Guidance & policy resources
Members will find a wide range of guidance and policy resources below. These have been published by the NHS and other public bodies and provide helpful background material when considering service design and care. Members should read this page alongside our summary of key NICE guidelines and our research log.
Population health
The NCHA has worked in partnership with the NHS and other stakeholders to co-produce the following resources, with the goal of assessing and meeting hearing needs.
- Learn how to assess local hearing needs by using Joint Strategic Needs Assessment Guidance
- Learn how NHS commissioners are advised to commission hearing care by reading the National Commissioning Framework for hearing services.
Although these documents are written for England, the lessons are generalisable to the rest of the UK.
The NCHA’s policy team has also worked in collaboration with the World Health Organization (WHO, contributing to the WHO’s Ear and Hearing Survey Handbook 2020. The handbook enables countries to gather data by planning and implementing population-based epidemiological surveys.
Hearing loss and tinnitus in adults
Access key publications from the Department of Health and NHS on hearing loss and tinnitus in adults.
- 2025 – Hearing aids in the UK , Department of health and social care View online
- 2024 – Position statement and practice guidance. The link between adult-onset hearing loss and dementia. BSA, BAA & BSHAA Open in new tab Download
- 2019 – Hearing Loss Data Tool, NHS England Download
- 2017 - What works Hearing Loss and Healthy Ageing, NHS England Open in new tab Download
- 2017 - What works Hearing Loss and Employment, NHS England Open in new tab Download
- 2015 - A practical guide to healthy ageing Age UK and NHS Open in new tab Download
- 2012 - Adult hearing AQP Implementation pack, Department of Health Open in new tab Download
- 2010 – The safety and effectiveness of different methods of ear wax removal: a systematic review and economic evaluation, HTA Open in new tab Download
- 2009 - Provision of Services for adults with tinnitus, A good practice guide, Department of Health Open in new tab Download
- 2008 - Quality standards for adult hearing rehabilitation services, NHS Scotland Open in new tab Download
- 2008 - Clinical audit of the NHS audiology services in Scotland, Davis et al Download
- 2007 – Acceptability, benefit and costs of early screening for hearing disability: a study of potential screening tests and models, HTA Open in new tab Download
- 2007 - What is physiological measurement Department of Health Open in new tab Download
- 2007 - Improving access to audiology services in England Open in new tab Download
- 2007 - Hearing loss difficulty pathway, Department of Health Open in new tab Download
- 2007 - Tinnitus pathway, Department of Health Open in new tab Download
- 2007 - Tinnitus 18 weeks supplementary information Open in new tab Download
- 2006 - Audiology modernisation Scotland a financial audit Download
- 2001 - Good practice guidance for adult hearing and fitting and services Scotland Open in new tab Download
- 2000 - Community provision of hearing aids and related audiology services Open in new tab Download
Hearing loss in children and young adults
Access key publications from the Department of Health, the NHS and NDSC on hearing loss in childhood and transition.
- 2025 - Kingdon review of children’s hearing services View online
- 2024 – Paediatric Hearing Services Improvement Programme – letter and guidance, NHS England View online
- 2024 - Decision support tool: making a decision about glue ear if your child has hearing loss, NHS England Open in new tab Download
- 2021 – Newborn hearing screening standards - consultation View online
- 2019 - What Works: Children’s hearing services working groups, NHS and NDCS Open in new tab Download
- 2017 - What Works: Hearing loss and the transition to adulthood, NHS England Open in new tab Download
- 2008 - Transforming services for children with hearing difficulty and their families, Department of Health Open in new tab Download
- 1997 – A critical review of the role of neonatal hearing screening in the detection of congenital hearing impairment, HTA Open in new tab Download
Key policy documents
In this section you will find key health policy publications that have reviewed hearing care in the UK.
- 2025 – Hearing aids in the UK - Department of Health and Social Care View online
- 2025 - Kingdon review of children’s hearing services View online
- 2023 - Independent Review of Audiology Services in Scotland. Scottish Government Open in new tab Download
- 2015 – NHS review of adult hearing services in England: Webinar View online
- 2015 – Action Plan on Hearing Loss, Department of Health and NHS England Open in new tab Download
- 2015 – NHS review of adult hearing services in England: NHS adult hearing services in England exploring how choice is working for patients Open in new tab Download
- 2015 – NHS review of adult hearing services in England: GP perspective on age related hearing loss Open in new tab Download
- 2015 – NHS review of adult hearing services in England: Infographic Download
- 2015 – NHS review of adult hearing services in England: Survey findings Open in new tab Download
- 2015 – NHS review of adult hearing services in England: Annexes Open in new tab Download
- 2015 – NHS review of adult hearing services in England: Top tips for commissioners Open in new tab Download
- 2015 – NHS review of adult hearing services in England: Guidance for commissioners Open in new tab Download
- 2010 - Audiology improvement programme, pushing the boundaries, evidence to support the delivery of good practice in audiology, NHS Improvement Open in new tab Download
- 2007 – Government response to the Health Committee Audiology services, HM Government Open in new tab Download
- 2007 – Audiology services, House of Commons Health Committee Open in new tab Download
- 2002 - Access to care ENT and audiology services Open in new tab Download
- 2000 - Fully equipped the provision of equipment to older or disabled people Open in new tab Download
Balance
- 2009 - Provision of adult balance services. A good practice guide. Department of Health Open in new tab Download
Archived guidance
Access documents now superseded by new guidance.
- The clinical and cost effectiveness of advances in hearing aid technology, Report to the National Institute for Clinical Excellence, R.S.Taylor† & S.Paisley 2000 Open in new tab Download
- NCHA and BSHAA, Guidance for Clinical Commissioning Groups, 2015 to 2018 Open in new tab Download
- NCHA and BSHAA, Guidance for Health and Wellbeing Boards, 2015 to 2018 Open in new tab Download
- NCHA and BSHAA, Guidance for NHS providers, 2015 to 2018 Open in new tab Download
- NCHA, Outcomes data set 2015, part of 2015-2018 guidance Open in new tab Download
- NCHA and BSHAA, 5 Step plan for commissioners, 2015 to 2018 Open in new tab Download
- NCHA and BSHAA, Checklist and price guide, 2015 to 2018 Open in new tab Download
- NCHA and BSHAA, 10 Myths about Hearing Care, 2015 - 2018 Open in new tab Download
- NCHA and BSHAA, References supporting 2015 to 2018 guidance Open in new tab Download
Updates
Originally published: 2016
Reviewed: December 2025
Next review date: December 2028
Reference and notes
This guidance was last reviewed in December 2025. The next review date is December 2028.
Join the NCHA
Become a member as an individual or a practice owner and benefit from:
Insurance I Legal defence I Guidance I Support I Influence