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<p>The National Health Service will often recommend home treatment remedies to alleviate
ear wax build-up. Manual ear syringing is no longer advised by the National Institute
for Health and Care Excellence (NICE) due to risks associated with it, such as trauma
to their ear drum or infection.</p><p>However, in line with NICE guidance, a person
may require ear wax removal treatment if the build-up of earwax is linked with hearing
loss. A general practice could then consider referring the patient into audiology
services. Integrated Care Boards (ICBs) are responsible for commissioning healthcare
services that meet the needs of their local populations – including for audiology
and ear wax removal services.</p><p>ICBs should therefore arrange for the provision
of ear wax removal services for when a patient has a clinical need for ear wax removal
beyond home treatments.</p><p>The NICE published guidelines last year on hearing loss
– and specifically on ear wax removal treatment, at the following link:</p><p><a href="https://www.nice.org.uk/guidance/ng98/chapter/Recommendations#removing-earwax"
target="_blank">https://www.nice.org.uk/guidance/ng98/chapter/Recommendations#removing-earwax</a></p>
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