Ear wax removal services are commissioned at a local, rather than national level. National Institute for Health and Care Excellence (NICE) guidance from June 2018 recommends that adults should be offered earwax removal if the earwax is contributing to hearing loss or other symptoms.
If they determine that the treatment is clinically necessary, GP practices can offer NHS ear wax syringing services or refer to an appropriate NHS service in a local area. Eligible patients would not be charged for this service.
There are a range of services known as core services that all GP practices are expected to provide and enhanced services that GP practices are commissioned to provide over and above this. The provision of ear syringing is an example of an enhanced service. It is for the local Integrated Care System (ICS) to decide whether or not to commission this enhanced service.