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NHS Audiology Services in West Dorset Shelley Daniels (Clinical Scientist) Any Qualified Provider On July 19th 2011 DoH announced that Adult Hearing Services in the Community would be one of the first services to start the process of Any Qualified Provider All healthcare providers – including NHS and independent organisations, charities and social enterprises, which meet the qualifying requirements will be able to deliver some NHS services. An independent report (Which, October 2010) into private hearing aid dispensers rated 43 % of firms visited by an expert panel as poor. Location of services Dorset County Hospital (Audiology Department and Children’s Centre) Weymouth Community Hospital Blandford Community Hospital Bridport Community Hospital Yeatman Hospital (Sherborne) Soundproofed rooms at Blandford, Bridport and Yeatman Hospital. Soundproofed booths at Weymouth and Dorset County Hospital Paediatric test facility at Dorset County Hospital Staff 0.75 WTE Head of Department (Clinical Scientist) 3 WTE Clinical Scientists 1.2 WTE Hearing Therapists 3.69 WTE Senior Audiologists 0.77 WTE Senior Technical Officer 2 WTE Administration staff NHS Hearing aid service Staff are trained in counselling patients - in respect to hearing loss - adjustment of expectations - goal setting - adaptation and acclimatisation Pathway for a hearing aid patient Referral for HA assessment (Direct Referral) 1 hour appointment (Assessment appointment) 1 hour fitting appointment 30 minutes follow up appointment Ongoing access to repair service (booked repair slots available within 1 week, postal repair service offered) Direct Referral (1 Hour) Patient History Otoscopy Audiometry/tympanometry Explanation of results Counselling with respect to hearing loss Identify patient’s agreed needs Discussion of monaural vs binaural Impression taking Hearing Aid Fitting Review agreed needs Ear mould fit and modification Real Ear Measurements (REM) Functionality options Explanation of HA functions Care of HA Insertion of aid Other services Real Ear Measurements Objective measurement of acoustic output takes into account the acoustic properties of the ear canal Uses specific fitting rationales verify fit rehabilitation tool uses DSP to fullest capacity NHS Hearing Aids Digital Latest Technology Thin tubes available Volunteer Service We have a volunteer who is happy to go to people’s homes. Very often this is to help people to get to grips with fitting the ear mould Other services provided by Audiology Paediatric hearing assessments and hearing aid fitting/ on going maintenance of aids Vestibular assessments and Rehabilitation Hearing Therapy, including advice and assistance re tinnitus Testing of babies referred for further assessment by the newborn hearing screen. Domiciliary visits Audiometry service for ENT Links with other services Social services-sight and sound centres Refer potential cochlear implant candidates to Southampton (SOECIC) + Refer potential BAHA candidates to Salisbury Work closely with Education service for the benefit of our paediatric hearing aid users ENT Consultants have offices in the Audiology department When to refer to Audiology? Adult hearing loss: If the clinical question is “Could this pt benefit from a hearing aid?” Hearing loss with some associated tinnitus is acceptable We do not offer an adult audiometry service to GPs at present Vestibular: We do NOT currently accept direct referrals for vestibular assessments or rehabilitation When to refer to Audiology? Paediatrics: If the main concerns is hearing please refer directly to Audiology, including suspected middle ear effusion. If you also require advice re management of recurrent ear infections please refer to ENT We accept referrals where there is concern regarding a child’s development of speech and language in order to rule out hearing loss as a cause for delayed speech Numbers…… Each year we carry out approximately 8500 hearing aid repairs 3000 Audiograms for ENT 2500 assess and fit (2 x 1 hour appts) 1600 Follow up appointments for HA pts 1000 paediatric hearing assessment appointments 350 paediatric hearing aid appointments 200 advanced tests In West Dorset there are c. 10 – 15000 NHS hearing aid users Packs for you to take away Oticon hearing check cards Demonstration Danalogic hearing aid Guidance re referring to Audiology Poster advertising NHS Audiology Services Post it notes