Adult Audiology
This guideline applies to adults aged 18 years and over.
Red Flag Features
- Sudden loss/deterioration of hearing (onset <72hrs), unilateral or bilateral
- Tinnitus, which is persistent and:
- Unilateral or asymmetrical
- Pulsatile
- Distressing, lasting more than 5 minutes at a time
- Significantly changed in nature
- Contributing to sleep disturbance or symptoms of anxiety/depression
Referral
Follow guideline on Tinnitus if red flag features present.
As of May 2022, there is no non-complex NHS hearing service (AQP) available at RCHT for new patients over the age of 55. This includes hearing assessments, provision of hearing aids and associated consumables, such as batteries, tubes and domes. The only exception to this is on the Isles of Scilly where they will be able to see new and existing patients.
Minimum required information
- Findings of ear examination – the referral will be returned if it does not clearly state that the ears are clear of wax with a normal appearance of the eardrum (TM)
- Known learning disability.
- If referring to:
- AQP – whether a domiciliary visit is required.
- Non-AQP – whether patient is known to audiology or ENT services, and results of any community audiograms, if available.
Exclusions, based on audiogram results (if available)
Advice and guidance
There is no Audiology Advice & Guidance service.
In cases of diagnostic uncertainty, consider seeking ENT Advice & Guidance.
To discuss a patient with the Aural Care Service at RCHT, please email rcht.auralcareservice@nhs.net.
Supporting Information
For professionals:
AQP audiology – routine hearing process for 55+
GP Notebook – Interpretation Rinne & Webers
University of Oxford – Tuning Fork Tests (YouTube video 1:30min)
References
NHS Cornwall ICB Treatment Policies
Page Review Information
|
Review date |
15 March 2024 |
|
Next review date |
15 March 2026 |
|
Specialty Lead GP |
Dr Laura Vines |
|
Contributors |
CIOS ICB Commissioner for Audiology David Whinney, ENT Consultant Surgeon Clare Pitt, ENT & Audiology Service Manager Demelza Wake, Audiology Clinical Lead Nicola Simmons, Specsavers Dr Shipra Rao, GP
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