Case Number 3672
Request Date 18/06/2014
Completion Date 14/07/2014

 

Details of the Request

1) Please confirm or deny if there is a mandatory requirement for patients referred to the Trust for suspected age related hearing loss to be seen as general outpatients prior to being referred to audiology services.

2) Please supply details of the defined pathway for a patient referred for suspected age related hearing loss.

3) Please list the total number of

  • (a) new adult hearing devices fitted by the Trust in the 2014-15 year to date and each of the last two financial years
  • (b) replacement adult hearing devices fitted by the Trust in the 2014-15 year to date and each of the last two financial years
  • (c) patients who have been assessed and fitted for a hearing device on the same day in the 2014-15 year to date and each of the last two financial years and
  • (d) after-care appointments carried out by the Trust in the 2014-15 year to date and each of the last two financial years.

4) Please list the total number of binaural adult hearing devices fitted by the Trust in the 2014-15 year to date and each of the last two financial years.

5) Please list the makes and models of hearing aids currently fitted by the Trust.

6) Please supply the number of staff who carried out hearing aid fittings in the last financial year, broken down by Agenda for Change staffing grade.

7) Please supply details of the price (tariff) paid by the Local Clinical Commissioning Group for each

  • (a) a hearing assessment
  • (b) a monaural hearing aid fitting
  • (c) a binaural hearing aid fitting and
  • (d) after-care visits.

8) Please confirm or deny whether the Trust applies a market forces factor charge to this price.

9) Please supply details of the market forces factor charge that is added to the price.

10) Please confirm or deny if the Trust collects data on any of the following outcomes achieved for people attending adult hearing services

  • (a) patient experience
  • (b) patient satisfaction
  • (c) referral to treatment time
  • (d) patient choice
  • (e) personalised care
  • (f) other (please specify)

11) Please supply details of the outcomes achieved for people attending adult hearing services provided by the Trust.

12) Please confirm or deny if the Trust currently subcontracts for any audiology services to any other providers.

13) Please list all providers that the Trust holds subcontracts with to provide audiology services.

14) Please list all of the locations where your trust holds NHS Adult Hearing Clinics from (including community locations).

 

Details of the Response

1) Please confirm or deny if there is a mandatory requirement for patients referred to the Trust for suspected age related hearing loss to be seen as general outpatients prior to being referred to audiology services.

No. Patients may be referred directly by their GP.

 

2) Please supply details of the defined pathway for a patient referred for suspected age related hearing loss.

For an initial assessment when a patient does not already have hearing aid(s) the pathway is assessment followed by fitting. A face-to-face follow up may also be booked after this if indicated, if it is not the patient is given a postal follow up and an appointment booked if needed.

Following this the patient may self-refer for hearing aid repairs or adjustments.

For an existing hearing aid user at assessment the hearing aids may be readjusted at the assessment appointment or a subsequent appointment will be arranged if re-fitting is needed.

(These pathways may be affected by e.g. occluding wax/infections/referral to ENT required requiring interim treatment or assessment prior to proceeding with hearing aid fitting).

 

3) Please list the total number of

a) new adult hearing devices fitted by the Trust in the 2014-15 year to date and each of the last two financial years

  • Mar 12 - Apr 13: 4504
  • Apr 13 – Mar 14: 3988
  • Apr 14 – Jun 14: 989

Please note this is the number of new hearing aids fitted but also includes a new hearing aid fitted to replace broken hearing aids (if a refurbished aid is not available).

 

(b) replacement adult hearing devices fitted by the Trust in the 2014-15 year to date and each of the last two financial years

  • Mar 12 - Apr 13: 576
  • Apr 13 – Mar 14: 564
  • Apr 14 – Jun 14: 144

Please note this figure is those of refurbished hearing aids that have been fitted which may be to replace a lost or broken device.

