Adult with Learning Difficulties, patients with mental health problems and dementia patients

This clinic is run by our specialist audiologists at the Hearing and Balance department which is situated in the main building at UHNS. Difficulties in any of areas noted above can be exacerbated by hearing loss and it is therefore important to try and obtain an accurate assessment.

Before completing any hearing assessment we need to ensure that their ears are clear of wax or infection so for this reason our audiologists are fully trained in ear care.

To help us to complete a hearing assessment with this more challenging group of patients we use a wide variety of tests including those which may be more typically used in the paediatric field, which we make more age appropriate. The clinic has access to a variety of hearing tests and verification tools including:


  • Otoscopy
  • Pure Tone Audiometry
  • Tympanometry
  • Speech testing – AB word, McCormick Toy test, Manchester Picture test
  • Behavioural testing – visual reinforcement testing, distraction testing

Some patients will be unable to perform a subjective hearing  tests so we employ  objective testing in the form of:

  • OAEs – otoacoustic emissions
  • TABR – threshold auditory brainstem response

Once a hearing problem is diagnosed we will consider fitting hearing aids. This clinic has access to the latest hearing aid technologies available on the NHS.

Due to the progressive nature of hearing loss with some of these patient, we review patients  every 12 months.

Often patients seen in this clinic can become quite distressed simply by visiting the hospital. In this case the GP can request for a home visit where assessment and if required hearing aid fitting can be completed in more familiar surroundings.