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Local guidance

Hearing needs and services



This section provides Health Boards and policymakers with local resources. It is designed to help you meet local hearing and hearing health needs in Wales. Learn more about:

If you would like to access any additional support and guidance please email us at [email protected].

Hearing loss in your area

Today more than 500,000 adults in Wales have a hearing loss. Use the hearing map below to get an overview of hearing needs in your region.

We are currently updating our hearing map of Wales, if you would like to be updated when this is published please email us at [email protected].

Commissioning high quality, cost-effective and sustainable services

Hearing loss affects over half a million people in Wales. It is a major and growing public health challenge and the 5th leading cause of years lived with disability in Wales [1].

In Wales 95% of people with hearing loss are aged 40 and over, this is because age-related hearing loss is the main cause of hearing loss [2].

Unsupported adult hearing loss has a major impact on an individual's ability to communicate, including with friends and family, and increases the risk of depression, loneliness and social isolation, cognitive decline, early exit from the workforce and reduced quality of life [3-7].

Hearing support has been shown to improve quality of life and reduce these risks [8].

In response to these challenges the Welsh Government and NHS Wales have published the following:

Things you can consider when planning local services:

  • Hearing loss is a long-term condition. Do people have timely access to ongoing support and advice for their hearing problems?
  • The average hearing aid user is aged 70 and over. Are services easily accessible and close to home?
  • There is significant unmet hearing need in Wales. Is there a clear plan of action to tackle local unmet hearing needs as part of a healthy ageing or other public health initiative?

At the NCHA we can help you access the evidence and support you need to design hearing care locally, so that you meet needs in a sustainable way. If you would like more information and support please contact us at [email protected].


This section can be read alongside other resources for policymakers and commissioners on our website. You might find the following resources helpful in that they provide independent evidence that:

  • Hearing loss is a major and growing health challenge
  • Early diagnosis and management of hearing loss is cost-effective
  • Hearing aids are cost-effective
  • Supporting people with tinnitus can improve health and wellbeing



Originally published: 2015

Reviewed: September 2020

Next review date: September 2021


Info: This guide was updated as part of a website upgrade in 2021.

Reference and notes

[1] Vos, T et al (2015), Global, regional, and national incidence, prevalence, and years lived with disability for 301 acute and chronic diseases and injuries in 188 countries 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet

[2] Sources: Prevalence (%) of hearing impairment (≥ 25 decibels) in Wales, based on level of hearing loss in the better ear in each age group: Data Sources: Davis, A. 1989. The Prevalence of Hearing Impairment and reported Hearing Disability among Adults in Great Britain. International Journal of Epidemiology, 18(4), pp. 911-917; Davis, A. 1995. Hearing in Adults. London: Whurr, calculated for each group using local population

[3] Acar, B. et al. 2011. Effects of hearing aids on cognitive functions and depressive signs in elderly people. Archives of Gerontology and Geriatrics, 52(3), pp. 250-252.

[4] Hidalgo, J. L. et al. 2009. Functional status of elderly people with hearing loss. Archives of Gerontology and Geriatrics, 49(1), pp. 88-92

[5] Lin, F. R. et al. 2011. Hearing Loss and Incident Dementia. Archives of Neurology, 68(2), pp. 214-220

[6] Helvik, A. 2012. Hearing loss and risk of early retirement. The Hunt study. European Journal of Public Health, 23(4), pp. 617-622

[7] Appollonio, I. et al. 1996. Effects of Sensory Aids on the Quality of Life and Mortality of Elderly People: A Multivariate Analysis. Age and Aging, 25(2), pp. 89-96.

[8] Chisolm, T. et al. 2007. A Systematic Review of Health-Related Quality of Life and Hearing Aids: Final Report of the American Academy of Audiology Task Force on the Health-Related Quality of Life Benefits of Amplification in Adults. Journal of the American Audiology, 18(2), pp. 151-183; Davis, A. et al., 2007. Acceptability, benefit and costs of early screening for hearing disability: a study of potential screening tests and models. Health technology assessment, 11(42) pp. 75-78; Acar, B. et al. 2011. Effects of hearing aids on cognitive functions and depressive signs in elderly people. Archives of Gerontology and Geriatrics, 52(3), pp. 250-252.

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