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Nottingham Auditory Implant Programme

The Nottingham Auditory Implant Programme is a nationally recognised centre for auditory implantation.

The programme provides cochlear implants and other hearing implants to hearing impaired children and adults of all ages who do not receive adequate benefit from hearing aids.

Our highly skilled and experienced staff work with patients to establish whether a hearing implant is suitable for them and provide lifelong support for those who go on to receive implants. 


More severe and profoundly deaf people will benefit from cochlear implants because of new NICE guidance

7th March 2019

We are delighted with the news that the criteria for cochlear implantation has been relaxed by the National Institute for Health and Care Excellence (NICE). Because of their updated guidance which you can see here, hundreds more people who have been struggling to get enough benefit from hearing aids will be able to receive a cochlear implant.

Staff from our programme worked with researchers and clinicians around the UK to provide the evidence that NICE needed in order to make this change. Tracey Twomey, NAIP Head of Service and Chair of the British Cochlear Implant Group says: “This is a fabulous development and so good for our patients. For too long we have had to turn people away who may have benefited from an implant because they didn’t fit the previous NICE criteria.”

The revisions to the guidance are as follows:

For the purposes of this guidance, severe to profound deafness is defined as hearing only sounds that are louder than 80 dB HL (pure-tone audiometric threshold equal to or greater than 80 dB HL) at 2 or more frequencies (500 Hz, 1,000 Hz, 2,000 Hz, 3,000 Hz and 4,000 Hz) bilaterally without acoustic hearing aids. Adequate benefit from acoustic hearing aids is defined for this guidance as:

  • for adults, a phoneme score of 50% or greater on the Arthur Boothroyd word test presented at 70 dBA
  • for children, speech, language and listening skills appropriate to age, developmental stage and cognitive ability.

There is NHS help available for all degrees of hearing loss, which can be devastating, leaving people feeling isolated and unable to talk with friends, family and work colleagues. Our advice is don’t delay, see your GP or audiologist to discuss and explore what options might best suit you. Ask for a referral to a cochlear implant programme for assessment if you feel this might be for you.

Contact us

General enquiries and appointments

Tel: 0115 948 5549 or 0115 948 5565 or 0115 948 5533

Text: 0797 619 0003

Fax: 0115 948 5560



Emergency out of office hours

In case of an emergency during out of office hours, you can talk to a staff nurse at the Ear, Nose and Throat department any time of the day or night. 


Tel: 0115 924 9924 Ext: 69025


Tel: 0115 924 9924 Ext: 69034


Helpdesk (Spares & Repairs)

Tel: 0115 948 5538 

Text: 0797 619 0028



Cochlear Care (Cochlear users only):

Tel: 0193 226 3630

Text: 0790 358 3780


Members of the Nottingham Auditory Implant Team

Members of the Nottingham Auditory Implant team are based across QMC, City Hospital and Ropewalk House. 


Head of Service

Tracey Twomey


Surgical Team

Professor Gerry M O’Donoghue
Mr Andy Marshall
Professor Doug Hartley 



Mark Daft, Jane Hatton, Ellen Jeffs, Susan Johnson, Tracy O’Neill, Claire Hill, Carina Allan, Kim Veekmans


Associate Audiologist

Julie Robertson


Clinical Assistant

Rosie Hobbs


Speech and Language Therapists

Gabriella Bizeul, Angela Maxwell, Amanda Odell, Jayne Ramirez-Inscoe


Teachers of the Deaf

Clare Boddy, Gill Datta, Karen Durbin, Donna Emery


Clinical Psychologist


Broken or lost equipment


If your equipment is not working properly try to identify the problem and solve it yourself if you can. You can find troubleshooting information on your equipment manufacturer’s website:


If the problem persists, please contact:

Cochlear Care (for users of Cochlear sound processors)

Tel: 0193 226 3630


NAIP Equipment Helpdesk

Tel: 0115 948 5538 


Replacement equipment

Following patient feedback from our recent Equipment Helpdesk Survey we are intoducing a new 'Return before Replace' system for our patients using Advanced Bionics and Med-El equipment (excluding Harmony and Opus 2 users). If your headpiece, cable or battery is faulty you will need to return it to NAIP before receiving a replacement. In the meantime you can use your spare which has previously been provided. For more information please contact our Equipmemt Helpdesk:  0115 948 5538.   

