Head of Online Medical Content
Audiology Expert at Hearing Aid UK

Overview | What is it? | Why it matters | How it works | The challenge | Is it right for you? | Conclusion
Last Hearing Aid UK Update: 05
If you've been struggling with hearing loss, you'll know that the real problem isn't usually hearing sounds in general; it's understanding what people are actually saying. You might hear that someone's speaking, but the words themselves sound like they're underwater or muffled.
This is where speech enhancement technology comes in, and it's arguably the most important feature modern hearing aids can offer.
Speech enhancement is exactly what it sounds like: a technology that specifically boosts and clarifies speech whilst managing background noise.
The goal is to make conversations easier to follow without simply making everything louder, which would just amplify the noise along with the speech.
Human speech occupies specific frequency ranges, and hearing loss often affects these frequencies more than others.
Speech enhancement technology identifies speech patterns and treats them differently from other sounds, giving your brain the best possible chance of understanding what's being said.
Related reading: Hearing aids for background noise
Older hearing aids essentially just made everything louder, and whilst this helped to some degree, it created its own problems.
Background noise became unbearably loud, speech still wasn't necessarily clear, and you could hear that people were talking, but understanding them remained difficult.
Modern speech enhancement goes far beyond simple amplification. It actively processes sound to separate speech from noise, enhance the frequencies where consonants live (which are important for understanding), and reduce the sounds that interfere with conversation.
The result is that you can actually follow what people are saying, even in challenging environments.
Most of the important moments in life involve conversation, such as chatting with family over Sunday lunch, catching up with friends at a cafe, following a presentation at work, and having a meaningful conversation with your partner. These are the situations where hearing loss becomes genuinely frustrating.
Without good speech enhancement, you might find yourself nodding along and pretending to understand, or constantly asking people to repeat themselves. It's exhausting, it's isolating, and it's one of the main reasons people avoid social situations after developing hearing loss.
Effective speech enhancement changes this completely, as you can follow conversations in restaurants despite the clatter of plates and background chatter.
You can understand what your grandchildren are saying even when they're excited and talking quickly, and you can participate in meetings without feeling like you're missing half the discussion.
Premium hearing aids use sophisticated digital processing to achieve speech enhancement, so they're essentially running complex algorithms in real-time to analyse incoming sound and work out what's speech and what's noise.
The hearing aids identify speech patterns by looking at things like rhythm, frequency content, and modulation patterns. Once they've identified speech, they can enhance it selectively whilst reducing competing sounds.
This happens automatically and continuously as you move through different listening environments.
Some hearing aids feature what's called "directional microphones" that focus on speech coming from in front of you, which is the direction you're typically facing when having a conversation.
Others use more sophisticated "beamforming" technology that can narrow the focus even more precisely towards the person speaking.
The most advanced systems combine multiple technologies, such as directional processing, noise reduction, frequency-specific amplification, and even artificial intelligence that learns which sounds you want to hear in different situations.
Related reading: Hearing aids with directional microphones
Background noise is the nemesis of speech understanding, as even people with normal hearing struggle to follow conversations in noisy environments; it's just that hearing loss makes the problem significantly worse.
This is why speech enhancement technology focuses so heavily on noise reduction and not just on making speech louder. It's actually about making the signal-to-noise ratio better.
Effectively, this means making speech stand out more clearly against whatever background noise is present.
Different hearing aids handle this in different ways, and some are more aggressive with noise reduction, which can make your environment sound quieter but sometimes a bit artificial.
Others take a more balanced approach, preserving more of the ambient sound whilst still prioritising speech clarity.
If speech understanding is your primary concern, and for most people with hearing loss, it should be, look for hearing aids that specifically mention advanced speech enhancement features.
Manufacturers use different names for their technologies, but look for terms like "speech focus," "speech enhancer," "directional processing," or "adaptive noise reduction."
Premium hearing aids from manufacturers like Phonak (with their Speech Enhancer technology), Oticon (with their Speech Guard features), and Resound (with their All Access Directionality) all offer sophisticated speech enhancement capabilities.
The exact approach varies, but they're all working towards the same goal, which is helping you understand conversation.
Speech enhancement is valuable for anyone with hearing loss, but it's particularly important if you regularly find yourself in noisy environments or group conversations.
If restaurants, family gatherings, or busy workplaces are part of your life, speech enhancement should be a top priority.
