How to Get Referred to an NHS Audiologist

Getting referred to an NHS audiologist is straightforward, but understanding the process can help you navigate it efficiently and avoid unnecessary delays.

Step 1: See your GP

Book an appointment with your GP and clearly describe your hearing difficulties. Be specific about:

When you first noticed changes in your hearing
Which situations are most difficult (e.g., noisy environments, telephone conversations)
Whether the problem is in one ear or both
Any associated symptoms such as tinnitus, dizziness, or ear pain

Step 2: GP assessment

Your GP will examine your ears with an otoscope, looking for wax, infection, or other visible problems. They may treat any immediate issues — such as prescribing antibiotics for an infection or recommending olive oil drops for wax — before making a referral. If they identify hearing loss or ongoing concerns, they will refer you to NHS audiology.

Step 3: The referral

Your GP sends an electronic referral to your local NHS audiology department. In some areas, you may have a choice of provider under NHS Patient Choice or Any Qualified Provider (AQP) schemes. Ask your GP whether alternative providers with shorter waiting times are available.

Self-referral

Some NHS audiology departments now accept self-referral, meaning you can contact them directly without seeing your GP first. Check your local NHS trust's website or call the audiology department to find out whether this is available in your area.

Step 4: Your appointment

You'll receive an appointment letter or phone call. At the appointment, an HCPC-registered audiologist will carry out a comprehensive hearing assessment. If hearing aids are needed, they will be fitted and provided free of charge at a follow-up appointment.

What if your GP won't refer you?

If you feel your hearing concerns aren't being taken seriously, you have the right to request a referral. You can also seek a second opinion from another GP at your practice, or contact your local Patient Advice and Liaison Service (PALS) for support.

Frequently asked questions

Do I have to see my GP to get an NHS hearing test?

Usually yes, but some areas now offer self-referral to audiology. Check with your local NHS trust. For most people, a GP appointment is the first step.

What if my GP says I don't need a referral?

If you have genuine concerns, you can request a referral — you have the right to ask. You can also see another GP at your practice or contact your local PALS for advice.

Can I choose which NHS audiology department to go to?

In some areas, NHS Patient Choice or AQP schemes let you choose from a list of approved providers. Ask your GP about the options available.