How we do it: an audit of Action on ENT baseline standards in otolaryngology departments in England, UK.

An internet-based audit was conducted to determine how well English otolaryngology departments apply Action on ENT baseline clinical and administrative standards. A total of 91% (97 of 107) departments responded. Only 8% of 97 departments met all 23 standards but the majority complied with most standards. Microsuction and outpatient endoscopy were almost universally available (99% and 97% respectively) and 98% monitored in-patient and day surgery activity. Compliance was poor ( <60%) for three standards: common waiting lists for common conditions (51%), facilities to elicit patient feedback (56%) and the inclusion of a treatment plan in the notes (46%). More than one in four departments lacked dedicated facilities to treat children or a lead clinician for paediatric audiology, despite the Children Acts of 1989 and 2004. It is hoped that this audit will help sub-optimal units to correct their deficiencies