It's also important for people whose hearing loss particularly affects the higher frequencies, where consonant sounds live. These sounds are essential for understanding speech, as without them, words become difficult to distinguish from each other.
✓ Goes beyond amplification - Boosts speech clarity while managing background noise, not just making everything louder
✓ Most important feature - The real challenge is understanding words, not just hearing sounds
✓ Uses advanced tech - Directional microphones, beamforming, and AI separate speech from competing sounds
✓ Enables real conversations - Follow discussions in restaurants, family gatherings, and meetings despite background noise
✓ Essential for success - Without good speech enhancement, even fancy features won't improve your quality of life
✓ Test before buying - Ask your audiologist to demonstrate speech enhancement in realistic noisy situations
Speech enhancement isn't just another feature to tick off on a specification sheet; it's fundamental to whether hearing aids will actually improve your quality of life.
All the connectivity and fancy controls in the world won't matter if you can't understand what people are saying.
When you're considering hearing aids, ask your audiologist to demonstrate the speech enhancement capabilities in realistic situations. Try having a conversation whilst background noise is playing, or in their clinic whilst other people are talking nearby.
The difference between basic amplification and genuine speech enhancement should be immediately apparent.
Understanding conversation is what hearing aids are fundamentally for, so make sure the ones you choose are actually good at it.
Book a free consultation with one of our qualified audiologists to experience how modern speech enhancement technology can transform your ability to follow conversations - even in noisy places. We'll help you find hearing aids that actually work where you need them most.
Call us free or book online today. Available at local clinics or free home visits nationwide. No obligation, just honest advice on hearing aids that help you understand speech, not just hear noise.
What hearing aid features do I actually need?
Speech Enhancement in Hearing Aids
Spatial Awareness in Hearing Aids Do not spend hundreds of pounds without getting a second opinion from us.
Not only are the prices great, but the service is fantastic! Many thanks to your team.In general, any audiologist will always recommend to you the hearing aid model that best suits your needs. Here is a useful checklist to make sure that is the case.
If you have significant hearing loss in both ears, you should be wearing two hearing aids. Here are the audiological reasons why:
Localisation: The brain decodes information from both ears and compares and contrasts them. By analysing the minuscule time delays as well as the difference in the loudness of each sound reaching the ears, the person is able to accurately locate a sound source.
Simply put, if you have better hearing on one side than the other, you can't accurately tell what direction sounds are coming from.
Less amplification is required: A phenomenon known as “binaural summation” means that the hearing aids can be set at a lower and more natural volume setting than if you wore only one hearing aid.
Head shadow effect: High frequencies, the part of your hearing that gives clarity and meaning to speech sounds, cannot bend around your head. Only low frequencies can. Therefore, if someone is talking on your unaided side, you are likely to hear that they are speaking, but be unable to tell what they have said.
Noise reduction: The brain has its own built-in noise reduction, which is only really effective when it is receiving information from both ears. If only one ear is aided, even with the best hearing aid in the world, it will be difficult for you to hear in background noise as your brain is trying to retain all of the sounds (including background noise) rather than filtering them out.
Sound quality: We are designed to hear in stereo. Only hearing from one side sounds a lot less natural to us.
Fancy some further reading on this topic? You can read about why two hearing aids are better than one in our article, hearing aids for Both Ears, here
For most people, the main benefit of a rechargeable hearing aid is simple convenience. We are used to plugging in our phones and other devices overnight for them to charge up. Here are some other pros and cons:
For anybody with poor dexterity or issues with their fingers, having a rechargeable aid makes a huge difference, as normal hearing aid batteries are quite small and some people find them fiddly to change.
One downside is that if you forget to charge your hearing aid, then it is a problem that can't be instantly fixed. For most, a 30-minute charge will get you at least two or three hours of hearing, but if you are the type of person who is likely to forget to plug them in regularly, then you're probably better off with standard batteries.
Rechargeable aids are also a little bit bigger and are only available in Behind-the-Ear models.
Finally, just like with a mobile phone, the amount of charge you get on day one is not going to be the same as you get a few years down the line. Be sure to ask what the policy is with the manufacturer's warranty when it comes to replacing the battery.
For most people, the answer is yes. But it's never that simple.
