Please click the relevant flowchart box to be taken directly to textual information.
Presentation may be with sudden or gradual, unilateral or bilateral hearing loss, depending on the aetiology.
Basic assessment of hearing loss in primary care can help establish the correct referral pathway.
Advice on hearing tests including Rinne's and Webber's tests can be found in this hearing loss guide.
In acute hearing loss these tests can help distinguish between conductive hearing loss (which is less urgent) and sensorineural hearing loss (which indicates urgent referral - see Red Flags above).
Removal of ear wax via aural irrigation unless contraindicated (see Ear Wax pathway).
Direct Access Audiology Criteria
Refer via 18 week pathway – using this referral form.
Please note that the referral must state that ears have been checked and cleared for wax otherwise it may be returned.
If wax is obstructing the ear canal then please do not refer until it has been cleared.
Please follow the resource link below to the GHNHSFT website for further information.
Where there is no known treatment to restore hearing, efforts should be concentrated on maximising what hearing there is left and limiting the psychosocial impact, through access to patient support groups. See the Patient Information leaflets section and Lifestyle and wellbeing page.
Patients requiring hearing aid batteries, flexi tubes, domes, filters, hooks or any other item they might need for their hearing aid can contact Hearing Services via:
Repaired hearing aids can be collected from 8.30am - 4.30pm at GRH and CGH only.