Friendly Advice for You and Your Family
If you are worried about your hearing, or you are helping a family member who may be struggling, you are not alone. Hearing changes are common, especially as we get older, and support is available. This starter guide explains when to have a hearing test, what options may help, and how NHS and home hearing services usually work in the UK.
How often should I have a hearing test?
There is no single answer for everyone, but it is sensible to have your hearing checked if you notice any change. Common signs include turning the television up louder than usual, missing parts of conversations, struggling in background noise, or asking people to repeat themselves.
As a general guide, adults with no hearing concerns may choose to have a hearing test every few years, and more often after the age of 50 or 60. If you already wear hearing aids, have ear problems, work around loud noise, or feel your hearing has changed, an annual check may be helpful. If your hearing suddenly gets worse, especially in one ear, seek urgent medical advice.
Are hearing aids the only answer?
Not always. Hearing aids are a very common and helpful solution for many people, but the right answer depends on the cause and level of hearing loss. Sometimes the issue may be linked to earwax, infection, medication, tinnitus, or another ear condition that needs medical advice.
There are also other forms of support. These can include hearing loops in public places, TV listening devices, amplified phones, smartphone captioning, alerting devices, communication tips, and advice for family members. A good hearing assessment should look at your daily life, not just the result of a test.
Can I have a hearing test at home if I am disabled?
In many cases, yes. If you cannot easily leave home because of a physical or mental health condition, disability, severe mobility problem, or because you are housebound, you may be able to arrange a hearing test at home. Some services are private, and some may be NHS-funded depending on local availability and eligibility.
A home hearing test is usually carried out by a qualified hearing professional using portable equipment. A family member or carer can often be present if you would find that helpful. If you need an NHS-funded home visit, your GP or local audiology service may need to confirm that you cannot attend a clinic without help.
Are hearing aids available on the NHS?
Yes. NHS hearing tests and hearing aids are available for people who need them. The usual route is to speak to your GP, who can refer you to an NHS audiology service. In some areas, you may also be able to access NHS adult hearing services through approved local providers.
NHS hearing aids are usually digital and are fitted to match your hearing needs. You should also receive advice on using them, follow-up support, repairs, and help with batteries or maintenance, although the exact service can vary by area.
Can I get hearing aids for free if I receive social security or social care payments?
If you are assessed through the NHS and hearing aids are recommended, NHS hearing aids are normally provided free of charge. This is not usually based only on whether you receive benefits or social care payments. It depends on your hearing needs and the NHS pathway in your area.
If you choose to buy hearing aids privately, there may be a cost. Some charities, local services, or social care teams may be able to advise on extra support, especially if hearing loss affects your independence, safety, work, or communication. If you are unsure, start with your GP, local NHS audiology service, or a qualified audiologist who can explain your options clearly.
A final note
Hearing care should feel clear, friendly, and personal. If you or someone close to you is finding hearing harder than it used to be, a hearing test is a good first step. It can help you understand what is happening and what support may make everyday life easier.

