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

Otoscopy Guidelines
Aural Instrumentation Guidelines
Aural Toilet Guidelines
Ear Irrigation Guidelines
Microsuction Guidelines

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:

Administration of Betamethasone
Administration of Canesten
Administration of Trimovate


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 Document
Data Sheet – Sodium Dichloroisocyanurate (NaDCC)