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Section 1: Your service
1.1 Please answer the questions below based on the situation as of July 2021.
1.2 Please give the name of your audiology service/s. If you provide services on behalf of another Trust/s please provide details of all the Trusts that you provide services for below. Please write names in full and expand acronyms:
Section 2: Your caseload of people with intellectual disabilities and autistic people
2.1 Does your hospital or audiology service have a mechanism for identifying and flagging people with intellectual disabilities who use the service?
If yes, please specify how you store and use this information?
2.2 Does your hospital or audiology service have a mechanism for identifying and flagging autistic
If yes, please specify how you store and use this information?
Please include the following information for your service. We understand that you may not record all these numbers. Please only fill in the numbers your service records or provide an estimate if possible (noting with an E). If you do not record these numbers and cannot make a reasonable estimate, please state ‘not recorded’:
Section 3: Transition to adult services
3.1 How do you prepare young people with intellectual disabilities and/or autistic young people for transition to adult services? Please select all that apply.
Section 4: Reasonable Adjustments
Reasonable adjustments: According to The Equality Act 2010, service providers should make ‘reasonable adjustments’ to their provision, to allow disabled people to access the same services as non-disabled people. These adjustments will be different for different services. What is reasonable for one provider may not be possible or relevant for another provider.
4.1 Do you make any of the following reasonable adjustments to facilitate accessibility to audiology services? Select all that apply:
4.2 Do you make any of the following reasonable adjustments to facilitate appointment flexibility? Select all that apply:
4.3 Do you make any of the following reasonable adjustments to testing procedures? Select all that apply:
4.4 What attempts are made to find out what the individual’s needs are prior to the appointment (e.g., communication, physical, behavioural needs)?
4.5 Do you make any of the following reasonable adjustments to facilitate communication? Select all that apply:
4.6 Do you make any of the following reasonable adjustments to providing patient information? Select all that apply:
4.7 Do you currently provide a choice of coloured moulds to people with intellectual disabilities and/or autistic people at no extra charge? Please select one answer:
4.8 Does your service offer any of the following adaptions people with intellectual disabilities and/or autistic people?
Section 5: Wax management
5.1 How is problematic wax managed in people with intellectual disabilities and/or autistic people in your service? Select all that apply:
Section 6: Specialist Services
Specialist Services: By specialist services, we mean audiological services which are provided separately from your mainstream provision, specialised for people with intellectual disabilities and/or autistic people. This might mean an entirely separate service for these groups, or the opportunity to be seen by professionals who specialise in working with these groups, in a mainstream setting.
6.1 Of the people with intellectual disabilities and autistic people that you saw between 1st May and 31st July 2021, how many were seen by a specialist service as opposed to your mainstream service
6.2 Of the people with intellectual disabilities and autistic people that you saw between 1st May and 31st July 2021, what review processes were available (please select all that apply)?
6.3 Of the people with intellectual disabilities and/or autistic people that you saw between 1st May and 31st July 2021, how many were offered the following services (please give a number for all that apply).
Section 7: Meeting Relevant Guidance
7.1 How closely do you work to the following relevant guidance?
Section 8: Your policies
8.1 What documentation do you currently have specific to people with intellectual disabilities and autistic people? Select all that apply and indicate whether ‘in place’ or ‘in progress’. These documents may be trust/hospital-specific or may be specific to your department/service.
8.2 Do you carry out the following risk assessments? Select all that apply:
8.3 How does your ‘Did Not Attend’ policy differ for people with intellectual disabilities and/or autistic people to that of the wider patient population?
Section 9: Referral Routes
9.1 Of the new referrals of people with intellectual disabilities and autistic people, that you received between 1st May and 31st July 2021, where did the referrals originate from? Please select all that apply.
Section 10: Multidisciplinary Working
10.1 Of the people with intellectual disabilities that you saw between 1st May and 31st July 2021, how often did you make referrals to the following professionals when they are required. Please select all that apply and indicate estimate of frequency of referral.
10.2 Of the autistic people that you saw between 1st May and 31st July 2021, how often did you make referrals to the following professionals when they are required. Please select all that apply
10.3 Do you have access to any of the following? Select all that apply:
Section 11: Staffing and Training
11.1 Are the staff (e.g., audiologists, receptionists) in your service able to access the CPD necessary for working with people with intellectual disabilities and/or autistic people?
11.1b If CPD is not available for all staff in your service, necessary for working with people with intellectual disabilities and/or autistic people, please indicate why not (select all that apply):
11.2 If you offer a specialist service for people with intellectual disabilities and/or autistic people, how many full-time equivalent staff were routinely involved on 31st July 2021? (Please select all that apply).
11.3 What training have the staff in your service been offered for working with people with intellectual disabilities and/or autistic people? (Please select all that apply)
Section 12: Patient engagement and service evaluation
Please answer the questions in this section based on the situation as of 31st July 2021.
12.1 What patient feedback mechanisms do you have in place for services for people with intellectual disabilities and/or autistic people?
a. What have been the most recent outcomes of patient feedback regarding services for people with intellectual disabilities and/or autistic people?
12.2 Do you audit/evaluate your service practices for people with intellectual disabilities and/or autistic people? Please give a brief explanation (1 or 2 sentences).
12.3 Are there any aspects of service delivery that you adapted during the Coronavirus pandemic, which you intend to retain beyond the end of restrictions (e.g., tele-audiology, telephone reviews)? Please give brief details and an explanation of why.
12.6 Are there plans to develop your service for people with intellectual disabilities and autistic people in the near future? Please give a brief description of any planned changes.

Audiology Services. 230322.docx