I was completely shocked by the recent decision by North Staffordshire Clinical Commissioning Group (CCG) to no longer provide free hearing aids to adults with a mild hearing loss.
In addition, adults with a moderate hearing loss will have to complete an unnecessary and inappropriate questionnaire to get theirs.
Since North Staffs CCG first announced they were considering this proposal, the charity Action on Hearing Loss and a wide range of professional and patient groups opposed those plans.
Over 6,500 people signed an online petition against them and local scrutiny committees rejected them, including the Healthy Staffordshire Committee.
But they ignored all that.
The CCG had announced that no restrictions would be introduced until financial year 2016/2017, but on February 27th they announced that they had brought forward their meeting to 4th March. They allowed just ten minutes in the meeting for a discussion and decision to be made on such an important topic.
The timing of this decision is particularly cynical. It seems like they brought forward the date to hide bad news with everyone focused on the general election and allowing just ten minutes to consider all the evidence is simply not enough.
The meeting went ahead without proper consultation from the public, healthcare professionals or the wider hearing loss community.
It also ignored the evidence presented by various charities, patients groups and organisations, who wholeheartedly disagree with the CCG’s decision that there is not enough evidence to support their provision for people with mild to moderate hearing loss.
There is, in fact, a wide body of evidence about the impact of this level of hearing loss on the individual and the benefits that hearing aids bring to people with mild or moderate hearing loss.
This decision is estimated to potentially affect 2,500 people in North Staffordshire, for whom hearing aids are a lifeline, and without them, their quality of life will undoubtedly suffer.
Even people with a mild or moderate hearing loss often struggle to follow conversations and communicate with other people, especially when there is loud background noise.
Hearing loss cuts you off from people and if it is not detected early and you are fitted with hearing aids, you are much more likely to withdraw from society, feel isolated, lose your confidence, suffer in the workplace and in many cases, experience depression and other mental health problems.
There is also increased risk of dementia among elderly people, as the hearing loss worsens and remains undetected.
The recent ‘Action Plan on Hearing Loss’ report by the Department of Health and NHS England clearly stated: “Early diagnosis and intervention are key actions that should make a real difference in reducing risks and attaining better hearing health outcomes throughout life”.
One of the key objectives of this Action Plan is to ensure that all people with hearing loss are diagnosed early and that they are managed effectively once diagnosed.
North Staffordshire CCG’s decision clearly contradicts the findings and key action objectives outlined in the NHS’s own Action Plan on Hearing Loss.
North Staffs also contradict their own objectives, which include improving prevention, early detection and effective management of those at increased risk, enhancing quality of life and improving health outcomes for people with long term conditions and ensuring people have the right care in the right place. Cutting hearing aids goes against all of that.
I work as a volunteer, supporting NHS hearing aid users in my local community. I see a lot of elderly people, most of whom have a mild or moderate hearing loss and often come to us with simple hearing aid problems. It means so much to them when we fix their hearing aids or give them crucial advice on maintenance.
Most of these elderly people simply couldn’t afford costly private hearing aids and their overall health and wellbeing would deteriorate rapidly without them.
We have an ageing population and hearing loss is an inevitable part of the ageing process. Rather than denying them the basics, we should embrace our older generation’s needs and support them to be full members of our society, not isolate them further with petty cuts to audiology.
By saving money in the short-term, North Staffordshire’s CCG will find themselves facing much greater costs over the longer term, as the knock-on effects caused by increased social and mental healthcare problems accumulate. It could also set a precedent for other CCGs around the country to follow suit. Let’s hope that they see sense soon and reverse this decision.
By Richard Turner
Richard blogs at his own blog, Good Vibrations and is a volunteer for Action on Hearing Loss
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Administrator
April 15, 2015
Perhaps a way to demonstrate what this short-term financial fix will mean by way of an ongoing, worsening and an equally short-term (not to mention medium- and longer-term) financial liability is by way of passive resistance?
Let us say (which is an easy scenario to envisage), someone with a mild or moderate hearing loss does not have hearing aids already. Off to the GP for whatever reason, it doesn’t have to be about one’s hearing.
In the GP consultation, the patient complains throughout that he/she cannot hear properly, “Would you write down what you are saying/asking/etc.?” The ‘writing down’ is the absolute minimum “reasonable adjustment” that can be made under the disability discrimination legislation (now, of course, incorporated in the Equality Act), so, it is the absolute minimum anyone, never mind a GP, can do as a provider of a service. Consequence: Patient consultation times become extended, which then equates with more expense on the basis of time is money. Thus, the CCG (aka as the ‘local’ collective of GPs) has shot itself in the foot by having to spend more money than the money it saves.
And if the medical condition consultation involves something quite involved, with lots of technical, medical terms/vocabulary, perhaps the appropriate reasonable adjustment means that a speech-to-text write is required! (Costing more than a hearing aid!)
Administrator
April 15, 2015
I write separately on this subject.
The author (Richard Turner) of the original article states that North Staffs applicants for a hearing aid must “complete an unnecessary and inappropriate questionnaire”. Not sure how ‘unnecessary’ or how ‘inappropriate’ the questionnaire (or parts of it) may be, but there is a feature which should not be overlooked. In a word, ‘proportionality’.
To the extent that the questionnaire as a whole, or parts of it, are indeed “unnecessary and inappropriate”, then asking such questions/requiring answers to these questions goes beyond what is required for the purpose and, by definition, are disproportionate.
Perhaps the RNID (which still exists, even with the change of its up-front name to ‘Action on Hearing Loss’ – horrible mouthful and a nightmare to lip-read, even just the initials) can take up the challenge, starting off by using its links with the Department of Health before recourse to any court action.
pennybsl
April 15, 2015
Great article. What happened brings true to this saying “Deaf to reason”..
Knowing some Deaf people from Staffordshire who were shocked and flummoxed by the news, there is a certain irony “What if…?” If one of the CCG people starts to lose one’s hearing. Creeping quietly to Specsavers for hearing aids?
Tim
April 15, 2015
Cuts or ‘austerity’ are about taking money off the poor and needy and handing it over to those who already have more money than they know what to do with. It’s not about solving or preventing problems.
The sooner that people who keep voting for the Conservatives understand this simple fact, the better. The Conservatives only look after a very, very small group of people.
Natalya D
April 15, 2015
I suspect like other government cuts the only chance we now have is to find a suitable volunteer willing to take a test case and insist charities like AOHL champion their cases with lawyers to challenge these cuts in the courts.
AoHL is this something you could do? RNIB have a whole legal team and advice service. We deaf/HOH need the same!
Deafnotdaft
April 15, 2015
It’s been proven that with age-related mild deafness (which is far and away the commonest type), your hearing deteriorates more quickly without hearing aids than it does if you use them.
The conclusion is that North Staffs are not only failing to treat mild deafness. They are knowingly causing it to get worse more quickly.
Sensorineural Blues
April 15, 2015
On the other hand, folks, the fact is that 80 percent of mildly deaf people (some 8 million in the UK) apparently manage pretty well without getting hearing aids. And some 20 percent of mildly deaf people who do get hearing aids just prefer not to use them.
These numbers are used by North Staffs when they attempt to justify themselves.
Therefore, instead of (or as well as) angrily jumping up and down and insisting that mildly deaf people have real problems unless they have hearing aids, we need to find a more effective way to counter this “justification”.
Ongoing support by Audiology needs to be far better than it is right now. In my area, hearing aids are handed over and that’s the end of your relationship with Audiology as far as they’re concerned. If the patient has a question or a problem, he has to join the queue behind new patients and wait for weeks on end (12 weeks for me) before any sort of follow-up consultation.
If we don’t address the issues around ongoing support, I suspect North Staffs will set a trend.
Richard Turner
April 15, 2015
If anyone is interested in finding out more about this and what Action on Hearing Loss are doing to fight against this decision, here’s an update from their webpage about how the campaign is going so far and what you can do to get involved. it also includes the email address of the Chair of North Staffs CCG, Mark Shapley:
http://www.actiononhearingloss.org.uk/get-involved/campaign/hearing-aid-cuts/north-staffordshire.aspx