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Hearing Implant Centre referrals

Who can refer

Referrals are considered from:

  • ENT consultants
  • audiological physicians
  • scientists and technicians
  • paediatricians
  • speech and language therapists
  • teachers of the deaf
  • GPs.

To proceed with funding, a medical referral is required.

How to refer

To send a referral or request specialist information, please email us using the email addresses in the referrals contacts box on this page.

Referral forms

Referral criteria

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Cochlear implant (CI)

  • pure tone audiometric thresholds equal to or greater than 80dB HL at 2 or more frequencies (500 Hz, 1000 Hz, 2000Hz, 3000Hz and 4000Hz) bilaterally without acoustic hearing aids
  • limited benefit from wearing hearing aids
  • children: do not wait for speech / language delay
  • congenital, acquired, progressive, sudden onset.
""

Auditory brainstem implant (ABI)

  • unsuitable for CI
  • non-neurofibromatosis type 2
  • cochlear nerve aplasia
  • cochlear obliteration (ostosclerosis, ossification)
  • cochlear nerve avulasion (skull base fracture).
""

Electric-acoustic stimulation (EAS)

  • air conduction (AC) thresholds within shaded area
  • stable sensorineural hearing loss (SNHL)
  • no air-borne gap >15dBHL
  • limited benefit from hearing aids
  • no external ear contraindications to wearing an earmould.
""

Middle ear implant (MEI)

  • SNHL (AC thresholds within orange shaded area) or mixed/CHL (BC thresholds within brown outline)
  • stable hearing loss
  • inability to wear conventional hearing aids due to medical reasons (eg chronic otitis media, psoriasis, congenital malformations of ear canal/pinna, allergies, exostoses, furunculosis, etc)
  • no retrocochlear or central auditory disorders.
""

Bone conduction implants (BCI)

  • bone conduction thresholds within green area
  • inability to wear conventional hearing aids (eg chronic otitis media or otitis externa, congenital malformations, otosclerosis, recurrent ear infections due to hearing aid usage)
  • unilateral profound SNHL, with normal BC thresholds in the better hearing ear.

Referral contacts

Tel: 020 7188 6245

Post:
Hearing Implant Centre
Ear, nose and throat (ENT) services
2nd floor, Lambeth Wing
St Thomas’ Hospital
Westminster Bridge Road
London SE1 7EH
©  Guy's and St Thomas' NHS Foundation Trust.
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