If replacement sound processors are required they are sent out by registered post and should be received the following day (if requested before 2:30pm). A sound processor is an expensive item of equipment (over £5,000). Therefore, it is very important that broken or faulty speech processors are returned without delay in the special delivery envelope provided.


Keeping sound processors safe

 As cochlear implant equipment is very expensive it is important that the sound processor is held in place securely whilst being worn to help prevent loss or damage. The following leaflet explains our policy with regard to retention methods and some of the ways that can help to keep your child’s processors in place:


What if my equipment is lost or damaged beyond repair?

Nottingham University Hospitals has a policy which includes penalty charges which may be applied if equipment lost or damaged beyond repair. If your equipment is lost or damaged please contact Cochlear Care (if registered) and the NAIP Helpdesk as soon as possible. You can download the following documents for more information:

News & Events

NAIP is trialling teletherapy!

Posted 02/10/18

For some patients we can now offer appointments using a Virtual Clinic application as an alternative to face-to-face visits, where it is clinically appropriate. This is similar to using Skype or Facetime; however we are using a method that is confidential, safe and approved by the NUH Trust to conduct medical appointments. 

At the moment we are trialling this with young patients and their families. If you are interested in having teletherapy appointments please talk to the NAIP teacher of the deaf or speech and language therapist working with your child. 

Parents, teenagers and even younger children who have experienced Virtual Clinic appointments have found that they have numerous advantages over traditional face-to-face appointments.

Click here for more information

We hope that you will find teletherapy as exciting as we do!


Baby Max in the news!

03/09/2018 Max and mum

It was lovely to see Max and his parents, Rebecca and Ian, in the news and on the ITV programme ‘Lorraine’ recently.

Max is a patient at the Nottingham Auditory Implant Programme. He was born profoundly deaf and had a cochlear implant operation earlier this year. We saw some lovely video of his initial programming appointment and his parents explained how he has begun to hear and is learning to communicate. They were grateful to other parents of children with cochlear implants who supported them along the way.

You can watch the video clip here.


The best NAIP Annual training for local professionals yet!


More than 85 teachers of the deaf and speech and language therapists attended this year’s training conference, held once again at the Nottingham Conference Centre. Image of conference room

Presentations included Tinnitus in children, the long-term impact of prematurity on development aside from hearing, outcomes with cochlear implants for children with ANSD and a workshop on how we can work with local professionals to build teenager’s confidence, resilience and independence as they progress towards adulthood. The updates and hands-on workshops from the cochlear iImplant manufacturers is always well recieved.

The overall conference content was rated as Excellent by 67% and Good by 33% of the delegates, with 100% saying it was relevant to their current position. 

Suggestions for next year’s conference, included a focus on children with complex needs and more interactive workshops.

Local professionals and the implant team value this opportunity for joint working and continued collaboration and details of our next event will be announced soon!

Read more about this conference


Early Years Professional Development Group: Good feedback

The most recent meeting of this group took place on Tuesday 10th July. Feedback from local professionals attending was very positive with participants indicating that both course content and relevance were either good or excellent. People said that the presentations were really useful and liked that there were materials to take away and use. They also commented that more sharing as a whole group would be good.

We asked what they would like to be included in future meetings and their suggestions have been incorporated into our draft agenda for the next meeting:

  • Play; A presentation and hands-on workshop
  • Working with children who have complex needs: An introduction and a look at the Early CaLL profile.

The provisional date for the next meeting is: Thursday 29th November.

The sessions are free of charge but places are limited. To join the group or to receive details of future sessions please contact Amanda Odell at: