1. The Advanced Practitioner in Audiology: How things have changed Neil Summerfield Advanced Audiology Practitioner

2. A brief bit of background about me…. Worked in Audiology since 2001 Worked in Salford Royal Audiology since 2005 Part of the British Academy of Audiology board since 2012 Started Advanced Practitioner course 2012

3. A brief history of Audiology in the UK Originally 3 distinct roles with different training routes Audiologist Hearing Therapist Audiological Scientist 2000, the Department of Health (DH) allocated over £90m to fund the Modernising Hearing Aid Services (MHAS) programme The first Audiology Degree 2002 2010 ‘Modernising Scientific Careers The UK Way Forward’ Audiology Vision Neurology 2012/13 Any Qualified Provider Training route determines registration. (Voluntary (RCCP) or Compulsory (HCPC))

4. All a little confusing at times…

5. Positive changes…

6. The Challenges…. Any Qualified Provider Better health at lower costs Waiting Times Government targets "Audiologists do not have the broad training in history taking, physical examination (both general and specific), differential diagnosis and management strategy formulation that doctors possess” The British Association of Otorhinolaryngologists Head and Neck Surgeons’ (2008)

7. Basic Principles….. Advanced Practice Clinical Management and leadership Research Education

8. Historical Pathways….. Tinnitus Hearing Problems Dizziness ENT Audiology Dizziness Assessments All tinnitus Unilateral HL Otalgia Otorrhoea Bilateral hearing loss Diagnostic tests Tinnitus Rehabilitation Vestibular Rehabilitation

10. Redesign of Pathways….. Tinnitus Hearing Problems Dizziness ENT Audiology Advanced Practitioner Relevant Services: Cardiology, Neurology, physiotherapy etc.. Audiology

11. Not just Audiology Conditions Front line staff Holistic assessments Extended appointments

12. What the future holds…. Working in acute services Increased integration of services Reducing costs Securing future jobs Providing more patient centred care Increasing the number of Advanced Audiology/ENT Practitioners

13. Questions…?