Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, whether his Department plans to introduce a community-based audiology service for adults to improve access to assessment and treatment.

Community health services are a fundamental part of the health and care system and an essential building block in developing a neighbourhood health service. Integrated care boards (ICBs) are responsible for the provision and commissioning of community health services, including audiology, to meet the needs of their local populations.

However, we know people are waiting too long to access audiology services. For the first time, we have set a clear target through the Medium Term Planning Framework, for systems to work to, in order to reduce long waits for community health services. By 2028/29 at least 80% of community health services activity should take place within 18 weeks. This includes community audiology services. This will be a key part of the shift from hospital to community.

In 2025, we published, for the first time, an overview of the core community health services, Standardising Community Health Services, that ICBs should consider when planning for their local populations to support improved commissioning and delivery of community health services, a vital part of neighbourhood health. It provides a baseline standard to ensure consistent delivery of community services, including audiology services, supporting effective commissioning and improved patient access. Further guidance was published in February 2026, providing more detailed descriptions of community audiology services for ICBs.

We are also committed to transforming diagnostic services and will support the National Health Service to increase diagnostic capacity, including for audiology services for adults with age-related hearing loss.

NHS England is supporting provider organisations and ICBs who are the commissioners of audiology services to improve performance and reduce waiting lists for appointments and assessments for hearing services. This includes capital investment to upgrade audiology facilities in NHS trusts, expanding audiology testing capacity via community diagnostic centres, and direct support through a national audiology improvement collaborative.