1. Policy

In order for a person to be eligible for registration for hearing loss with the Local Authority, (s)he must have been seen by an Audiologist and had an audiogram completed.

There are three categories of registration for hearing loss:

  1. Hard of Hearing: For those who, with, or without, a hearing aid, have some useful hearing but whose normal method of communication is by speech, listening or lip reading;
  2. Deaf with speech: For those who have little or no useful hearing but whose normal method of communication is by speech or lip reading;
  3. Deaf without speech: For those who have no useful hearing and whose normal method of communication is British Sign Language (BSL), finger spelling or writing.

Inclusion on any of these registers will be dependent on the results of an audiogram.

Responsibility for registration assessment lies with the specialist workers in the Disability Team (Adult Services).

Please note: There are workers within the Disability Team who use BSL to enable them to communicate with profoundly deaf people and people whose first language is BSL.

2. Procedural Steps

Step Action By Whom
Checking Registration Eligibility:
1. On receipt of a request for registration, check on CareFirst to see if the person is already registered and update personal details. Duty Worker, any team, or Advice Officer at the Wilson Centre
2. Refer to Sensory Duty Worker at the Disability Team who will arrange a registration assessment. Duty Worker, any team, or Advice Officer at the Wilson Centre
3. If the person has not had their hearing tested before, (s)he is not eligible for registration. Refer him / her to GP for hearing test and ask them to return once (s)he has been seen at the Audiology Department. Specialist Worker, Disability Team
4. Send for a copy the service user’s last audiogram from the Audiology Department at the hospital. Specialist Worker, Disability Team
5. On receipt of the audiogram, plot the results against the registration eligibility chart. Specialist Worker, Disability Team
6. If the service user is eligible the registration log should be completed and a number allocated. Specialist Worker, Disability Team
7. CareFirst classification should be updated and registration number recorded. Specialist Worker, Disability Team
8. Purple, white or grey registration card, signed by the Disability Team manager,  should be sent to the service user, stating their registration category along with a covering letter, informing them of concessions that they might be eligible for and how to apply. Specialist Worker, Disability Team
9. Discuss hearing loss with service user to determine as to whether (s)he requires further assessment of sensory needs. Specialist Worker, Disability Team
Replacement Registration Cards:
10. On receipt of a request for a replacement registration card, check CareFirst to see if the service user is already registered and update personal details. Duty worker, any team, or Advice Officer at the Wilson Centre
11. If they are registered, contact the Disability Team to request a replacement registration card. Duty worker, any team, or Advice Officer at the Wilson Centre
12. If there is no record of an existing registration on CareFirst, refer the service user to their GP for hearing test and ask them to call back once they have been seen at the Audiology Department. Duty Sensory Worker, Disability Team
13. Complete the registration log and a new number will be allocated to the person. Specialist Worker, Disability Team
14. Update the CareFirst classification and new registration number recorded. Specialist Worker, Disability Team
15. Send service user a purple, white or grey registration card, signed by the Disability Team manager, which states registration category, with a covering letter regarding possible concessions and how to apply. Specialist Worker, Disability Team
16. Discuss hearing loss with customer to determine as to whether they require further assessment of their sensory needs. Specialist Worker, Disability Team
Change of Personal Details:
17. If a person changes address or move out of the Local Authority area, the Disability Team should be informed so the disability register can be updated. All staff
18. A new card will need to be issued on every change of address if still within the Local Authority boundary. Specialist worker, Disability Team