Individual guidelines on Otoscopy, Instrumentation, Aural Toilet, Irrigation and Microsuction are available to download in pdf format and replace the Ear Care Guidance Document.

Microsuction Guideline

Otoscopy Guideline

Aural Instrumentation Guideline

Aural Irrigation Guideline

Aural Toilet Guideline

Patient Group Directions (PGDs)

The PGDs for the ointments and creams which we use for the treatment of ear conditions have been renewed for a further 3 years and are available to download:

Betnovate C
Canestan HC
Trimovate Cream


We have produced cleaning guidelines for an electronic irrigator, which are available to download. A data sheet for Sodium Dichloroisocyanurate (NaDCC) is also available.

cleaning irrigator

Cleaning Guidelines for Electronic Irrigator

Data Sheet for NaDCC