Children's Hearing Tests: What Parents Need to Know

Good hearing is essential for a child's speech, language development, and learning. The UK has a robust system for detecting hearing loss in children, starting from birth. Here's what parents need to know.

Newborn hearing screening

The NHS Newborn Hearing Screening Programme (NHSP) tests babies' hearing shortly after birth, usually within the first few weeks of life. The test is quick, painless, and carried out while the baby is sleeping. It uses either otoacoustic emissions (OAE) or auditory brainstem response (ABR) to check for hearing loss. If the initial screening suggests a possible issue, further tests are arranged promptly.

Pre-school and school-age testing

If hearing loss is not detected at birth, it may develop or become apparent later. Signs to watch for include:

• Not responding to sounds or their name being called
• Delayed speech and language development
• Frequently saying "what?" or asking for things to be repeated
• Turning the television volume up higher than normal
• Difficulty concentrating or behavioural changes at school

How to get a children's hearing test

If you're concerned about your child's hearing, speak to your GP, health visitor, or school nurse. They can refer your child to an NHS paediatric audiology service for a comprehensive assessment. These services are free of charge and staffed by audiologists specially trained to work with children.

What the test involves

The type of hearing test depends on the child's age. Tests for younger children use visual reinforcement or play-based techniques to engage the child. Older children may be tested using pure-tone audiometry (similar to an adult hearing test). All tests are designed to be child-friendly, non-invasive, and as enjoyable as possible.

Early detection of hearing loss in children is crucial. With timely intervention — whether hearing aids, cochlear implants, or other support — children with hearing loss can achieve excellent outcomes in speech, language, and education.