Download NHS Audiology Services in West Dorset

NHS Audiology
Services in West
Dorset
Shelley Daniels
(Clinical Scientist)
Any Qualified Provider
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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
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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.
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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
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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
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0.75 WTE Head of Department (Clinical Scientist)
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3 WTE Clinical Scientists
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1.2 WTE Hearing Therapists
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3.69 WTE Senior Audiologists
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0.77 WTE Senior Technical Officer
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2 WTE Administration staff
NHS Hearing aid service
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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
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Referral for HA assessment (Direct Referral)
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1 hour appointment (Assessment appointment)
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1 hour fitting appointment
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30 minutes follow up appointment
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Ongoing access to repair service (booked repair slots available
within 1 week, postal repair service offered)
Direct Referral (1 Hour)
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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
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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
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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
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Digital
Latest Technology
Thin tubes available
Volunteer Service
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We have a volunteer who is happy to go to people’s homes.
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Very often this is to help people to get to grips with fitting the ear
mould
Other services provided by
Audiology
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Paediatric hearing assessments and hearing aid fitting/ on going
maintenance of aids
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Vestibular assessments and Rehabilitation
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Hearing Therapy, including advice and assistance re tinnitus
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Testing of babies referred for further assessment by the newborn
hearing screen.
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Domiciliary visits
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Audiometry service for ENT
Links with other services
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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?
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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?
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Paediatrics: If the main concerns is hearing please refer directly to
Audiology, including suspected middle ear effusion.
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If you also require advice re management of recurrent ear infections
please refer to ENT
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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……
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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
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In West Dorset there are c. 10 – 15000 NHS hearing aid users
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Packs for you to take away
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Oticon hearing check cards
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Demonstration Danalogic hearing aid
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Guidance re referring to Audiology
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Poster advertising NHS Audiology Services
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Post it notes