Equipment agreement - adult and children implant patients

Hearing devices provided under the NHS are supplied on a permanent loan basis; they are not the personal property of the patient. Equipment should be returned if it is no longer needed.

Hearing device care

You will be provided all necessary information to look after the hearing device. Please take responsibility for keeping all equipment issued to you safe and look after it well.

Please store the sound processor in the drying box every night. When the processor is not in use, please ensure you place the processor(s) in the box or protective case. Do not leave the processor(s) lying around.

If the processor does not feel secure on your ear, please discuss this with your clinician. There are retention devices we can try to make it fit more securely.

Broken/ faulty hearing device

• Cochlear Implants: Please contact the manufacturer’s equipment service (Cochlear Care, AB4U, MedelDirect), where they will help problem solve with you.
• Softbands, BAHA, Bonebridge, Osia, Sentio & Vibrant Soundbridge Implants: Please contact the Emmeline Centre equipment service who will review the problem with you.
• If you need a replacement processor, your care provider will supply an envelope for you to return the faulty hearing device:
  • Please return the faulty processor within one week of reporting the fault.
  • Patients who frequently fail to return faulty equipment may be asked to send faulty equipment back before a replacement is issued.
  • Devices not returned will be considered lost (see section below)

The Emmeline Centre NHS service does not support wireless or waterproofing accessories and does not undertake to replace or repair faulty accessories.

Lost hearing device

Search everywhere.

Retrace your steps and think of all the places where it could be.

If you cannot find your processor, please contact the Emmeline centre immediately as it can be difficult to re-establish wearing after a longer period of non-use. A staff member will contact you to gain detailed information about the circumstances of the loss and to discuss a replacement. If you later find the processor or hearing aid, please inform the Centre immediately.

If you suspect that the sound processor or hearing aid was stolen, please report the loss to the police to obtain an incident number.

Charges for lost processors

At the Emmeline Centre we reserve the right to make an administrative charge when a processor or hearing aid is lost, for all device users aged 19 and above. Exceptions will be at the discretion of senior management according to hospital policy.

Replacement processors

• Replacement sound processors often have to be ordered
• There may be a delay of 7-10 days before sound is restored
• Devices may not match the colour or type of processor that was lost
• Repeated losses may delay the original time period for upgrading your processor(s).

Contact the Emmeline Equipment Team

Email the CUH Emmeline Equipment Team (opens in a new tab)

Phone: 01223 256019

Patient copy

Hearing device/processor model: _____________________________

Please tick the boxes below to indicate that you acknowledge the following information:

Sound Processor / Hearing Aid Care:

☐ I have been given detailed advice on how to take care of my hearing device and how to keep the device on my ear.

☐ I have been issued with the necessary care kit and instructional manuals to look after the hearing device appropriately.

☐ I will take care of the processor/hearing aid, being aware of the high cost of the equipment.

Sound Processor / Hearing Aid Repair:

☐ If the device stops working, I will return the faulty processor within 1 working week.

☐I will return the faulty sound processor or hearing aid in a padded envelope.

☐ I understand that replacement stock may not match the colour of the faulty processor.

Lost / Damaged hearing devices:

☐ Where the processor or hearing aid is thought to be stolen, I will report the loss to the Police and obtain a police incident number.

☐ I will contact the Emmeline Centre immediately and cooperate with their procedures for dealing with lost equipment.

☐ I will attend the Centre to get a replacement device when requested to do so.

☐ [Adults only]: I may have to pay an administrative charge of £250 (processor) or £65 (hearing aid) for a lost device replacement.

Patient/ carer signature: _____________________________

Staff signature: _____________________________

Date: _____________________________

Patient name: _____________________________

MRN: _____________________________

DOB: _____________________________

Hearing device/processor model: ____________________________

Please tick the boxes below to indicate that you acknowledge the following information.

Sound Processor / Hearing Aid Care:

☐ I have been given detailed advice on how to take care of my hearing device and how to keep the device on my ear.

☐ I have been issued with the necessary care kit and instructional manuals to look after the hearing device appropriately.

☐ I will take care of the processor/hearing aid, being aware of the high cost of the equipment.

Sound Processor / Hearing Aid Repair:

☐ If the device stops working, I will return the faulty processor within 1 working week.

☐ I will return the faulty sound processor or hearing aid in a padded envelope.

☐ I understand that replacement stock may not match the colour of the faulty processor.

Lost / Damaged hearing devices:

☐ Where the processor or hearing aid is thought to be stolen, I will report the loss to the Police and obtain a police incident number.

☐ I will contact the Emmeline Centre immediately and cooperate with their procedures for dealing with lost equipment.

☐ I will attend the Centre to get a replacement device when requested to do so.

☐ [Adults only]: I may have to pay an administrative charge of £250 (processor) or £65 (hearing aid) for a lost device replacement.

Patient/ carer signature: _____________________________

Staff signature: _____________________________

Date: _____________________________