NICE – Hearing

NICE – Hearing

The following National Institute for Health and Care Excellent (NICE)  documents reference hearing care and/or loss.

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NICE GuidanceKey ExtractsMore information
Hearing Loss (adult onset) In development. Anticipated publication date May 2018. Find out more
Delirium in adultsTailored interventions to prevent delirium… ensuring that any hearing and visual aids are working and are usedFind out more
Mental wellbeing of older people in care HomesHearing losses are a common feature of ageing and may go unnoticed for some time, but can have a serious effect on a person's communication, confidence and independence. Older people in care homes are cared for by staff who recognise needs that occur because of sight or hearing problems and record these as part of their care plan.Find out more
Older people: independence and mental WellbeingEnsure staff in contact with older people can identify those most at risk of a decline in their independence and mental wellbeing … Others at risk includes those who: … have an age-related disability. Age-related disability … impairment associated with ageing, such as a reduction in, or loss of vision, hearing, mobility or cognitive ability.Find out more
Managing medicines in care homesHealth and social care practitioners should identify and record anything that may hinder a resident giving informed consent. Things to look out for include mental health problems, lack of (mental) capacity to make decisions, health problems (such as problems with vision and hearing), difficulties with reading, speaking or understanding English and cultural differences. These should be taken into account when seeking informed consent and should be regularly reviewed.Find out more
Medicines adherence: involving patients in decisions about prescribed medicines and supporting adherenceConsider any factors such as physical or learning disabilities, sight or hearing problems and difficulties with reading or speaking English, which may affect the patient's involvement in the consultation.Find out more
Mental wellbeing in over 65s: occupational therapy and physical activity interventionsIncrease older people's knowledge and awareness of where to get reliable information and advice on a broad range of topics, by providing information directly, inviting local advisers to give informal talks, or arranging trips and social activities. Topics covered should include: meeting or maintaining healthcare needs (for example, eye, hearing and foot care)Find out more
Older people with social care needs and multiple long-term conditions Ensure health and social care practitioners are able to recognise, consider the impact of, and respond to:
common conditions, such as dementia, hearing and sight loss.
Find out more
Patient experience in adult NHS services: improving the experience of care for people using adult NHS servicesEnsure that factors such as physical or learning disabilities, sight, speech or hearing problems and difficulties with reading, understanding or speaking
English are addressed so that the patient is able to participate as fully as
possible in consultations and care.
Find out more
Rehabilitation after critical illness in AdultsExamples from the short clinical assessment that may indicate the patient is at risk of developing physical and non-physical morbidity. Changes in vision or hearing, pain, altered sensation.Find out more
Stroke rehabilitation in adultsPerform a full medical assessment of the person with stroke, including cognition (attention, memory, spatial awareness, apraxia, perception), vision, hearing, tone, strength, sensation and balance.Find out more
Dementia: independence and wellbeingExamples of services that help maintain physical and mental health and wellbeing include: hearing therapistsFind out more
Cochlear implants for children and adults with severe to profound deafness Cochlear implantation should be considered for children and adults only after an assessment by a multidisciplinary team. As part of the assessment children and adults should also have had a valid trial of an acoustic hearing aid for at least 3 months (unless contraindicated or inappropriate).Find out more
Excess winter deaths and illness and the health risks associated with cold homesHealth and Wellbeing Boards and their partners should ensure the local single-point-of-contact health and housing referral service provides access to tailored solutions to address identified needs, rather than an off-the-shelf approach. Solutions should take into account the language and reading ability of recipients, including any vision or hearing problems.Find out more
Meningitis (bacterial) and menigococcal septicaemia in under 16s: recognition, diagnosis and managementChildren and young people should be reviewed by a paediatrician with the results of their hearing test 4–6 weeks after discharge from hospital to discuss morbidities associated with their condition and offered referral to the appropriate services. The following morbidities should be specifically considered: hearing loss (with the child or young person having undergone an urgent assessment for cochlear implants as soon as they are fit)Find out more
Micropressure therapy for refractory Ménière's disease Current evidence on the safety of micropressure therapy for refractory Ménière's disease is inadequate in quantity. There is some evidence of efficacy, but it is based on limited numbers of patients. Therefore this procedure should only be used with special arrangements for clinical governance, consent and audit or research.Find out more
Otitis media with effusion in under 12s: Surgery This guideline makes recommendations specifically on the surgical management of OME in children under the age of 12 years, but also considers other forms of managementFind out more
Service user experience in adult mental health: improving the experience of care for people using adult NHS mental health services Take into account communication needs, including those of people with learning disabilities, sight or hearing problems or language difficulties, and provide independent interpreters (that is, someone who does not have a relationship with the service user) or communication aids (such as using pictures, symbols, large print, Braille, different languages or sign language) if required.Find out more
Social anxiety disorder: recognition, assessment and treatmentTake into account the child or young person's developmental level, emotional maturity and cognitive capacity, including any learning disabilities, sight or hearing problems and delays in language developmentFind out more
Bacterial meningitis and meningococcal septicaemia in children and young people Children and young people who have had bacterial meningitis or meningococcal septicaemia (blood poisoning) have a hearing test before they leave hospital.Find out more
Balloon dilatation of the Eustachian tube Current evidence on the efficacy and safety of balloon dilatation of the Eustachian tube is inadequate in quantity and quality. Therefore, this procedure should only be used in the context of researchFind out more
Antisocial behaviour and conduct disorders in children and young people: recognition and managementTake into account the child or young person's developmental level, emotional maturity and cognitive capacity, including any learning disabilities, sight or hearing problems, or delays in language development or social communication difficultiesFind out more
Auditory brain stem implantsCurrent evidence on the safety and efficacy of auditory brain stem implants appears adequate to support the use of this procedure by surgical teams experienced in this technique, provided that normal arrangements are in place for consent, audit and clinical governance.Find out more
AutismChildren and young people. The assessment could include the following:.. vision or hearing impairment.Find out more
Autism in adults: diagnosis and Management On an individual basis, and using information from the comprehensive assessment and physical examination, and clinical judgement, consider further investigations, including: hearing or sight tests, hearing or visual impairmentFind out more
Autism in under 19s: recognition, referral and diagnosisThe autism team should either have the skills (or have access to professionals that have the skills) needed to carry out an autism diagnostic assessment, for children and young people with special circumstances including: hearing impairmentsFind out more
Bedwetting in under 19sConsider an alternative type of alarm (for example, a vibrating alarm) for the treatment of bedwetting in children and young people who have a hearing impairment.Find out more
Chest pain of recent onset: assessment and diagnosis Address any physical or learning difficulties, sight or hearing problems and difficulties with speaking or reading English, which may affect people's understanding of the information offered.Find out more