 

(c) patients who have been assessed and fitted for a hearing device on the same day in the 2014-15 year to date and each of the last two financial years and

The Trust does not hold this data. There is currently no standard pathway for same day assess and fit for new hearing aid users however this does sometimes happen. For existing hearing aid users who are being reassessed, their existing hearing aids are often refitted on the same day if no hearing aid change over, or change to the earmould/open fit system is needed.

 

(d) after-care appointments carried out by the Trust in the 2014-15 year to date and each of the last two financial years.

  • Apr 12 - Mar 13: 7042
  • Apr 13 - Mar 14: 8301
  • Apr 14 - Jun 14: 1743

These figures include reviews, repair clinics, refittings (ie those within an existing 3 year pathway and not ‘new’ fittings which are classed as ‘new’ if they result from a new referral and not whether the patient is an existing user) and reassessments (ie a retest not originating from a new GP referral).

Please note that this does not include postal follow ups, the totals for which are not collated. These are given to all patients at fitting unless a face-to-face follow up is booked at the time (which is a small proportion of patients compared to postal follow ups performed).

 

4) Please list the total number of binaural adult hearing devices fitted by the Trust in the 2014-15 year to date and each of the last two financial years.

  • Apr 12 - Mar 13: 1802
  • Apr 13 - Mar 14: 1526
  • Apr 14 - Jun 14: 381

Please note a bone conduction aid fitting is counted as a unilateral fitting although this may provide binaural amplification.

CROS aid fittings are counted as binaural, fittings.

 

5) Please list the makes and models of hearing aids currently fitted by the Trust.

Oticon Zest, Oticon, Zest Power, Oticon Zest Super Power, Oticon Spirit 3SP, Phonak Nathos M, Phonak Nathos SP, Phonak Nathos UP

 

6) Please supply the number of staff who carried out hearing aid fittings in the last financial year, broken down by Agenda for Change staffing grade.

The audiology service is provided by the Royal Surrey County Hospital and so these numbers are not available at ASPH.

 

7) Please supply details of the price (tariff) paid by the Local Clinical Commissioning Group for each

  • (a) a hearing assessment £61.42
  • (b) a monaural hearing aid fitting £77.06
  • (c) a binaural hearing aid fitting and £77.06
  • (d) after-care visits.- followups £54.73, repairs £29.04, reassessments £61.42

 

8) Please confirm or deny whether the Trust applies a market forces factor charge to this price.

None added as this is a local price

 

9) Please supply details of the market forces factor charge that is added to the price.

N/A

 

10) Please confirm or deny if the Trust collects data on any of the following outcomes achieved for people attending adult hearing services

(a) patient experience

Patients are asked about their satisfaction with the service on their postal follow ups. Patient experience is included within patient satisfaction surveys carried out Trustwide (one in progress currently) and departmental surveys (one planned later in 2014).

 

(b) patient satisfaction

As above

 

(c) referral to treatment time

Yes

 

(d) patient choice

Patient choice regarding decisions about their hearing aids (such as bilateral or unilateral fittings, programme choices or mould choices) is documented in their notes but information is not collated.

 

(e) personalised care

Documentation regarding agreed needs and formal Individual Management Plans have recently commenced, these are documented in notes but not collated.

 

(f) other (please specify)

None

 

11) Please supply details of the outcomes achieved for people attending adult hearing services provided by the Trust.

A postal or face to face follow up is performed to assess patient satisfaction. These are recorded individually for the patient. We have now introduced an Individual Management Plan for new referrals, with agreed needs (based on the COSI). These are not to be collated.

 

12) Please confirm or deny if the Trust currently subcontracts for any audiology services to any other providers.

Confirmed

 

13) Please list all providers that the Trust holds subcontracts with to provide audiology services.

Royal Surrey County Hospital NHS Foundation Trust

 

14) Please list all of the locations where your trust holds NHS Adult Hearing Clinics from (including community locations).

St Peter’s Hospital & Ashford Hospital. A repair service is also provided at Weybridge Community Hospital part of Virgin Care.