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How to Get an NHS Audiology Referral

A step-by-step guide to getting referred to NHS audiology, including what to say to your GP and how long the process takes.

Getting an NHS audiology referral is a straightforward process, but knowing what to expect can help you navigate it more efficiently and ensure you receive the right care.

Step 1: Book a GP appointment

Start by making an appointment with your GP. Explain that you're having difficulty with your hearing and would like a referral to audiology. It can be helpful to note specific situations where your hearing is a problem — for example, struggling to follow conversations in noisy environments, asking people to repeat themselves frequently, or needing the television volume higher than others find comfortable.

Step 2: GP examination

Your GP will examine your ears using an otoscope to check for wax build-up, infection, or other visible issues. They may ask about your medical history, medications, and any family history of hearing loss. If they identify treatable causes (such as ear wax or infection), they may address those first before making a referral.

Step 3: The referral

If your GP suspects hearing loss, they will refer you to your local NHS audiology department. The referral is usually made electronically, and you'll receive an appointment letter or phone call with your appointment details. In some areas, self-referral is available, allowing you to contact audiology directly.

Step 4: Your audiology appointment

At your appointment, an HCPC-registered audiologist will carry out a comprehensive hearing assessment. This typically includes pure-tone audiometry, and may include additional tests depending on your symptoms. The audiologist will explain your results and discuss next steps, which may include hearing aids or onward referral to an ENT specialist.

How long does it take?

The time from GP appointment to audiology assessment varies by area. In some regions, you may be seen within 2–6 weeks; in others, the wait may be 3–6 months. If speed is a priority, consider getting a free hearing test from a high-street provider while waiting for your NHS appointment.

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Frequently asked questions

What should I say to my GP to get a referral?
Describe the specific difficulties you're experiencing with your hearing. Mention situations like struggling in background noise, needing the TV louder, or asking people to repeat themselves. Your GP will use this information to decide whether to refer you.
Can my GP refuse to refer me?
Your GP should refer you if you have genuine hearing concerns. If your GP finds a treatable cause such as ear wax, they may address that first. If you feel your concerns aren't being taken seriously, you can request a second opinion or contact NHS audiology directly if self-referral is available.
How long does the referral process take?
From GP appointment to audiology assessment can take anywhere from 2 weeks to 6 months, depending on your area. Your GP surgery or local NHS trust can provide a more specific estimate.

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