Q. Questions for paediatric audiology services: 2018/19

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Q. Questins fr paediatric audilgy services: 2018/19 Please cmplete this survey if yur audilgy service prvides diagnstic hearing assessments and hearing aid prvisin fr children. This may be hspital r cmmunity based. It is nt necessary t cmplete this survey if yur audilgy service nly prvides hearing screening r assessments (such as primary tier, secnd tier r cmmunity services) and refers children n t ther services fr hearing aid prvisin when necessary. Please base yur answers n the supprt available as f 31 March 2018. Sectin 1: Yur service Please answer the questins belw based n the situatin as f 31 March 2018. 1. Please prvide the fllwing infrmatin: Yur name: Yur rle: Yur email address: Yur telephne number: Please give the name f yur audilgy service/s. If yu prvide services n behalf f anther Trust/s please prvide details f all the Trusts that yu prvide services fr belw. Please write names in full and expand acrnyms: 2. We have included belw, the lcatins where previusly yu, r a CCG fr yur area, have tld us that paediatric audilgy services are prvided. Please cmplete the table by: Putting a tick ( ) r crss ( ) in the final clumn t let us knw if the infrmatin is crrect; Please strike thrugh infrmatin that is incrrect and add in any crrectins in the relevant bxes; Please add missing lcatin details at the end f the table adding extra rws if necessary.

Name f NHS Trust r Prvider Hspital r Clinic r site name Address Pstcde Funding CCGs Tttingtn Medical Practice 16 Market Street Tttingtn Bury Greater Manchester BL8 4AD Chapel Rad Clinic 70 Chapel Rad Sale M33 7EG NHS Traffrd CCG Langley Clinic Brrwdale Rad Middletn Manchester Greater Manchester M24 5QG Radclife Primary Care Centre 69 Church Street West Radcliffe Manchester M26 2Sp Oldham Integrated Care Centre New Radcliffe Street Oldham OL1 1NL NHS Oldham CCG Phenix Centre Church Street Heywd Greater Manchester OL10 1LR

NYE Bevan Huse Maclure Rad Rchdale OL11 1DN NHS Heywd, Middletn & Rchdale CCG Crft Shifa Health Centre Belfield Rad Rchdale Greater Manchester OL16 2UP Sectin 2: Waiting times 3. On average, in the last quarter, (1 January 31 March 2018) hw many days did patients wait fr the fllwing? Please be aware - PCFT are nt required t undertake calculatin under the FOIA Referral t first assessment (newbrn hearing screening pathway) Referral t first assessment (lder children pst-newbrn hearing screening) Rutine fllw-up hearing tests fr existing PCHI nt including glue ear (wait beynd expected date, i.e. a child seen fr their 3/12 fllw up at 3 mnths wuld be 0 days, a child seen at 4 mnths fr a 3/12 fllw up wuld be 30 days) New earmulds (frm time ntified f need) Hearing aid repairs (frm time ntified f need) Rutine fllw-up hearing tests fr children with glue ear (wait beynd expected date, i.e. a child seen fr their 3/12 fllw up at 3 mnths wuld be 0 days, a child seen at 4 mnths fr a 3/12 fllw up wuld be 30 days) Grmmet surgery fr glue ear (RTT pathway) Number f days

Sectin 3: Yur plicies Please answer the questins in this sectin based n the situatin as f 31 March 2018. Please put a crss next t the relevant answer/s. 4. What ptins are included in yur current management pathway fr temprary cnductive hearing lss? Select all that apply: Air cnductin hearing aids Bne cnductin hearing aids Watch and wait Grmmets Otvent Other, please specify: 5. Are there any grups f children that yu dn t currently prvide hearing instruments fr? Select all that apply: Temprary cnductive lss Unilateral lss Mild lss Mderate lss Auditry Neurpathy Spectrum Disrder (ANSD) Nt applicable we prvide hearing instruments fr all children Other, please specify: 6. D yu currently prvide free batteries fr children s hearing aids? Please select ne answer: N, never Yes, always Yes, with limitatins please specify:

7. D yu currently prvide a chice f clured mulds t children at n extra charge? Please select ne answer: N, never Yes, always Yes, with limitatins please specify: Sectin 4: Yur caselad 8. Hw many deaf children were n yur case lad? The answer belw shuld include: All children wh have a unilateral r bilateral sensri-neural r permanent cnductive deafness, at all levels frm mild t prfund, using BSA/BATOD descriptrs. We use the term permanent cnductive deafness t include thse children with a syndrme knwn t include permanent cnductive deafness, micrtia/atresia, middle ear malfrmatin, r thse wh have had middle ear surgery such as mastidectmy. It als includes thse children with glue ear wh are nt expected t grw ut f the cnditin befre the age f 10 years, such as thse brn with a cleft palate, Dwn s syndrme, cystic fibrsis, r primary ciliary dyskinesia. Under temprary cnductive deafness, we include thse children with glue ear wh may have been fitted with hearing aids as an alternative t grmmet surgery but wh are expected t grw ut f the cnditin befre the age f 10 years. On 31 March 2018 On 31 March 2017 Ttal service ppulatin Ttal number f children with PCHI

