Assessment (children)

Each child is assessed thoroughly by the multi-disciplinary team working in partnership with local professionals.
The stages in the assessment process are explained below.

Paediatric AssessmentChild AssesmentReferrals are accepted from relevant Health Care Professionals. Supporting information is requested from local agencies. An information package is sent to the family.

Audiological Assessments are completed by the Clinical Scientists and hearing aid benefit is assessed. A hearing aid trial may be needed. During this appointment an overview of the assessment process is given and the next step is explained.

Cochlear Implant Clinic are held in the Centre for a medical consultation with the ENT Surgeon. The family also meet various team professionals who will be working with their child.

Further Audiological Assessments may be required which can include Electronic Response Audiometry (ERA). Information about the different cochlear implant devices is given.

Home and School Visits are undertaken by The Teacher of the Deaf. During these visits information is exchanged; the child is observed and worked with. The assessment process is discussed in liaison with local professionals. The Speech and Language Therapist completes assessments at the Centre and during outreach visits where appropriate.

Scans of the inner ear are done at Bradford Royal Infirmary. The family is sent an appointment approximately 2 weeks prior to the scan. A young child is usually given a general anaesthetic and the procedure is performed as a day case.

Cochlear Implant Decision and Offer If it is decided by the Team that the child could benefit from a cochlear implant then the offer is made to the family. The Parents Agreement is discussed to ensure that each family is aware of the commitment required.
If the Team decide that the child would not gain significant benefit from a cochlear implant this is discussed with the family and the reasons behind this decision are fully explained at a clinic appointment. This may happen at any stage in the assessment. The local professionals are also informed of the outcome with suggestions offered for the ongoing support of the child.

Family Meetings are arranged where the parents of the child being assessed are encouraged to meet with a family of a child who already has a cochlear implant. If appropriate this may happen earlier in the assessment. Workshops are also held at the Centre for families going through the assessment process.

Baseline Assessment are completed by The Teacher of the Deaf and Speech and Language Therapist. Information collected include communication, listening skills, language development, speech intelligibility and social development. Information is also exchanged again at this time to prepare the family for the operation and hospital stay.

Pre-operative assessment and Consent are completed at the centre. This is completed with the ENT Consultant Surgeon. Final information is exchanged, and understanding of the possible risks of surgery are checked. Pre-operative assessment is arranged on the same day where possible.

The Operation usually takes 2 – 3 hours. The hospital stay is usually a couple of days. A post-operative X-Ray is done before discharge. During this time the family is supported by the Team.