symptoms, medications, prior scans or audiograms, insurer if you have one.
- 02
Before
Consultation and history
Focused ENT history with the consultant — ear, nose, throat, balance and voice, plus systemic context.
- 03
On the day
Otoscopy and neck examination
Structured ear, nose, throat, oral cavity and neck examination by the consultant.
- 04
On the day
Audiometry and tympanometry
Pure-tone audiometry plus middle-ear pressure testing performed at the same visit.
- 05
On the day
Flexi-nasal endoscopy
A thin flexible scope through the nose to view the nasal cavity, post-nasal space and larynx — usually under two minutes.
- 06
On the day
Add-on tests as indicated
Allergy testing, vestibular battery (Dix-Hallpike, vHIT) or same-day CBCT / MRI at network sites.
- 07
After
Written plan and follow-up
A written plan by the reporting consultant, with onward pathway to surgery, audiology, allergy or the head-and-neck MDT if needed.
Typical end-to-end: 1–5 days. Urgent cases: same day.
What it shows
When a private ENT assessment is the right first step.
A structured consultant ENT review with same-day objective tests answers most ear, nose, throat, balance and voice problems in one visit.
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Otitis media / eustachian tube dysfunction
Persistent ear pressure, fluid or infection — otoscopy plus tympanometry quantify the middle ear.
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Sensorineural or conductive hearing loss
Audiometry distinguishes conductive from sensorineural loss and grades severity.
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Tinnitus workup baseline
Structured audiological assessment and consultant review — the first-line workup for new tinnitus.
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Vertigo — BPPV, Ménière’s, vestibular migraine
Dix-Hallpike, head-impulse and vHIT to distinguish peripheral from central causes.
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Chronic rhinosinusitis
Endoscopy of the nose and sinuses with a plan for medical or surgical management.
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Nasal polyps
Endoscopy grades polyps and directs topical, biologic or surgical treatment.
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Laryngeal / voice disorders and neck lumps
Flexi-laryngoscopy of the vocal cords plus structured neck examination.
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Red flag: asymmetric SNHL, hoarseness > 3 weeks, neck lump — 2-week-wait ENT cancer pathway
Do not wait for a private slot alone — we route in parallel to the NHS 2-week-wait pathway.
Treatment and next steps
What can follow an ENT assessment.
The written plan sets out which of these onward pathways applies to you, if any.
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Hearing aid trial
Structured trial and fitting when audiometry confirms aidable hearing loss.
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Middle-ear surgery (grommets, myringoplasty)
For persistent effusion, retraction or perforation not responding to medical care.
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Cochlear implant assessment
Referral for candidacy assessment in severe-to-profound sensorineural loss.
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Sinus surgery (FESS)
Functional endoscopic sinus surgery for chronic rhinosinusitis with or without polyps.
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Vestibular rehabilitation
Structured physiotherapy programme for peripheral vestibular disorders.
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Botulinum for spasmodic dysphonia
Targeted laryngeal injections for a specific voice disorder, in a specialist voice clinic.
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Head and neck MDT for cancer
Rapid onward referral into a head-and-neck multidisciplinary team where malignancy is suspected.
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Structured ENT follow-up
Interval consultant review with repeat audiology or endoscopy to track response to treatment.
Our vetted London network
A small panel of clinics, we picked them.
Partners across central, north, west and south London. Not listed publicly — introductions are made privately, once we understand your case.
Selection criteria
How we choose every clinic in our network.
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Consultant otolaryngologists (ENT surgeons) — no juniors
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On-site audiology and tympanometry at the same appointment
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Flexi-nasal endoscopy performed by the consultant
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Same-day pathway to CBCT sinuses, MRI IAM and head-and-neck MDT
Safety and eligibility
A safe assessment — with practical caveats.
Audiometry, tympanometry and flexi-nasal endoscopy are all safe office procedures. The important points are when a private slot is right and when A&E is right, and where the assessment’s limits are.
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Flexi-nasal endoscopy is well tolerated
A thin flexible scope through the nose with topical local anaesthetic — most patients rate it as mildly uncomfortable at worst.
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Audiometry is painless
You wear headphones in a sound-treated booth and press a button when you hear the tone.
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Tympanometry is a two-second test
A soft probe seals in the ear canal and briefly changes pressure to measure eardrum movement.
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Dix-Hallpike may briefly provoke vertigo
That is the point — provoking BPPV confirms it. Symptoms settle within seconds.
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Bring hearing aids, prior audiograms, scans
Comparison against previous audiometry or imaging materially sharpens the plan.
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Sudden hearing loss is an emergency
Sudden sensorineural hearing loss needs assessment within 72 hours — go to A&E or call us urgently.
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Anticoagulation and nose bleeds
Tell us if you are on warfarin, DOACs or antiplatelets before endoscopy or nasal procedures.
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A normal endoscopy is not a full clear
Endoscopy sees mucosal surfaces — deeper disease may still need CBCT or MRI.
