Referrals/Who is suitable?

Referrals are accepted from ENT surgeons, GPs, audiologists, paediatricians and some other professionals. Referral criteria specific to each implant type (based on NICE guidelines) are available.

Referrals can be address to: Head of Service, The Emmeline Centre, Box 163, Addenbrooke’s Hospital, Cambridge, CB2 2QQ Tel: 01223 217589

Age of referral: Any age can be referred, and we welcome referrals before 12 months of age for assessments for cochlear implants.

Useful additional information to include:

  • Present and past audiograms
  • For paediatric testing, all ABR results (ideally to include tone pip testing at 1, 2 and 4 KHz)
  • Hearing aid information and any difficulties at present
  • Referrals made e.g. to Access to Work or Sensory Services

Before referral it is preferable if:

Any middle ear condition is resolved or in treatment.
Hearing aids have been optimally fitted according to national guidelines
Any areas of developmental or medical concern have been highlighted

Please contact us if you have any queries. We are happy to discuss.

Referral for cochlear implant, or auditory brainstem implant

Referral Criteria may include (based on NICE guidelines):

  • Profound hearing loss at 2 and 4kHz bilaterally (≥90dB)
  • Poor speech discrimination (<50% on sentences testing (BKB) at 70dBA)
  • Limited benefit from hearing aids
  • Paediatrics: failure to develop age appropriate speech and language and lack of benefit from hearing aids
  • Presence of cochlear Dead Regions
  • Presence of Auditory Neuropathy/dys-synchrony (AN/AD)

Referral guidelines for Bone Conduction Devices

  • Conductive or mixed hearing loss in one ear or both
  • Inability to wear conventional hearing aids (e.g. due to ear infections, ear malformations, etc)
  • Outer or middle ear problems
  • Single Sided Deafness or asymmetric hearing loss

Referral guidelines for Middle Ear Implants

Referral Criteria for those with SNHL in one ear or both:

  • Normal Tympanograms
  • Inability wear conventional hearing aids due to outer ear problems (e.g. exostoses, allergic to earmoulds, etc)
  • Preserved speech discrimination (>50% on AB Words) at a comfortable level (aided or unaided)
  • Stable hearing loss
  • Absence of active or chronic middle ear infection
  • Suitable middle ear anatomy assessed by CT scan

Referral Criteria for those with a Mixed or Conductive hearing loss in one ear or both:

  • Stable BC thresholds
  • Inability to wear conventional hearing aids (e.g. due to outer ear infections, ear malformations, etc)
  • Absence of active or chronic middle ear infection
  • Suitable middle ear anatomy assessed by CT scan
Show on hub page: 
no