Abstract
This chapter describes an assessment of the use of National Health Service (NHS) hearing aids. It has been found that patients attending the NHS center for hearing aid fitting mainly belong to the older age groups and have a high tone loss. They wear their aids with low gain settings and, in the test situation, many seem to derive little benefit from the use of the aid. This may be because they are recruiting and cannot tolerate the maximum output of the aid. In a study described in the chapter, it was found that many of the patients had a high tone loss and may have been disturbed by unwanted low-frequency sounds. The provision of peak clipping and tone controls on the new BW61 aid would, thus, seem to be a useful development. NHS centers, previously unused to aids with these controls, will be able to acquire the necessary expertise to adjust them to optimize the benefit arising to a patient from the use of the aid. Merely issuing a hearing aid is not enough, and some form of follow-up is needed for many patients to help them to cope with their hearing loss.
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