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Suspected cancer — parallel NHS pathway
For red flags we route in parallel to the NHS 2-week-wait ENT cancer pathway.
Red flags
Symptoms that need urgent ENT review — do not wait.
- Asymmetric sensorineural hearing loss
- Sudden sensorineural hearing loss
- Persistent hoarseness beyond three weeks
- Neck lump present beyond three weeks
- Persistent unilateral nasal obstruction
- Blood-stained nasal discharge
- Facial numbness
- Cranial-nerve palsy
- Recurrent nose bleeds with anticoagulation
Reading your report
An ENT report can look intimidating. It isn’t.
Whatever the finding, the report keeps to the same four parts.
A quiet reminder
The report is written for your doctor, not for you — and that’s normal.
If you would like us to talk you through it before your follow-up, just ask.
- 01 Header
History and presenting complaint
Your details, the reason for the assessment, and the ENT history that shapes interpretation.
- 02 Examination
Otoscopy, nasal, oral and neck findings
What the consultant found on structured ear, nose, throat and neck examination.
- 03 Objective tests
Audiometry, tympanometry, endoscopy
Numerical audiometry, tympanogram type, plus endoscopic findings of nose, sinus and larynx.
- 04 Plan
The plan: read this first
Diagnosis or working diagnosis, immediate treatment, onward tests or referrals, and the follow-up interval.
Recognised by major UK insurers
Cover depends on your policy and clinic; we confirm with your insurer before booking.
Frequently asked
Everything we get asked about ENT assessment.
Quick answers on what’s included, how long it takes, whether endoscopy hurts, referral needs, and when to worry.
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What does an ENT assessment include?
A structured consultant otolaryngology review with same-day objective tests — audiometry, tympanometry, flexi-nasal endoscopy, plus vestibular testing, allergy testing or imaging (CBCT, MRI) as indicated. The output is a written plan with onward pathway.
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How long does an ENT appointment take?
A consultant review alone is 30 minutes. Add audiology and tympanometry and it becomes 45 minutes; the full bundle with flexi-nasal endoscopy is around 60 minutes.
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Is flexi-nasal endoscopy painful?
No — the scope is thin and flexible and topical local anaesthetic is used in the nose. Most patients rate it as mildly uncomfortable at worst, and it takes under two minutes.
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Do I need a referral?
Most clinics accept self-referral for a private ENT assessment. We can arrange a fast-track private GP if a formal referral is needed for insurance or an onward pathway.
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When should I worry about a neck lump or hoarseness?
Any neck lump present beyond three weeks, or hoarseness lasting more than three weeks, warrants urgent ENT review to exclude head-and-neck cancer. We route in parallel to the NHS 2-week-wait pathway.
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How quickly will I get results?
Findings are discussed at the appointment. The written consultant plan is typically sent within 24–48 hours, with any imaging report to follow.
Sources
- ENT UK. Clinical guidance and patient information.
- NICE CKS. Hearing loss in adults; sinusitis.
- Royal College of Surgeons of England (ENT).
- European Rhinologic Society. EPOS guidelines on rhinosinusitis.
Reviewed by Pulse Atlas Editorial Board, . Last reviewed 2026-07-30. Next review 2027-07-30. Reading time approx. 6 minutes.
Related tests
Looking for a different test?
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Acoustic reflex threshold
Middle-ear reflex test that complements audiometry.
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Tympanometry
Objective test of middle-ear pressure and eardrum movement.
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Auditory brainstem response
Objective neural test used in complex hearing loss and infants.
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All tests
Browse every test and procedure we arrange.
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Tinnitus
Related condition guide.
Learn more -
Chronic Sinusitis
Related condition guide.
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Cochlear Implants
Related treatment option.
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Cholesteatoma Surgery
Related treatment option.
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In practice, in London
Why private ENT assessment moves differently in London
With ent assessment, the London question is usually about report turnaround and the radiologist reading it — not whether the scan is available. The wait for ENT assessment on the NHS depends heavily on where you live and how urgently the referral is graded. Central and West London private clinics can normally book within a week, with imaging or a procedure slot to follow shortly after. It’s worth being honest about the reason for going private: usually it’s time, not a fundamentally different test.
In practice, a private ENT assessment appointment in London means a named consultant, a proper hour in the room (or the equivalent on a video call), and a report you can actually read. Most of the imaging suites and endoscopy units we use sit within a mile of Harley Street or in Chelsea and Fulham, and turnaround on findings is measured in days, not weeks. For ent assessment specifically, the difference between a routine report and a sub-speciality read is where private care earns its keep.
The value of going through a concierge for ENT assessment isn’t access — anyone with an insurer or a credit card can get a private appointment in London. The value is knowing which consultant reads this particular presentation best, which unit turns reports around fastest, and which pathway won’t hit a dead end if the findings point somewhere unexpected.