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Audiology: Community Health Services

Asked by Helen MaguireLiberal DemocratDepartment of Health and Social CareTabled Answered 23 January 2026UIN 103117

The question

To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential merits of commissioning a national framework mandating ICBs to commission NHS community audiology services on a self-referral basis that include wax removal.

Answered by Stephen Kinnock

Integrated care boards (ICBs) have a statutory responsibility to commission cost-effective healthcare to meet the needs of their local population. This includes the arrangement of services for ear wax removal.

The current availability of self-referral and direct access to audiology services depends on local commissioning arrangements and service protocols, including ICB commissioning. Currently, self-referral to audiology services is usually for those with age related hearing loss.

NHS England is working with ICBs to support greater standardisation of self-referral arrangements and to assess opportunities to bring more of the self-referral process into the NHS App and website in future where appropriate.

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