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Children's hearing

Paediatric audiology

Specialist hearing assessments for children from 8 months onwards — delivered with expertise, patience and a child-centred approach.

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For parents & carers

A calm and reassuring experience

If you have concerns about your child's hearing, an assessment can help you understand what they are hearing and whether any further support is needed.

We provide a calm, welcoming environment and adapt each appointment to your child's age, development and individual needs. Hearing assessments are non-invasive and designed to be as comfortable and engaging as possible.

We'll explain what we're doing throughout the appointment and give you plenty of opportunity to ask questions.

Child taking part in a specialist hearing assessment

Assessment by age

The right test for every child

Children's hearing is assessed differently depending on their age and developmental stage. We select the most appropriate techniques for your child and adapt the assessment around their responses.

Babies & toddlers

8 months – 2 years

Visual reinforcement audiometry uses engaging visual rewards to help young children respond to sounds. Testing is adapted to your child's developmental stage and paced around their responses.

Pre-school children

2 – 4 years

Age-appropriate techniques, including visual reinforcement and play-based audiometry, are selected according to your child's development and ability to respond reliably.

Children & school-age

4 years and over

Play audiometry and standard pure-tone testing are adapted to each child's developmental level, providing a clear and child-friendly assessment of their hearing.

Specialist services

Specialist children's hearing care

Children's hearing can change as they grow, and difficulties are not always obvious. We provide age-appropriate hearing assessments for a wide range of concerns, from routine hearing checks to ongoing monitoring.

This includes assessment and monitoring of glue ear (otitis media with effusion), one of the most common causes of temporary hearing loss in childhood.

We also work with children who may need a more flexible approach to testing, adapting the appointment and assessment techniques to the individual child wherever possible.

What to expect

Your child's appointment

Every appointment is shaped around your child. We'll take time to understand your concerns before selecting the most appropriate tests for their age and developmental stage.

01

Understand your concerns

We'll take time to discuss your concerns, your child's hearing history and anything you may have noticed at home, nursery or school.

02

Choose the right assessment

We'll select age-appropriate hearing tests based on your child's developmental stage and adapt the appointment around their individual needs.

03

Assess their hearing

Your child will take part in appropriate, non-invasive hearing tests delivered at their pace and designed to be as comfortable and engaging as possible.

04

Explain the results

We'll talk you through the results clearly, explain what they mean for your child's hearing and give you plenty of opportunity to ask questions.

05

Agree the next steps

Where appropriate, we'll discuss monitoring, further assessment or onward referral and explain what happens next.

Clinic availability

Where children's appointments are available

The hospital location for your child's assessment depends on their age and individual needs.

8 months to 4 years

Spire London East Hospital

Paediatric hearing assessments are available for children aged 8 months to 4 years.

4 years and over

Four hospital locations

Children's hearing assessments are available at Nuffield Health Brentwood Hospital, Nuffield Health The Holly Hospital, Spire Cambridge Lea Hospital and Spire Hartswood Hospital.

Complex needs

Spire London East Hospital

Hearing assessments are also available for children with complex needs.

We're here to help

Concerned about your child's hearing?

Whether you've noticed a change, received a referral or simply want reassurance, we're here to help you understand your child's hearing.

Arrange an appointment