Ttal number f children with temprary deafness (and fitted with hearing aids) Ttal number f children with ANSD 9. Hw many f the children n yur caselad were referred t yur service frm the Newbrn Hearing Screen? Sectin 5: Quality imprvement Please put a crss next t the relevant answer/s. 10. Have yu ever registered fr (Imprving Quality in Physilgical Services) IQIPS? Please select ne answer: N (g t questin 13) Yes If yes, which year did yu register fr the IQIPS prcess? YYYY 11. Has yur service bked its nsite assessment with UKAS? Please select ne answer: N Yes If yes, what is the date f yur nsite assessment: MM/YYYY

12. What clur are yu currently at n the UKAS traffic light system? Please put a crss next t the relevant answer. Red Amber Green Nt using it Sectin 6: Staffing and training 13. Hw many full time equivalent staff des yur children s audilgy service have at the fllwing levels as n 31 March 2018 and hw many did it have n 31 March 2017? Please express part-time rles as a fractin f a full time rle eg. 1 full time rle and a part time rle f 3 days wuld be 1.6 FTE. 31 March 2017 31 March 2018 Level Permanent Lcum/ temprary Vacant Frzen Apprentices Permanent Lcum/ temprary Vacant Frzen Apprentices Band 1 Band 2 Band 3 Band 4 Band 5 Band 6

Band 7 Band 8 a Band 8b Band 8 c Band 8 d Band 9 Dctr specialising in audilgy (paediatrician, audivestibular physician etc) Other staff eg. vlunteers and students 14. Thinking abut permanent in the service as f 31 March 2018, what was the split f clinical and nn-clinical sessins fr audilgy staff? Level Band 5 Band 6 Band 7 Number f clinical sessins per week Number f nn-clinical sessins per week

Band 8 a Band 8 b Band 8 c Band 8 d Band 9 Dctr specialising in audilgy (paediatrician, audivestibular physician etc) Sectin 7: Children s Hearing Services Wrking Grups Please answer the questins in this sectin based n the situatin as f 31 March 2018. Please put a crss next t the relevant answer/s. 15. Des the Children s Hearing Services Wrking Grup (CHSWG) in yur area include at least ne parent representative? Please select ne answer: Yes N Nt sure We dn t have a CHSWG Sectin 8: Technlgy 16. As f 31 March 2018 which rganisatin prvides the fllwing technlgy: Please put a crss in the relevant bxes t select yur answers. Radi aids Remte micrphnes Streamers The lcal authrity Yur service Jintly - the lcal authrity and yur service 17. As f 31 March 2018 d yu balance r pair streamers purchased by (please tick the relevant bx): Please put a crss in the relevant bxes t select yur answers.

FM systems Streamers The lcal authrity Parents f the deaf child We dn t balance r pair devices unless we ve prvided them 18. Are there any plans t stp the prvisin f hearing equipment r accessries fr hearing equipment in 2018/19? Please select ne answer: N Yes please tell us which equipment and why: Sectin 9: Patient engagement 19. Please answer the questins in this sectin based n the situatin as f 31 March 2018. Please put a crss next t the relevant answer/s. What was yur service s mst recent scre in the family and friends test? Date the scre was recrded: MM/YYYY Sectin 10: Funding and cmmissining 20. What was the annual budget fr yur paediatric hearing aid service fr the 2017/18 financial year, frm the rganisatins belw? Cmplete all that apply: NHS England

The CCG(s) Other Please put a crss next t the relevant answer/s. 21. Hw is yur funding prvided? Please select all that apply. As a blck cntract within ENT services? (g t questin 33) As a blck cntract within wider children s services? (g t questin 33) As a blck cntract fr all children s audilgy services? (g t questin 33) As a blck cntract fr bth child and adult audilgy services? (g t questin 33) As an individual tariff per child? (g t questin 32) Other, please specify: 22. If yu selected tariff per child, hw much mney d yu receive fr each service belw? Cmplete all that apply: Initial hearing assessment/diagnsis Fllw up assessment Hearing aid fitting

After care 23. If yu run a jint paediatric and adult service, are yur budgets shared? Please select ne answer: Our service is jint and budgets are shared Our service is jint and budgets are nt shared Our service is paediatric nly 24. Is yur audilgy service being cmmissined differently r reviewed in 2018/19? (e.g. cmpetitive tendering, any qualified prvider, etc.) N Yes please explain the changes yu are expecting and the impact yu expect this t have n yur service and patients: