NHS Hearing Tests for Children

Everything parents need to know about NHS hearing tests for children, from newborn screening to school-age assessments and referral pathways.

The NHS provides comprehensive hearing testing for children of all ages, from birth through to adolescence. Early detection of hearing loss is vital for speech, language, and educational development.

Newborn hearing screening

All babies born in the UK are offered the NHS Newborn Hearing Screening Programme (NHSP) test, usually within the first few weeks of life. This quick, painless test uses otoacoustic emissions (OAE) or auditory brainstem response (ABR) to detect hearing loss. Around 1 in 1,000 babies is born with permanent hearing loss in one or both ears.

Health visitor and school entry checks

Health visitors may assess hearing concerns in toddlers and pre-school children as part of routine developmental reviews. In some areas, a school entry hearing screening is offered in Reception year (age 4–5), though this varies by local authority.

Referral for older children

If you're concerned about your child's hearing at any age, you can request a referral through your:

GP
Health visitor
School nurse
SENCO (Special Educational Needs Coordinator) at your child's school

What the tests involve

NHS paediatric hearing tests are adapted to the child's age and developmental stage:

Under 6 months: ABR or OAE testing
6 months to 2 years: Visual reinforcement audiometry (VRA) — sounds are paired with visual rewards
2–5 years: Play audiometry — the child performs a task (e.g., placing a toy in a box) when they hear a sound
5+ years: Pure-tone audiometry similar to adult hearing tests

All NHS hearing services for children are completely free, including hearing aids, cochlear implant assessments, and ongoing audiological care.

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Frequently asked questions

How do I get my child's hearing tested on the NHS?

Ask your GP, health visitor, or school nurse for a referral to NHS paediatric audiology. In some areas, you can contact the audiology department directly.

What are signs of hearing loss in children?

Signs include not responding to sounds, delayed speech, frequently asking 'what?', needing the TV loud, difficulty at school, and behavioural changes. If you notice any of these, seek a hearing assessment.

Are NHS hearing aids for children free?

Yes. All NHS hearing services for children are free, including hearing aids, ear moulds, batteries, repairs, and follow-up appointments.

How long is the wait for a children's hearing test?

NHS paediatric audiology services generally prioritise children, so waits are often shorter than adult services. Urgent referrals for suspected significant hearing loss are seen quickly.