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consensus on cochlear implantation in the uk home consensus statement about thank you for submitting your views. a copy of your views is shown below. please save them for your own reference if you have not already done so. unfortunately, a problem has occurred and we have been unable to record your views. we would encourage you to try again or to send your views to us directly by email . a copy of your views is shown below. please save them for your own reference if you have not already done so. thank you. we would like to thank all those who submitted their views about who should be able to receive cochlear implants on the national health service in the united kingdom. we received submissions from over 160 people including cochlear implant users and their parents, those unable to access cochlear implants, and clinicians who provide cochlear implantation services. these views directly informed a national consensus meeting held in london on 9th march 2017. representatives from over 30 stakeholder organisations attended what was a very successful day of discussions about candidacy. a statement has now been prepared that summarises the issues on which consensus was reached. read the consensus statement an initiative of the designed and conducted in partnership with the nihr nottingham biomedical research centre and the ucl speech hearing and phonetic sciences (shaps) . × close about this exercise the aim of the exercise is to bring together everyone with an interest in who should be able to receive cochlear implants on the national health service in the united kingdom. this includes adults who have received cochlear implants, the parents/carers of implanted children, individuals who have been refused cochlear implants, representatives from charities who represent individuals with hearing loss and cochlear implant users, and clinical professionals involved in the delivery of cochlear implantation services in the united kingdom. the goal of the exercise is to achieve a consensus within the clinical and patient communities on who should be considered eligible to receive a cochlear implant based on the latest evidence from research, clinical experience, and the lived experiences of patients. the purpose of the exercise is to create a single unified message about who could benefit from cochlear implantation to guide any future changes to service provision in the uk. this exercise is an initiative of the candidacy working group of the british cochlear implant group . the exercise has been designed and is being conducted by dr pádraig kitterick from the nihr nottingham biomedical research centre and dr debi vickers from the ucl speech hearing and phonetic sciences (shaps) . if you would like to know more about this exercise, please contact pádraig kitterick ( [email protected] ) or debi vickers ( [email protected] ). × close consensus statement on candidacy for cochlear implantation on behalf of the british cochlear implant group candidacy working group executive summary cochlear implants restore important aspects of hearing in people whose degree of hearing loss means that they cannot benefit from conventional acoustic hearing aids. the british cochlear implant group (bcig) represents providers of cochlear implantation services for adults and children across the united kingdom. the bcig candidacy working group ran a national exercise to find out if there was agreement among the major stakeholders in cochlear implantation (patients, clinicians, national organisations, charities, manufacturers and commissioners) on who should be able to receive a cochlear implant on the nhs in the uk. the provision of cochlear implants in the uk currently follows guidance from the national institute for health and care excellence (nice) that recommends cochlear implants for adults and children with profound deafness in both ears who do not receive sufficient benefit from acoustic hearing aids. consensus was reached among representatives from over 30 stakeholder organisations. the key points on which consensus was reached were: expanding candidacy to include some groups of adults and children with less profound forms of hearing loss would be appropriate because the benefits would outweigh the risks. the current assessment used to determine whether someone receives sufficient benefit from their hearing aids (the bkb sentence test) does not adequately assess the difficulties with listening that adults and children experience in everyday life. the process to determine whether someone receives sufficient benefit from their hearing aids should be revised to better assess real-world listening difficulties. assessment procedures should be chosen based on evidence that they are reliable and valid for determining candidacy for cochlear implantation. different procedures may therefore need to be adopted for different sub-groups of patients who are potential candidates. summary of the consensus process the exercise involved over 30 organisations including cochlear implant centres from around the uk, organisations that represent those with hearing loss and those who use cochlear implants, organisations that represent the clinical professionals involved in providing cochlear implantation, organisations conducting research for cochlear implants, manufacturers of cochlear implants, and those who commission cochlear implantation services. a stakeholder panel made up of representatives from those organisations were asked to indicate if they considered cochlear implantation appropriate for 600 different patient scenarios. by appropriate, we mean whether the benefits of cochlear implantation outweigh the risks. the stakeholder panel also voted on a range of statements about candidacy. the choice of patient scenarios for consideration and statements for voting was based on responses to an online survey. the survey asked for views on who should be able to receive a cochlear implant. the survey was completed by 161 individuals including cochlear implant users & parents of implanted children, people who had been refused an implant or would like one, and clinicians and researchers. each member of the stakeholder panel first considered their views independently, and then met in person to discuss the patient scenarios and statements. the stakeholders were allowed to change their views after these discussions. the exercise used established scientific methodologies to identify where consensus was reached on the appropriateness of cochlear implantation across the patient groups and on agreement with the statements. results of the consensus process consensus was reached on the following points: appropriateness of cochlear implantation the range of patient groups in which cochlear implantation is appropriate is considerably broader than the range of groups who are currently eligible according to nice guidance. cochlear implantation is appropriate for less profound degrees of hearing loss than currently permitted according to nice guidance. cochlear implantation can be appropriate where the degree of hearing loss is different in the two ears, and in patient groups where only one ear would be considered appropriate for implantation. cochlear implantation is not only appropriate when a patient receives insufficient benefit from their hearing aids when listening in quiet, but can also be appropriate when hearing aids provide insufficient benefit only when listening in background noise. cochlear implantation can also be appropriate in patient groups where speech understanding is not possible or appropriate to measure. cochlear implantation is not only appropriate where the primary motivation for treatment is the restoration of speech understanding but can also be appropriate where it is for the alleviation of tinnitus. unilateral and bilateral cochlear implantation can be appropriate for both children and adults. the appropriateness of bilateral implantation varies based on factors includi

URL analysis for cicandidacy.co.uk

hearing.nihr.ac.uk
bcig.org.uk
ucl.ac.uk

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Domain name:
cicandidacy.co.uk

Data validation:
Nominet was not able to match the registrant's name and/or address against a 3rd party source on 21-Dec-2016

Registrar:
Gandi [Tag = GANDI]
URL: http://www.gandi.net

Relevant dates:
Registered on: 21-Dec-2016
Expiry date: 21-Dec-2018
Last updated: 17-Nov-2017

Registration status:
Registered until expiry date.

Name servers:
ns-1492.awsdns-58.org
ns-1867.awsdns-41.co.uk 205.251.199.75
ns-322.awsdns-40.com
ns-638.awsdns-15.net

WHOIS lookup made at 22:44:42 26-Aug-2018

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  REFERRER http://www.nominet.org.uk

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  SERVER co.uk.whois-servers.net

  ARGS cicandidacy.co.uk

  PORT 43

  TYPE domain

DOMAIN

SPONSOR
Gandi [Tag = GANDI]
URL: http://www.gandi.net
Relevant dates:

  CREATED 21-Dec-2016

  CHANGED 17-Nov-2017

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  NS-1492.AWSDNS-58.ORG 205.251.197.212

  NS-1867.AWSDNS-41.CO.UK 205.251.199.75

  NS-322.AWSDNS-40.COM 205.251.193.66

  NS-638.AWSDNS-15.NET 205.251.194.126

  NAME cicandidacy.co.uk

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