We are a partnership of medical practitioners lead by consultant Ear Nose and Throat surgeons.

Between us we have decades of experience in managing all aspects of the ear. We are entirely independent and offer high quality services with the most modern and up to date techniques in safe and comfortable environments.

Mr Joel Smith


Mr Joel Smith is a consultant ENT surgeon with specialist interest in Head, Neck and Thyroid surgery and oncology. As part of his training he completed an MD in molecular genetics with a surgical fellowship at the Sydney head and neck cancer institute. He is currently holds the posts Consultant ENT, Head, Neck and Thyroid Surgeon, Royal Devon and Exeter Foundation Trust and Consultant ENT Surgeon, Nuffield Exeter Hospital.

Mr Mohamed A Khatwa


Mr Mo Khatwa is an ENT Consultant with a special interest in nasal and sinus surgery. Mo has accomplished his training in ENT in the North West region of the UK. He completed his training with a surgical fellowship in nasal, sinus & skull base surgery. He is currently an ENT consultant at the Royal Devon & Exeter Hospital and Nuffield Hospitals. He is also a Senior Lecturer at University of Exeter Medical School (UEMS).

Mrs Kay Kulkarni

DipHE in Nursing, BSc (Hons) Health Studies, Primary Ear Care Diploma, Independent Nurse Prescriber.

Kay qualified as a registered nurse from the University of Plymouth in 2001. She has also attained a Diploma in Ear Care through Rotherham Primary Ear Care Centre. Kay was responsible for setting up the first ever NHS Community Microsuction Clinic in Devon in 2010. More recently she has been working at the Royal Devon and Exeter Hospital as a Clinical Nurse Specialist in Ear Care, treating patients with complex ear conditions.

Maria Chiaragiali

Maria qualified as a registered nurse in 2014 and she has been been working since then in the ENT Department at the Royal Devon University Healthcare NHS Trust. Maria completed her Masters in Advanced Clinical Practice in 2022. She has been undertaking microsuction since 2019 and has developed expertise in acute and chronic ear conditions.

Kate Perry

Kate completed her training at the Florence Nightingale School of Nursing and Midwifery at King’s College London in 2013, including a scholarship programme at the University of Pennsylvania in Philadelphia. Having completed an Acute Medical rotation at King’s College Hospital she moved to the General Intensive Care unit at St.George’s Hospital, London. Kate has over 2 years of microsuction experience and has completed her National Diploma in Primary Ear Care at The Rotherham NHS Foundation Trust. She is registered with the Nursing and Midwifery Council and Royal College of Nursing.



For more information please contact our secretaries:


Joel Smith and Mohamed A Khatwa, Exeter
ENT secretary
Nuffield Hospital, Exeter
Wonford Road EX2 4UG
01392 262160


Mohamed A Khatwa, Plymouth
ENT secretary
Nuffield Hospital Plymouth
Derriford Rd, Plymouth
01752 548172


Contact us today