The majority of hearing problems affect the high frequencies a lot more than the low ones. Therefore, open fitting hearing aids sound a lot more natural and ones that block your ears up can make your own voice sound like you are talking with your head in a bucket. Therefore, in-ear aids tend to be less natural.
However, the true answer is we can't tell until we have had a look in your ears to assess the size of your ear canal, and until we have tested your hearing to see which frequencies are being affected.
People with wider ear canals tend to have more flexibility, also there are open fitting modular CIC hearing aids now that do not block your ears.
There is also the age-old rule to consider, that a hearing aid will not help you if it's sat in the drawer gathering dust. If the only hearing aid you would be happy wearing is one that people can't see, then that's what you should get.
Most people can adapt to any type of hearing aid, as long as they know what to expect. Have an honest conversation with your audiologist as to what your needs are.
Generally speaking, six or more. Unless it's none at all. The number of channels a hearing aid has is often a simplistic way an audiologist will use to explain why one hearing aid is better than another, but channels are complex, and it is really not that straightforward. Here are some reasons why:
Hearing aids amplify sounds of different frequencies by different amounts. Most people have lost more high frequencies than low, and therefore need more amplification in the high frequencies. The range of sounds you hear is split into frequency bands or channels, and the hearing aids are set to provide the right amount of hearing at each frequency level.
Less than six channels, and this cannot be done with much accuracy, so six is the magic number. However, a six-channel aid is typically very basic with few other features and is suitable only for hearing a single speaker in a quiet room. The number of channels is not what you should be looking at; it's more the rest of the technology that comes with them.
As a final note, different manufacturers have different approaches. One method is not necessarily better than any other. For example, some manufacturers have as many as 64 channels in their top aids. Most tend to have between 17 and 20. One manufacturer has no channels at all.
Manufacturer's warranties typically last between 2-5 years, depending on the brand and model, and cover defects in materials and workmanship. This includes repairs for component failures, electronic malfunctions, and manufacturing defects, but excludes damage from misuse, accidents, or normal wear. Most manufacturers also include loss and damage insurance for the first year.
We handle all warranty claims on your behalf, liaising with manufacturers and ensuring you get replacement devices quickly when needed. This comprehensive warranty coverage, combined with our lifetime aftercare, gives you complete peace of mind.
Our hearing tests are completely free, whether at our clinics or in your home. Unlike other providers who charge £30-£100 for home visits, we believe hearing healthcare should be accessible without financial barriers. Our comprehensive assessments include examination by a registered audiologist, audiogram results, and personalised recommendations.
All testing, future adjustments, and ongoing support are included at no extra cost. While NHS tests are also free, typical 6-week waiting periods often lead people to seek immediate private testing. We provide prompt, professional assessments that fit your schedule and budget.
Yes, we offer completely free home visits throughout the UK, and this service is included in our prices with no additional charges. Home visits are particularly valuable for people with mobility issues, busy schedules, or those who simply prefer the comfort and convenience of their own environment.
Our audiologists can conduct full hearing tests, fit hearing aids, and provide ongoing support in your home. This service sets us apart from many providers who either don't offer home visits or charge extra for them.
We can offer prices up to 40% lower than high street retailers because of our business model. As a network of 200+ independent audiologists, we don't have the massive overheads of large retail chains - no expensive high street premises, no sales targets pushing audiologists to sell the most expensive options, and no costly marketing campaigns.
However, we maintain the same buying power as the big chains because we purchase on behalf of our entire nationwide network. This means you get access to the same premium hearing aids with professional service, but at genuinely competitive prices.
We offer a comprehensive 60-day money-back guarantee, which gives you twice the industry standard time to properly assess whether your hearing aids are right for you. This extended period recognises that adjusting to hearing aids takes time, and your brain needs several weeks to adapt to the amplified sounds.
Unlike many providers who offer just 30 days, we believe 60 days gives you the confidence to test your hearing aids in all the situations that matter to you - from quiet conversations at home to busy restaurants and outdoor activities.
When we refer to a product as 'Latest Launch', we mean it is the latest to be released on the market.
When we refer to a product as 'New', we mean that the product is the newest hearing aid model on the market.
When we refer to a product as 'Superseded', we mean that there is a newer range available which replaces and improves on this product.
When we refer to a product as an 'Older Model', we mean that it is has been superseded by at least two more recent hearing aid ranges.